A frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It connects the inner aspect of the lip with the gum.
A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, can exaggerate the pull on the gum margin, thus resulting in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen, or the frenum is too large to allow the front teeth to come together, the frenum is surgically released from the gum. A frenectomy is simply the surgical removal of a frenum.
When Orthodontic treatment is planned or initiated, the removal of an abnormal frenum, with or without a gingival graft, can increase stability and improve success of the final orthodontic result.
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