Frenum Repositioning

Frenum repositioning is a simple periodontal procedure that can improve the health, comfort, and stability of your gums. When the frenum, the small band of tissue connecting the lips or cheeks to the gums, pulls too tightly on the gum tissue, it can contribute to gum recession, interfere with oral hygiene, and affect the fit of dentures or orthodontic treatment. At Gasper Periodontics and Implant Surgery, Dr. Gasper performs frenum repositioning procedures to relieve excess tension and help protect your long-term oral health.

What Is Frenum Repositioning?

Frenum repositioning, also known as a frenectomy or frenuloplasty depending on the technique used, is a minor surgical procedure that adjusts or removes the attachment of the frenum. By repositioning this tissue, tension on the gums is reduced, allowing the gum tissue to heal properly and remain more stable over time. This procedure is commonly recommended when an overly tight frenum contributes to gum recession, creates a gap between the front teeth, interferes with proper brushing and flossing, or affects the success of other periodontal procedures such as gum grafting.

Why Frenum Repositioning May Be Needed

A frenum that attaches too close to the gum line can create excessive pulling forces during normal speaking, eating, or lip movement. Common reasons for frenum repositioning include:

• Excessive tension on the gum tissue
• Gum recession
• Difficulty maintaining proper oral hygiene
• A gap between the upper front teeth (diastema)
• Interference with orthodontic treatment
• Preparation for gum grafting procedures
• Poor denture stability
• Speech or functional concerns
• Discomfort during eating or brushing
• Recurring inflammation around the frenum attachment

Addressing the source of this tension can help preserve healthy gum tissue and reduce the risk of continued recession.

Types of Frenum Procedures

Dr. Gasper will determine the most appropriate treatment based on the location of the frenum, the amount of tissue involved, and your overall periodontal health.

Frenectomy

The frenum is completely removed to eliminate tension on the surrounding gum tissue.

Frenuloplasty (Frenum Repositioning)

The frenum is surgically repositioned or reshaped to reduce tension while preserving normal function and appearance.

Both procedures are minimally invasive and are often performed with other periodontal treatments when appropriate.

What to Expect During Frenum Repositioning

Frenum repositioning is typically performed using local anesthesia to ensure your comfort throughout the procedure. The frenum is carefully adjusted or removed using precise surgical techniques, and the tissue is repositioned to promote proper healing. Small sutures may be placed when needed, and most patients are able to return home immediately following treatment.

Recovery and Healing Process

Recovery from frenum repositioning is generally quick, with most patients experiencing mild discomfort for only a few days. A soft diet is often recommended during the initial healing period, along with gentle oral hygiene practices around the treatment area. Following Dr. Gasper’s post-operative instructions and attending follow-up appointments helps ensure proper healing and long-term success.

Benefits of Frenum Repositioning

• Reduce tension on the gums
• Help prevent further gum recession
• Improve comfort during eating and brushing
• Support successful gum grafting procedures
• Improve oral hygiene access
• Enhance orthodontic treatment outcomes
• Increase denture stability when appropriate
• Promote healthier, more stable gum tissue

Schedule a Consultation

If you’ve noticed receding gums, discomfort caused by a tight frenum, or have been referred for periodontal treatment before orthodontic care or gum grafting, Dr. Gasper can determine whether frenum repositioning is appropriate for your needs. Contact us today by completing the online contact form to schedule your consultation.