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If your gums are receding and you’re not sure why, the problem might be hiding in plain sight, a small band of tissue called the frenum.
Most people associate gum recession with aggressive brushing or gum disease. But in some cases, a tight or overactive frenum is the real culprit. Left untreated, it can gradually pull gum tissue away from the teeth, exposing roots and leading to long-term damage.
In this blog, you will learn how a frenectomy for gum recession works, who may need it, and why it could be a key step in protecting your long-term oral health.
Table of Contents
- What Is a Frenectomy?
- Why a Frenectomy May Be the Right Solution
- Who Should Consider a Frenectomy for Gum Recession
- Trust AZ Oral & Maxillofacial Surgery for Expert Care
We offer frenectomies at our locations in Mesa, North Mesa, Queen Creek, Tempe and Show Low.
A frenectomy removes the physical cause of gum pulling, allowing tissues to heal and stay stable long-term. If you have unexplained gum recession or are preparing for orthodontics or grafting, ask if a frenectomy could improve your outcome.
What Is a Frenectomy?
The frenum is a fold of connective tissue that connects your lips, cheeks, or tongue to the gums and underlying bone. There are two main types:
- Labial frenectomy: Removes the tissue between your upper lip (labial frenum) and front teeth.
- Lingual frenectomy: Removes the tissue connecting the tongue to the floor of the mouth (lingual frenum).
When the frenum is too short or thick, it can tug on the gums and impeded normal oral function. This constant tension can cause the gum to pull back from the teeth, leading to gum recession.
How a Tight Frenum Leads to Gum Recession
Gum tissue is delicate. When it is under constant pressure or movement, it starts to wear down. A tight frenum can:
- Pull the gums downward or outward during normal facial movements
- Interfere with brushing and flossing by limiting lip or tongue movement
- Cause gaps between teeth or disrupt orthodontic treatment
If this is not addressed early, it can lead to more severe gum recession, root exposure, and eventual bone loss.
Why a Frenectomy May Be the Right Solution
A frenectomy works by eliminating the source of the tension. Once the frenum is removed or loosened:
- The gums are no longer being pulled during movement
- Healing can begin without ongoing trauma
- Future recession risk is significantly reduced
This simple procedure is often performed before or after gum grafting or alongside orthodontic treatment. It helps preserve the results and prevent relapse.
What to Expect From the Procedure
Frenectomies are quick, low-risk procedures done using either local anesthesia or IV sedation, depending on each patient’s needs. We use a special electrocautery instrument or a scalpel to cut or remove the band of tissue.
Patients can usually return to normal activities within a day or two. Post-op care includes gentle oral hygiene, physical therapy exercises, and avoiding irritating the area while it heals.
Who Should Consider a Frenectomy for Gum Recession
You may be a candidate if:
- You have gum recession with no signs of gum disease
- Your dentist sees a high or thick frenum attached near the gum line
- You are planning or undergoing orthodontic treatment
In many cases, a frenectomy is part of a comprehensive treatment plan to stabilize your gums before further cosmetic or restorative procedures.
You can also learn more about adult cases in this blog: Is a Frenectomy Necessary for Adults?.
Trust AZ Oral & Maxillofacial Surgery for Expert Care
At AZ Oral & Maxillofacial Surgery, our oral surgeons perform frenectomies with precision and comfort.
Our team will evaluate your unique anatomy and customize a treatment plan that protects your gums for the long run.To schedule a consultation at one of our 5 locations, call (480) 830-5866 or complete the online inquiry form. We have locations in Mesa, North Mesa, Queen Creek, Tempe or Show Low.
