Closing a Larger Gap Caused By an Oversized Frenum?

Normally a frenectomy is needed when closing a gap (often done with a laser).  The gap won't close by itself after the frenectomy, so orthodontics of SOME sort is needed.  Invisalign or brackets with wires then can close the space, and then wearing a retainer at the end to KEEP the space closed should be worn.

Each patient is different but closing spaces between front teeth is one of the most fulfilling things we do in dentistry.  There are several options which include orthodontics such as invialign, also bonding, or various types of veneers are possible.  Talk to your dentist and orthodontist and get their advice.  As your needs may lend better to one more then the other treatment.  Frenectomies are a prudent procedure that may be better before or after tooth movement depending on what you do.  Again talk to your local dentist.  Good luck!

Scott Lesueur, DDS

Most of the time, a frenectomy can be done both prior to, or after, treatment to avoid the possibility of relapse. I would consider Invisalign treatment, conventional orthodontics and/or porcelain laminate veneers are treatment alternatives. However, I would consult with your dentist to see what is best for you. 

I usually like to wait till the end of the orthodontic treatment (braces or invisalign) to treat the frenum.  Everyone has their own ideas this is just mine.

I personally like to have a frenectomy done after orthodontics (whether you use braces or Invisalign).  The reason is that when you do any type of surgery, you are going to have some scaring occur.  I would rather have that scaring form around teeth that are closed versus open.  That way, it would have a tendency to keep the teeth together (although another form of retention would be needed too).  My two cents...