Dealing with large and low frenums is the secret to success in many surgical cases. http://www.dentalseminars.com/product/maxillary-labial-frenectomyLearn to.. .Amr Asker at Asker Orthodontic Center -clinial orthodontic courses-----..
A quick procedure called a lingual frenectomy can give the tongue a greater range of motion. Maxillary frenectomy The labial frenum connects your top lip to the gum area right above your front.. Recent trends justify significantly fewer maxillary labial frenectomies. These procedures should only be performed after it has been shown that the frenum is a causative factor in maintaining a diastema between the maxillary central incisors. This cannot be determined until after the permanent canines have erupted Maxillary Labial Frenectomy Dealing with large and low frenums is the secret to success in many surgical cases. Learn to remove and repair the labial frenums so they never come back and close cleanly Maxillary labial frenulum It is very common to see young children with a large labial frenulum which inserts between both primary incisors up to the palatine papilla. This frenulum is the cause of space between both incisors. This is absolutely normal. The extra space is used to accommodate future permanent teeth which will erupt starting [ Surgery done by Dr. Ganesh War
Labial frenectomy (of the lip) is very common with patients undergoing denture treatment to get the proper fit of dentures or patients who have tissues attached to center of the upper lip and causing recession of gums or gap between the upper front teeth called central incisors Methods: Using CPT Code 40,806 for 'incision of labial frenulum', 22 mother-infant dyads with infant age under 60 days with breastfeeding problems and a restrictive upper lip frenum were identified. These infants underwent in-office release of upper lip tie as detailed below Lingual frenectomy: The lingual frenum that connects the tongue to the floor of the mouth is removed, usually to release a tongue tie (ankyloglossia). Laser release of the tongue can greatly improve breastfeeding for infants , as well as help with speech development, jaw growth, and development leading to improved airway, improving the ability for efficient eating
Labial Frenectomy Post-op Exercises. About 30-60% of the skin that was cut with a laser will re-attach. Exercises and movement after surgery are essential to making sure the re-attachment is closer to the 30% range. Yes, this will be excruciatingly painful, but yes, it is excruciatingly necessary. Some of the exercises are the same as the pre. A maxillary or labial frenectomy addresses problems with the soft tissue connecting your top lip to your upper gum. If you lift your upper lip, you can see the labial frenum. However, people with short labial frenums may not be able to lift their upper lip, known as lip ties, and it may create a gap between their upper teeth Frenectomy (frenulectomy, frenuloplasty, frenotomy) is a procedure that removes a frenum or frenulum in the mouth. There are 3 types of frenum, a labial, a lingual, and a buccal frenum. A frenum is the muscular attachment found between 2 tissues inside of the mouth. An upper labial frenectomy is the removal of the frenum found between the upper. Frenectomy and FGG(free gingival graft) hide under the lip. Microsurgical video a frenectomy should not be performed before the permanent canines erupt and that the operation should follow orthodontic closure of the space.26 Mandibular labial frenulum A high frenulum sometimes can present on the labial aspect of the mandibular ridge. This most often is seen in the perma
A frenectomy is a simple surgical procedure in which the band of tissue is excised, usually with a dental laser. The procedure only takes a few minutes and is done using local anesthetic. The use of a laser results in less bleeding and faster healing with minimal discomfort. No sutures are usually required when a laser is used Maxillary Labial Frenum and Frenectomy Feb 27, 2017. The maxillary (upper jaw) labial frenum attaches the upper lip to the gums just above the upper two front teeth. If you move your tongue up between your upper lip and your teeth, you will feel this thin band of tissue Frenectomy is a simple oral surgical procedure that eliminates the presence of a frenum in the mouth. A frenum is a muscular attachment between two tissues found inside the cheeks and lips and inside the mouth and gums. There are three kinds of frenum in the mouth, the labial frenum, the lingual frenum, and the less common buccal frenums An abnormal upper labial frenum is capable of retracting the gingival margin, creating a diastema, limiting lip movement, and in cases of a high smile line, affecting esthetics also. When an abnormal frenum is present, frenectomy is advised. This technique has been modified in many ways. But in most
