A frenectomy is a minor surgical procedure performed to excise or remove the ‘frenum’ (an abnormal band of tissue attachment). This is one of the most common periodontal procedures recommended by orthodontists. A frenum is removed when its position interferes with the alignment of teeth or when it pulls the gum away from a tooth resulting in recession.
Sometimes a patient has a very prominent maxillary frenum. This will prevent the central incisors from coming together normally. With orthodontics, the space can be closed. However, a prominent frenum can cause the central incisors to relapse (separate) after braces are removed.
A frenectomy eliminates the frenum from this area and helps to prevent relapse after orthodontic alignment. With the frenum removed, the teeth and papilla are more stable.
Acetaminophen or Ibuprofen post-operative is sufficient and is accompanied by an anti-microbial rinse for about one week. The patient may experience slight redness in the area, but can resume normal activities, including sports in 48 hours.