Dischinger Orthodontics

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Laser and Frenectomy Treatment

What is a frenum and why would we laser it?

  • The term ‘frenum’ refers to the fibrous tissue that connects the upper lip to the gum tissue above the upper front teeth. A frenectomy is a term used to describe the minor procedure that removes or repositions a portion of the frenum. The reason we would want to do a frenectomy is when there is excessive or particularly thick tissue along the upper front teeth. A small, soft tissue laser is used to perform the procedure. 

What is a Gingivoplasty?

  • A gingivoplasty is an additional procedure done during a frenectomy. This is the removal and reshaping of the gingival (gum) tissue to finalize and perfect the smile. By removing this tissue, the teeth will show more in the smile. Additionally, this puts the gum tissue into a heal;thier state by removing the excessive gingiva and ‘pockets’ that are present. 

Who needs a frenectomy and gingivoplasty?

  • It is important to remember that everyone is different, and some people will have more tissue removed and others will mainly have the reshaping. A frenectomy is most often performed on those who have a thicker frenum and is causing the gum tissue to be thicker and lower than it is supposed to be in relation to the teeth. 

What to expect:

  • The appointment will begin with an assistant placing anesthetic gel (numbing gel) on the gum tissue and frenum. This will sit for 3-5 minutes. 
  • Dr. Bill will then use a needle injection to fully numb the area. Because the anesthetic gel was used first, the patient is more comfortable during this process.
  • After the anesthetic, Dr. Bill will then use the laser to perform the actual procedure. 
  • The patient will not feel anything during the laser due to the anesthetic

The laser procedure will only take 5-10 minutes. 

Post procedure Healing:

  • The patient will be given a bottle of Peridex, an antibacterial and anti-inflammatory mouth rinse, to use 4 times a day for 4 days to assist in the healing process
  • The gum tissue will be a little tender for 3-4 days
  • Make sure to be extra gentle when brushing
  • Avoid spicy or citrus (acidic) foods
  • It takes about 2 weeks for tissue to fully heal