Frenectomy of the Lip Frenulum

Frenectomy of the lip – a surgical procedure to trim the fold of the oral mucosa, which is responsible for the additional attachment of the lip to the jaw.

The surgery is performed by a dental surgeon. It is performed to correct a bite or other problems related to diction defects. Frenulum plasty is performed under local anesthesia, with the frenulum dissected and sewn back together in the right place.


There are three main types of frenal plastic. Each of them is shown with different diseases or attachment anomalies.

  • Frenotomy – involves dissecting the frenulum if it is too narrow or short. This surgery allows you to eliminate discomfort during chewing and correct the patient’s bite.
  • Frenoplasty is an operation in which the edge of the frenulum is attached in a different location (usually higher). Both Y-shaped and Z-shaped frenuloplasty are performed (the difference is the type of incision).
  • Frenectomy is a resection of the wide frenulum of the upper lip. The most radical type of plastic surgery, which partially or completely removes the interdental papilla and mucosal tissue.


Surgery on the frenulum of the lip is divided into types, depending on how it is carried out. Today, such plastic is performed by laser or scalpel. The laser method is more modern, painless and comfortable for the patient. The entire procedure takes a few minutes and does not require long rehabilitation.


Normally, the frenulum does not interfere with a person in any way, but in some cases it can cause significant discomfort. Due to certain physiological characteristics, it can interfere with normal speech, negatively affect the teeth and cause improper bite. In such cases, surgery should be performed.

If there are abnormalities in the attachment of the frenulum to the upper or lower lip, surgery is indicated. Indications for surgery may include:

  • formation of a diastema (gap between the front teeth);
  • Chewing disorders;
  • inflammation of the gums;
  • periodontal disease;
  • Sucking disorders in infants;
  • Speech defects in children, etc.

The frenulum of the upper lip is also performed for hygienic reasons. A wide frenum leads to a systematic accumulation of deposits between the teeth. As a consequence, plaque and tartar form on the incisal surface. All of this can cause cavities and soft tissue inflammation.

Another common complication that accompanies an incorrect frenum is the development of tooth instability and increased tooth sensitivity. A wide frenum exposes the roots of the teeth, which greatly reduces the overall immunity in the mouth. Bacteria and infections can easily penetrate into the gums, resulting in various periodontal diseases.

A short frenulum prevents normal speech. The surgery is necessary for a freer movement of the tongue and lips, without which proper articulation cannot be developed. The decision to correct the frenum in this case takes a speech therapist.

Indications for plastic determines the following specialists:

  • orthodontist;
  • neonatologist;
  • speech therapist,
  • Periodontist.

Plasty to correct the upper lip frenum should be performed at an early age. The most optimal age is 7-8 years (after the upper incisors fully erupt). Premature anomalies, such as an overly wide frenum, can lead to serious consequences that can only be corrected with long-term orthodontic treatment.

Does the Procedure Require Special Preparation?

The procedure does not require any special preparation. Immediately before the surgery, it is necessary to perform a thorough oral hygiene. You also need to feed the child – hunger negatively affects blood clotting. Also, a few hours after surgery it will be difficult to eat.

Since plastic frenum of the upper lip is carried out mainly in young children, first of all, psychological preparation is necessary. Parents must reassure the child in the painlessness of the procedure, it will help speed up and simplify the work of the doctor.

Description of the Surgery

The form and duration of the operation to correct the frenulum of the lip directly depends on its type. Surgery using a scalpel or laser lasts about 10 minutes. The child must sit motionless in a chair until the procedure is completed. During the procedure, the dental surgeon makes the necessary incision or resection. Then, the dentist sews the stitches.

Laser plasty requires no additional antibacterial treatment – the frenulum is sealed, which eliminates the further development of infection. This procedure lasts less than 10 minutes and is completely bloodless.

Before the plastic surgery the mucosal area is anesthetized with a special anesthetic gel.

Within a few hours after surgery, there may be some discomfort. The next few days should observe good hygiene and avoid eating solid and hot foods, so as not to irritate the frenulum. The rehabilitation period is aimed at making the frenum heal faster.

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