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CaringSmiles 4u | Laser Procedures in Indianapolis

                Juanita R. Taylor, DDS

                                        4615 Lafayette Rd.  Suite B
                                     Indianapolis, IN 46254


Laser Procedures




A frenum is a piece of tissue in the mouth that extends from the lips and the cheek to the gums.  There are several different frenums in the mouth that attach to the inside of the the lip, inside the cheek and to the bottom of the tongue.  Becauase frenum plays a very minimal role in tongue function and facial expression, a frenectomy procedure is completed without causing any functional problems.  A frenum may cause rotation and a disastema (gap) between the central insicors.  In certain cases, the frenum can prevent the front teeth from staying together after orthodontics has been removed. 

Individual needs may dictate when a frenectomy is performed.  The frenectomy may be performed as early as four years old in some cases if the frenum is especially large.  Other cases it may be postponed to around 11 to allow the eruption of the upper lateral incisors and canines.  In this case the hope is that the canines will push the central incisors together eliminating the diastema. 

A prominent lingual frenum, attached high on the lingual alvelor ridge, is seen commonly in infants. This causes decreased tongue mobility and the fear of future speech impairment. The lingual frenum becomes less prominent during the first 2-5 years of life. Children in mixed dentition may complain of difficulty moving their tongue. A lingual frenum with high attachment on the alveolus may contribute to gingival inflammation and recession in relation to the central incisors. Lingual frenectomy is performed more commonly for one of the above reasons than for speech articulation problems. 

The area is anesthetized for the procedure.  Nitrous oxide (Laughing gas) may be given to help reduce the patient’s anxiety.  The frenectomy site will be sore for 24-48 hours, but medication will help to alleviate any discomfort.