You have a beautiful smile, but with one noticeable flaw — there's a small gap between your two front teeth. It's a common occurrence that can be corrected with orthodontics.
There are a number of causes for this wider spacing, including an excessive overlap bite of the upper teeth over the lower, habits such as tongue-thrusting or finger-sucking, or extra (or even missing) teeth. But one of the most common is the presence of an overly large muscle attachment called a frenum or, as it's sometimes referred to, frenulum. If that's the case, you may need a minor surgical procedure in addition to orthodontic treatment to ensure the space remains closed.
The frenum is the fold of tissue that contains some muscle tissue that connects the gum to the lip. In certain people, a larger than normal frenum may extend further to the front of the roof of their mouth, just behind the teeth, and may also extend lower between the teeth and contribute to the gap. Unless some of this tissue is removed, it can force the teeth apart again after the gap has been closed through orthodontics.
This simple procedure is called a frenectomy. After numbing the area with a local anesthetic, we remove the excess tissue from the frenum extended into the space between the teeth, using either a small scalpel or a special laser. The resulting wound is generally very small and may require only a few stitches, if any. Healing usually takes no more than a week and any discomfort is easily managed by anti-inflammatory medication like aspirin or ibuprofen.
As a general rule, a frenectomy is best performed after the orthodontic treatment so that scar tissue resulting from the procedure won't interfere with the gap closure. With proper dental follow-up, the gap should stay closed — and your new enhanced smile won't fade away.
If you would like more information on treating spaces between teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Space Between Front Teeth.”