The labial frenulum often attaches to the center of the lip and between the two front central incisor teeth. This can cause a large gap (diastema) and gum recession due to the large amount of pulling of the gums away from the bone. A labial frenectomy removes this prominent labial frenulum A labial frenectomy is a procedure that removes the small tissue connecting the upper lip to the gum between your two front teeth. It can also cause gum recession by lifting the gums off of the jawbone. Lingual Frenectomy Clinical images showing labial frenectomy with Er:YAG laser technology (a-e) and with the conventional technique (f-j). a + f = before surgery, b + g = immediately after surgery, g + h = after 5 days, d + i = after 12 days, e + j = after 3 month Frenotomy (a.k.a. frenulotomy or frenulectomy) is the procedure in which the lingual frenulum is cut. It is done when the frenulum seems unusually short or tight (anklyoglossia or tongue-tie). In the newborn nursery, frenotomy is indicated when the abnormal frenulum is impairing the infant's ability to breastfeed . Sutter, DMD, performs maxillary labial and buccal frenectomies with a LightScalpel CO2 laser. The video is narrated by Dr. Sutter as he performs the frenectomies. He notes several advantages of CO2 laser surgery and shows the surgical site healing at 2 postoperative checkups. Published on December 6, 2016
Frenotomy, frenectomy and frenuloplasty are procedures that are carried out to correct any anomalies in this attachment. Let's first take a look at the types of frenulum in the oral cavity - lingual and labial. The lingual frenulum attaches the tongue from its underside to the floor of the mouth Frenectomy 1. frenectomy Ryan Pandu Digjaya PPDGS IBM FKG UGM Kuliah bedah preprostetik 2. TECHNIQUE 1. the simple excision technique, 2. the Z-plasty technique, 3. localized vestibuloplasty with secondary epithelialization, 4. the laser-assisted frenectomy Drawbacks of a frenectomy at age 6: When considering a 6 year old it is important to note that this age group usually presents with mixed dentition. During this stage of transition from deciduous (baby) teeth to permanent teeth, the child experiences times when teeth are missing. If there is a sudden increase in the ROM of the tongue as may.
Introduction and Objectives: There has been an emergence of procedures to release the superior labial frenula in infants, yet little is known about the normal appearance or incidence of severe attachment, or lip-tie.The objective of this article was to develop a classification system for superior labial frenula and to estimate the incidence of different degrees of attachment The rationale for upper labial frenectomy was varied, possibly owing to a lack of consensus among practitioners regarding the timing of frenectomy. The majority of patients (73%) were between 12-16 years old, of whom 81% were females. 59% of patients were referred for orthodontic reasons and 78% of these had an orthodonti A frenectomy is an oral procedure during which a frenum in the mouth is altered or removed with a laser. A frenum is an attachment between two soft tissues in the mouth, including the cheeks, lips, and gums. The two types of frenum are known as the labial frenum and the lingual frenum
How long does the upper labial frenulum take to heal? Most frenulum tears heal by themselves after 3 or 4 days. Infections or other complications are rare. While the injury heals, a person can apply a cold compress against the area for 20 minutes to help with the pain. Over-the-counter painkillers are also helpful, such as Tylenol or ibuprofen.. Can Frenulum cause speech problems Introduction. The superior labial frenulum is the soft tissue that attaches the upper lip to the anterior surface of the maxillary gingiva. This fold of connective tissue, also known as the maxillary labial frenulum, originates at the midline of the undersurface of the lip. 1 It is made up of alveolar mucosa and arises embryologically as a posteruptive remnant of tectolabial bands. FRENECTOMY (tongue tie) The labial or lingual frenum is a small muscle, covered with a mucous membrane that attaches the lips and tongue to the jaw bones. This congenital (genetic) condition affects about 5% of the population and is more common in boys than in girls
Comparison of labial frenectomy procedure with conventional surgical technique and diode laser RM Patel, S Varma, G Suragimath, K Abbayya, SA Zope, Vishwajeet Kale Department of Periodontology, School of Dental Sciences, Krishna Institute of Medical Sciences Deemed University, Satara, Karad, Maharashtra, Indi Frenectomy Cost. A frenectomy columbus oh may be one of the best values around when it comes to dentistry and improvements in your oral hygiene. The frenums are two very small pieces of soft tissue in your mouth. The labial frenum is found between your upper lip and your two front teeth Management of multiple frenum attachments in the oral cavity can be challenging using a scalpel and sutures. The WaterLase allows for minimal frenectomy and othe Maxillary Labial Frenectomy quantity. Add to cart. Cost: $ 149.00. Dealing with large and low frenums is the secret to success in many surgical cases. Learn to remove and repair the labial frenums so they never come back and close cleanly. An incredibly important basic technique to augment and insure success
This type of operation is called a frenectomy. If you experience persistent problems with your frenulum mouth, teeth and gums may suffer severely if not treated properly. Types of frenum. There are two basic types of frenums in your mouth: Labial frenum - This type of frenum is placed in the front of your mouth between the upper lip and gum. How should one be prepared to have a lingual or labial frenectomy? Children and adults: Any child or adult that has been recommended to have a frenectomy should be undergoing tongue training or Myofunctional therapy for at least 4 weeks before even considering the frenectomy Laser labial frenectomy: a simplified and predictable technique. Retrospective clinical study Introduction Labial frenum is a fold of fibro-mucous tissue that attaches lips and cheeks to the alveolar mucosa and/or gingiva and to the underlying periosteum of maxillary and mandbi ual r bone. It is made of connectvie tsisue and eal stc
Labial frenum . This type of frenum is located in the front of the mouth, between the upper lip and the upper gum and between the lower lip and the lower gum. Your oral surgeon will either. A labial frenectomy is done when the thin piece of skin that attaches the upper lip to the upper gum is strained and pulls the gums away from the teeth 1.**. A lingual frenectomy is done when the portion of muscle and skin that attaches the bottom of the tongue to the bottom palette of the mouth is connected too far out on the tongue, and interferes with talking, swallowing, or eating 1 Frenectomy for the Correction of Ankyloglossia: A Review of Clinical Effectiveness and Guidelines [Internet] One medical condition associated with breastfeeding problems is ankyloglossia, or tongue-tie, a congenital anomaly in which a child is born with an abnormally short and/or thick lingual frenulum that limits the movement of the tongue A labial frenectomy is a form of frenectomy performed on the lip. The labial frenulum often attaches to the center of the upper lip and between the upper two front teeth. A labial frenectomy removes the labial frenulum. Orthodontic patients often have this procedure done to assist with closing a front tooth gap Frenectomy Introduction Labial frenula are sagittal fibrous folds of oral mucosa with a periosteal insertion, similar to the structure of blades on a knife, which extend from the lips to the.
A frenectomy is a simple surgical procedure that involves the removal of one or both frena from the mouth. The frenum is a connective tissue membrane that attaches one surface within the mouth to another. The primary frena in the mouth are as follows: • Lingual frenum - The vertical band of thin tissue that connect A labial frenectomy is related to development of a midline diastema (front tooth gap). The latter may be an aesthetic or malocclusion problem (Huang and Creath, 1995). Komori et al (2017) noted that: Most frenulum abnormalities occur in the lingual or maxillary labial frenulum. In the lingual frenulum, adhesion to the proglossis impairs. Why does my labial frenulum hurt? The following things may cause you to experience pain at or around your lingual frenulum: an injury to your mouth. vitamin deficiencies like those of B12, folate, and iron which can lead to pain in the tongue. certain mouthwashes, which can lead to tongue irritation At Magnolia Falls Oral Surgery & Dental Implant Center, oral surgeon, Dr. Shigley provides surgical procedures like frenectomies and osseous surgery An abnormal upper labial frenum is capable of retracting the gingival margin, creating a diastema, limiting lip movement, and in cases of a high smile line, affecting esthetics also. When an abnormal frenum is present, frenectomy is advised. This technique has been modified in many ways. But in most of the techniques the zone of attached gingiva and esthetics are not considered
A labial frenectomy of the lower lip is often performed to correct a gap between the lower teeth, receding gums, and other conditions that can affect the ability to chew and speak properly on a daily basis. A lower frenectomy may also be performed in older patients who are being fitted for dentures. Frenum are often removed in patients who are. A frenectomy is the removal of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far.It can refer to frenula in several places on the human body. It is related to frenuloplasty, a surgical alteration in a frenulum.Done mostly for orthodontic purposes, a frenectomy is either performed inside the middle of the upper lip, which is called labial frenectomy, or. Tucked inside the gummy, toothless smile of an infant is a small piece of tissue under their upper lip called the labial frenulum.Frenulum is the term used to describe a band of tissue that attaches two structures, and the labial frenulum is the specific attachment on the inside of the upper lip that connects to the upper part of the gums, just above the front teeth, according to a study in. .. The labial frenulum often attaches to the center of the upper lip and between the upper two front teeth. This can cause a large gap and gum recession by pulling the gums off the bone. A labial frenectomy removes the labial frenulum. Orthodontic patients often have this procedure done to assist with closing a front tooth gap A frenectomy is the removal of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far. Done mostly for orthodontic purposes, a frenectomy is either performed inside the middle of the upper lip, which is called labial frenectomy, or under the tongue, called lingual frenectomy
What do you do if you have an inferior labial frenulum? Lower frenulum tears can occur from falls that cause a person to bite their lip. People should administer first aid for this injury as they would for an upper frenulum tear. If an adult or child has a lower frenulum tear, they should press the outer lip against the teeth for 10 minutes to. labial frenulum the frenulum of either lip; see f. labii superioris and f. labii inferioris.. Medical dictionary. 2011
Frenulectomy (Frenectomy, Frenotomy) or Frenuloplasty (011 May 06, 2020 · According to the CDT 2019 Dental Procedure Codes book the definition of frenulectomy (frenectomy or frenotomy) is the removal or release of mucosal and muscle elements of a buccal, labial or lingual frenum that is associated with a pathological condition or interferes with proper oral development or treatment. A frenectomy (also known as a frenulectomy, frenulotomy or frenotomy) is the removal of a frenulum, a small fold of or tissue / muscle fibers that develop in different part of the mouth. Done mostly for orthodontic purposes, a frenectomy is either performed inside the middle of upper lip, which is called labial frenectomy, or under the tongue. Frenectomy in Simi Valley. A frenectomy is a procedure that involves the removal of one or more frena from the mouth. The frenum is a connective tissue membrane, which attaches one surface of the mouth to another. Frenectomy procedures are quite common, especially for infants.
Frenectomy. Frenectomy. A frenectomy is the surgical removal of a frenulum or a small fold of tissue that prevents a given organ in your body from moving too much or too far. There are two main types: labial and lingual. The labial frenum is the strip of tissue that connects the upper or lower lip to the midline of the maxillary and mandibular. Frenectomy. Correction of enlarged frenum (lip-tie) followed by spontaneous tooth rotation & closure of diastema (gap between teeth) Before. 8 Weeks After. Frenectomy (infant) Correction of enlarged frenum (lip-tie) Before. 3 Weeks After. Removale of Mucocele. Removal of cyst on lip. Before A frenectomy is an operation to cut an extra flap of tissue or fiber that occurs in some babies, limiting the range of motion of their tongue or lips. The condition is often referred to as tongue-tie, but the clinical name is Ankyloglossia. Reasons a Baby or Toddler Might Need a Frenectomy
Unsourced or poorly sourced material may be challenged and removed. External genital organs of female. The labia minora have been drawn apart (frenulum of labia minora is labeled as Frenulum pudendi) The frenulum of labia minora ( fourchette or posterior commissure of the labia minora) is a frenulum where the labia minora meet posteriorly A labial frenectomy marin county is a relatively common and safe procedure that involves removing the frenum between the lip and front teeth. A labial frenectomy can be performed on patients of all ages, and is generally done for the following reasons: Correct lip tie, a congenital condition characterized by an abnormal frenum between the front teeth and li Labial frenectomy: Indications and practical implications Sir, orthodontic and oral surgery depart-ments are becoming inundated with unnec-essary referrals from dentists, and sometimes orthodontic specialists, requesting upper labial frenectomies. The age ranges vary, with some practition-ers referring children in the primary dentition
A labial frenectomy is usually taken care of after the eruption of the two front permanent teeth. This is because a labial frenum sometimes takes care of itself during the growth of these teeth. However, if the labial frenum is causing pain or discomfort to younger children, a frenectomy will be performed before the permanent teeth come in The labial frenectomy is the procedure performed to remove aberrant frenum attachment. This article presents two case reports of maxillary labial frenectomy by using conventional technique and Laser. Keywords: Labial Frenectomy, Midline diastema, Aesthetic smile, Laser frenectomy. Introduction fan-shaped or bifid ending construction are. Frenectomy. A frenun or frenulum is a thin muscular band that can cause interference with normal function. A frenun is found primarily in 2 areas on the mouth, a labial maxillary frenun and a lingual frenun. Occasionally a patient will have a labial mandibular frenun Labial Frenectomy Description: This video shows you a surgical and laser procedure to remove the connective tissue from either the upper or lower frenum ensuring proper jaw and airway development in children and hindering gum disease in adults
A frenectomy is done to remove part of the frenum when the frenum is too tight or is causing problems. This procedure is either performed inside the middle of upper lip, which is called labial frenectomy, or under the tongue (called lingual frenectomy). Frenectomy is a very common dental procedure in the dental world and is performed both on. A Labial Frenectomy After Braces - An Orthodontic Perspective. It seems that more and more orthodontists are recommending frenectomies to their patients. I just turned around and asked my wife if her orthodontist had recommended a frenectomy and she said no. My orthodontist never recommended a frenectomy either, and I have a large frenum No , it's not ! But if you don't get it , then you will be at loss because all your orthodontic treatment will go in vain eventually. Your orthodontist might have suggested you this procedure because it's the root cause for the gap in your front t..
. This isn't out of the ordinary. Having a labial frenulum that connects your lip to your. PDF | On Jan 1, 2019, Divya Subramanyam published Laser Assisted Labial Frenectomy-A Case Report | Find, read and cite all the research you need on ResearchGat
labial Frenectomy. Labial frenal attachments consi t of thin bands of fibrou tissue covered with mucosa, extending from the lip and cheek to the alveolar periosteum. The level of frenal attachments may vary. from the height of the vestibule to. the crest of the alveolar ridge and evert to the Incisal papilla area in the anterior maxilla Frenectomy is the complete removal of the frenum, including its attachment to the underlying bone, while frenotomy is the incision and the relocation of the frenal attachment The maxillary labial frenulum was incised at the base of attachment with the use of sharp scissors. A V-to-Y lip closure was performed with a 4-0 chromic suture applied in a simple interrupted fashion (Figure 3(c)). The lingual frenuloplasty procedure was then performed. A 2-0 silk suture was applied to the tip of the tongue as a retraction stitch
. This procedure can be performed on an individual of any age and is typically necessary to correct any of the following: Lip tie and common issues associated with it, such as difficulty speaking or eating This video shows the procedure of frenectomy (removal of labial frenulum). It is often required during orthodontic treatment, as well as periodontal treatment, when pull-syndrome is present (type 3rd or 4th of frenulum attachment). It often prevents from gingival recession and enhances pink esthetics. Video by Dr. Umberto D Ramo
Lingual and Labial Frenectomy in East Gosford, Central Coast, NSW. Our experienced team of dentists in East Gosford are committed to providing you with quality dental services on the Central Coast. A frenectomy is a simple surgical procedure that involves removing or reshaping the frenum located under the or tongue or upper lip Lingual - labial frenulum . Home; Oral Surgery; Frenulum; The frenulum consists of a strip of dense connective tissue located in the middle and either side of the upper and lower lip as well as on the ventral surface of the tongue. It is a normal anatomical feature but in some cases requires surgical removal Lip frenulum (lip tie) is when the tissue attaching your lip and gums is too tight, causing movement problems. Learn about the causes, symptoms of lip tie, and more
Laser Frenectomy Using Solea Laser Technology . A frenectomy dental procedure using the Solea Laser is the best option for babies and children because it is less invasive and fast—without patients experiencing bleeding or discomfort. When considering the ideal patient for a frenectomy, a baby does not necessarily come to mind Labial frenectomy is a procedure usually done for orthodontic reasons. The role of laser surgery in the oral cavity is well established. The use of diode laser frenectomy without infiltrated. Frenectomy Procedure. A surgical release, or frenectomy, is the treatment of choice for lip and tongue ties. During a frenectomy the excess tissue is removed so that the lip and tongue are allowed more mobility and function. A laser frenectomy poses many advantages over the traditional cut-and-suture procedure, such as: complete removal of tissu Adult Frenectomy Informed Consent Form Diagnosis: After a thorough oral examination, my dentist has advised me that the reduction of a frenum(s) in my mouth may help to restore anatomy, function, and/or possibly prevent commonly associated future problems including recession (loss of gum tissue) and periodontal bone loss The frenectomy procedure 20 is defined as the excision or removal of the frenum, which can be accomplished by the conventional technique with a scalpel or by the use of a soft tissue laser. Frenectomy is the preferred procedure for patients with a thick and vascular frenum where severe bleeding may be expected, and in some cases, reattachment of the frenum by scar tissue may occur
لماذا يجب اجراء عمليه قص اللجام labial frenectomy عند وجدود فراغ بين الاسنان daistema قبل اجراء العلاج بالتقويم او بعده؟! 2016-01-13. 1 2021-06-20 إجابات الأطباء على السؤال Lingual/Labial Frenectomy Patients scheduled to have a labial/lingual frenectomy should be familiar with certain information. If there are further questions, please do not hesitate to ask The labial frenulum is a thin layer of tissue that connects the lips to the gums and bones in the face. There are two different kinds of labial frenulum: maxillary labial frenum, which connects. Purpose. Evidence suggests that the frequency of frenotomy/frenectomy is increasing, with reports indicating as much as a 90 percent increase in recent years. 1,2 The American Academy of Pediatric Dentistry recognizes a policy on frenula would make information and recommendations more accessible to dentists, physicians, and other allied health professionals in an evidence-based format What is a Frenectomy? A frenectomy is simply the removal of connective tissue (called the frenum) from under the tongue or the upper gums. In a dental practice, there are two types of routine frenectomies: Lingual Frenectomy. A lingual frenectomy involves removing the tissue connecting the underside of the tongue to the floor of the mouth
Frenulum Tear. The upper lip has the Superior Labial Frenulum and lower lip has the Inferior Labial Frenulum . Also referred to as a Frenum. These are folds of mucous membrane that are midline and extend from the gingiva to the lips. They can be easily torn when the mouth is hit or the lip is pulled/stretched In children and teens, an overly prominent labial frenum can prevent the two front teeth from coming together, resulting in a gap between the teeth. At times, this frenum can also cause chronic pain and irritation. For a cosmetic or comfort issue, your child's dentist may recommend a labial frenectomy Frenectomy means removal of the frenulum and caution needs to be taken to leave the the papilla between the front teeth . For us female types there is also the labial frenulum south of the vagina. The posterior ends of the labia minora and the labia majora join creating a raised ridge of skin, this is the frenulum of the labia or posterior. A lip tie occurs when the labial frenulum, which is the piece of tissue that attaches the upper lip to the gums, is very tight. This may make it more difficult to move the upper lip
Frenectomy Post-Op Peoria and Galesburg. Bleeding. Bleeding may continue for several hours after surgery. Rest quietly with your head elevated. Bleeding should always be evaluated by looking directly at the surgical site. Pink or blood-tinged saliva may be seen for 2-3 days following the surgery and does not indicate a problem The labial frenectomy is performed to remove aberrant frenum attachment. Aberrant frenal attachment is a major concern for the patient as it can interfere with aesthetics, plaque control and. A labial frenectomy is the removal of the lip frenum. It is performed for a variety of reasons, including: Breastfeeding problems; The prevention of gum recession where the frenum is too high on the gums; Orthodontic reasons, where a large frenum causes a space to develop between the two front teeth (as an adjunct to orthodontic treatment the new technique for labial frenectomy in the maxilla, surgi-cal incisions are made on the palatal surface. Frena extending to the palatal papilla may be associated with bone defects in the midline. Thus, the attachments in the bone surface and underneath the papilla must be completely eliminated. For thi
Frenectomy is one of the most common oral surgical procedures performed in dentistry. The labial frenectomy is performed to remove aberrant frenum attachment. Aberrant frenal attachment is a major concern for the patient as it can interfere with aesthetics, plaque control and result in mucogingival abnormalities. Frenotomy or frenectomy should be selected depending upon the type and location. A maxillary labial frenectomy can help to improve the fit and performance of a maxillary denture. When the lingual frenum is too short it will restrict normal tongue mobility causing ankyloglossia (tongue-tie). The treatment for ankyloglossia is lingual frenectomy. Frenectomy Procedure. The frenum is released with a small incision A frenectomy is an oral surgery procedure in which a band of tissue called a frenum is cut 1. This is done when a frenum constricts the movement of your lips or tongue too much. The simple procedure is often completed within 15 minutes under local anesthesia A laser labial frenectomy is the ablation of the labial frenum by laser surgery. A labial frenum (band of tissue) attaches the midline of the upper and lower lips to the gingiva (gums).  The labial frenum can vary in size, thickness, and elasticity. This is also known as a laser lip-tie release Labial frenectomy surgery before or after braces? 1 doctor answer • 2 doctors weighed in. Share. Dr. Arnold Malerman answered. Orthodontics 53 years experience. During: Discuss this w qualified orthodontic specialist before having any rx accomlished. 1) braces 2) move teeth into ideal positions 3) have gum/bone reshaped 4) hold teeth until.