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What is Frenulum? What Types İs Frenulum?



HAZIRLAYAN: Esra Alıçpınar 

What is frenectomy? When should a frenectomy be performed?


 The soft tissue that connects the lip, tongue and cheek tissues is called the frenulum. It is located in the mouth between the upper and lower orthaphrenectomy teeth, under the tongue between the cheek and back teeth. While the Frenulum may differ in everyone, it can be found in the mouth in more than one shape. Although it is not only located under the tongue, the lip with the upper teeth can be located in more than one place in the posterior region of the cheek.


Labial (Lip) Frenulum:

 In fact, this frenulum on the inside of the lips does not have a very important function. One end is in the lip mucosa and the other end is in the gum area between the front two teeth. The tip of the frenulum flour may be settled at the level of the incisors. It causes the front two teeth to be separated when they are in a thick structure between the teeth. Sometimes the gum can be moved. During laughing, the space between the teeth can create an ugly area.frenulum

Lingual Frenulum:

  If the lingual frenulum is too conjoined, it may be difficult to pronounce words correctly. Under-tooth frenulums often create problems with speech and diction. Because the connection does not allow the correct movement of the language. Especially in R and L sounds, the person encounters difficulty. By cutting the sublingual ligament, the person’s compensation is improved. But after healing the wound, speech exercises will be recommended.




   Frenectomy (removal of the lip, tongue ligament) is the removal of the frenulum. Thanks to the developing technology, frenectomy is now mostly taken with the help of a laser, which ensures that the procedure is both short and bleeding-free. But in cases where the ligament is too large or deep, it is necessary to surgically remove it and suture it. The surgical procedure is performed under local anesthesia and is painless. Stitches are removed after 1 week. And then there will be no trace.


Cases Where Frenulums Pose A Risk To Oral Health


   Frenulums can lead to gum pulling and gum disease by pulling down the gum, especially when they are larger and thicker than normal and are attached too close to the edge of the tooth. Located under the language it can lead to speech problems in larger and thicker frenulums than normal, especially in young children. Especially between the lower and upper middle teeth, the thicker and larger frenulum than normal causes the teeth not to merge and the cavities called diastema remain between the teeth and leads to aesthetic problems. 


   Frenulums should be removed from this area when they are positioned close to the edge of the gum, which can cause gum withdrawal and gum disease. Especially when they are located between the upper and lower incisors and lead to diastema, the frenulum should be removed first, and then orthodontic treatment or restoration is applied to join the teeth.




   Two factors determine the time of frenectomy.


1.The upper canine teeth are fully rubbed

   Canine teeth push the upper middle incisors towards each other as they drive down, and can close the gap in the middle. For this reason, it is recommended to perform a frenectomy after applying canine teeth


2.During orthodontic treatment, the upper middle teeth are closed to each other as much as possible

 With orthodontic treatment, the upper middle incisors are tried to be brought as close to each other as possible. If the frenulum is extended downwards, there may still be a 1 mm gap between the teeth. It is recommended to perform a frenectomy when making sure that the gap does not close any more. The reason is that the scar tissue formed in this area after frenectomy will slow down the movement of the tooth. For this reason, closing as little gap as possible is much faster and works well. In summary, if a frenectomy is performed, it should be performed after the upper canine teeth are rubbed and after the gap is closed as much as possible with orthodontic treatment. Since frenectomies before treatment will form scar tissue in this area, they slow the movement of the tooth and may even prevent the closure of the cavity. 


   You can watch how laser frenectomy happens with the video below;










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