When should I opt dental braces either before or after the frenulum surgery?

Question

Hello doctor,

I am 19 years old. I underwent a canine impaction surgery just two weeks ago. The stitches and the removal after the surgery have caused a cut on my gums, which now separates the point at which the gums above the central incisors meet. The point that I am mentioning is right below the frenulum.

My dentist said I have a class 2 labial frenulum and that it might result in gum recession and the formation of a black triangle. He added that it might prevent my gums from reattaching. I did not have any bad experiences with my frenulum until the surgery.

I am afraid to undergo this surgery. Moreover, I do not want to undergo this frenectomy. All I want is for my gums to join back.

Please let me know whether I need to undergo this frenectomy. If yes, let me know when would be the right time to do it. I am planning to wear dental braces after two months.

Should I do it before or after the surgery? I would be very grateful if you could suggest a way to rejoin my gums without undergoing a frenectomy.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have evaluated the image (attachment removed to protect patient identity), and you indeed have a high labial frenulum, which can cause problems, and it is not wrong advice. If you are planning to get braces done, then it is appropriate for you to get the frenulectomy done now so that complete healing will take place by the time you proceed with the braces. So my suggestion is that you should continue with frenulectomy.

Also, it is a minor surgical procedure that can be very well done under local anesthesia and is a routine procedure, so you need not worry about it. If you have any more queries, please feel free to ask.

I hope this helps you.

Thank you.