A frenum is a vertical band of soft tissue between the upper and lower front teeth, which connects the inner aspect of the lip to the gum tissue around the teeth. There is also a frenum between the tongue and gum tissue.
If a high frenal “pull” is observed or the frenum is large in size, consequences which may result include gum recession, gaps between front teeth (i.e. diastemas), and/or asymmetrical gum levels. In these cases, a frenectomy can be performed with a diode laser to remove this soft tissue attachment.
POST-OP INSTRUCTIONS AFTER LASER FRENECTOMY
- Avoid sharp, spicy, and acidic foods / liquids for the first 72 hours.
Post-op discomfort will likely only be mild and can be managed with an over-the-counter(OTC) medication such as Ibuprofen (200 mg). Brand names include Motrin, Advil, and Nuprin.
Take 1-2 tablets every 4 hours as needed.
Maximum adult dose = 3200 mg / 24 hours.
- A “white soft scab” will appear for the first 7-10 days while the frenectomy site is healing. Thisis
- not an infection and is simply a covering over the healing soft tissue.
- Lasers are antibacterial so infection is very unlikely, but feel free to rinse gently with 0.12% Chlorhexidine or dab the rinse onto the surgical site.
- For the first 24 hours, cold beverages, ice, “freezies”, or “popsicles” can be applied gently to the surgical site to help minimize swelling.
- Brush your teeth normally but be careful not to disrupt the soft tissue while it is healing.
- About 7-10 days after the frenectomy performed today, a short post-op visit will be necessary to evaluate healing.
BENEFITS OF LASER FRENECTOMY
The benefits of laser frenectomy compared to traditional surgical techniques have been shown in the literature to include:
- Reduced bleeding during surgery with consequent shorter operating time and rapid post-operative control of bleeding, thus eliminating the need for sutures.
- Improved post-operative comfort and healing.