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Medical Forum / General / Dentistry / December 2004

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Need HELP!     Frectonomy Info...?

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Essb - 21 Dec 2004 02:00 GMT
Hi, the dentist said my son may need a  Frectonomy, the frenum connecting
his upper lip to gum may need removing. My son complained of his smile being
tight and restricted causing facial tension. Is this a common problem with
this frenum? Does a frenectomy ussually  fix this facial tension? I have
never heard of such until now.
Thank you
Joel M. Eichen - 21 Dec 2004 02:10 GMT
>Hi, the dentist said my son may need a  Frectonomy, the frenum connecting
>his upper lip to gum may need removing. My son complained of his smile being
>tight and restricted causing facial tension. Is this a common problem with
>this frenum? Does a frenectomy ussually  fix this facial tension? I have
>never heard of such until now.
>Thank you

My dentist has recommended I have a frenectomy. What are the pros &
cons & risks of such a procedure? How do you know if you really need
one? -- Kathy

Kathy, a frenectomy is a brief surgical procedure used to remove an
extra piece of tissue(called the frenum), that attaches to the gum
usually in between the front teeth.

This procedure is performed to help prevent the gum from pulling away
from the teeth. Many times an untreated frenum pull, will cause gum
recession to occur. Side effects of surgery may include minor
discomfort, possible bleeding and in rare instances infection.
My suggestion to you is that you have the area evaluated by a
Periodontist (gum specialist). You can call your dentist for a
recommendation or the American Academy of Periodontics for a
Periodontist near you at 1-800-282-4867.
Roy Brown - 21 Dec 2004 05:26 GMT
Think of the frenum as a tie down on a camping tarp. Keep the tie down tight and
there is little movement. Slack off the rope a bit and it'll flap in the breeze.
Take it off and you have a flag.

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Roy
rem NADA to reply

| Hi, the dentist said my son may need a  Frectonomy, the frenum connecting
| his upper lip to gum may need removing. My son complained of his smile being
| tight and restricted causing facial tension. Is this a common problem with
| this frenum? Does a frenectomy ussually  fix this facial tension? I have
| never heard of such until now.
| Thank you
Joel M. Eichen - 21 Dec 2004 12:48 GMT
>Think of the frenum as a tie down on a camping tarp. Keep the tie down tight and
>there is little movement. Slack off the rope a bit and it'll flap in the breeze.
>Take it off and you have a flag.

What do you do if it rains?

Joel
Essb - 23 Dec 2004 22:22 GMT
Does it matter how low or hi the Frenum is attached.  My son has a web  just
right at the point of where the top lip attached to the gum, though it  does
not at all come down low, but he has complained of tension in the upper lip
just on the side below each nostril. Is this a typical symptom of the
problem?

> Think of the frenum as a tie down on a camping tarp. Keep the tie down tight and
> there is little movement. Slack off the rope a bit and it'll flap in the breeze.
[quoted text clipped - 6 lines]
> | never heard of such until now.
> | Thank you
Joel M. Eichen - 23 Dec 2004 22:29 GMT
>Does it matter how low or hi the Frenum is attached

.NO! Absolutely not.

Unless the frenum is so broad and so firmly attached that it prevents
the two front incisors from being able to touch one another .....

A rare occurrence ....

Joel

>  My son has a web  just
>right at the point of where the top lip attached to the gum, though it  does
>not at all come down low, but he has complained of tension in the upper lip
>just on the side below each nostril. Is this a typical symptom of the
>problem?

Ummmmm, I say not problem.

>> Think of the frenum as a tie down on a camping tarp. Keep the tie down
>tight and
[quoted text clipped - 11 lines]
>> | never heard of such until now.
>> | Thank you
Deanardo LeCaprio - 24 Dec 2004 16:59 GMT
> Does it matter how low or hi the Frenum is attached.  My son has a web  just
> right at the point of where the top lip attached to the gum, though it  does
[quoted text clipped - 27 lines]
>>| never heard of such until now.
>>| Thank you

The symptom you mention indicate that not a frenectomy is needed but a
pullentectomy is in order asap. Pullentectomy is a  simple procedure of
 pulling all the  teeth and  replacing  them with implants.
The Real Paul - 21 Dec 2004 13:15 GMT
There is a frenum under the tongue that sometimes attaches too high and
restricts the movement of the tongue. We call this being 'tongue tied'. My
own daughter has a frenum attachment very low on the gum between her two
front teeth which will eventually need to be addressed when we want to close
her diastema (space between the teeth).

> Hi, the dentist said my son may need a  Frectonomy, the frenum connecting
> his upper lip to gum may need removing. My son complained of his smile being
> tight and restricted causing facial tension. Is this a common problem with
> this frenum? Does a frenectomy ussually  fix this facial tension? I have
> never heard of such until now.
> Thank you
carabelli - 23 Dec 2004 23:07 GMT
> Hi, the dentist said my son may need a  Frectonomy, the frenum connecting
> his upper lip to gum may need removing. My son complained of his smile
[quoted text clipped - 3 lines]
> never heard of such until now.
> Thank you

The issues you raise may or may not be related to the frenum.  There are a
variety of problems that it can produce.  Many times it is asymptomatic
(there but causing no problems).  I would seek out an orthodontist for a
consultation.  I can picture quite a few scenarios from what you have
described and going into detail on all of them would probably just confuse
you - and most would probably not apply.

Call and get an ortho consult - most will not charge for this first visit
unless additional procedures other than an exam are done.

carabelli (ortho)
 
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