Child with naturally occuring high frenum attachment
A lack of attached gingiva is sometimes associated with a high frenum attachment, which exaggerates the pull on the gum margin. A frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It is normal to have a frenum, but it should not pull on the gum margin or recession will occur. If pulling is seen, the frenum is surgically released from the gum with a frenectomy. Often a new band of hard gum is also added to re-establish an adequate amount of attached gingiva.
A Fiberotomy is often needed at the completion of orthodontic tooth movement to prevent the relapse of the teeth to there old malposed positions. A straight line incision is made between the affected teeth. This usually heals with little discomfort in 5 to 7 days.
See also:
