Periodontal / Orthodontic Treatment



A frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It connects the inner aspect of the lip with the gum. A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, which exaggerates the pull on the gum margin, can result in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen or the frenum is too large to allow the teeth to come together, the frenum is surgically released from the gum with a Frenectomy. A frenectomy is simply the surgical removal of a frenum.

When Orthodontic treatment is planned or initiated, the removal of an abnormal frenum, with or without a gingival graft, can increase stability and improve success of the final orthodontic result.


In some cases, the Upper/ lower canines and upper lateral incisors are fully impacted. A surgical procedure is required to expose the impacted tooth for orthodontic treatment. This procedure involves exposure the crown of the impacted tooth and removing bone structure around the crown for placing a power chain to drag the tooth to its normal position in the jaw. When the procedure is completed, sutures will be dissolved by itself or removed after 7-10 days.

DR. ALDALLAL will work closely with your orthodontist during your treatment at his office.