An upper labial frenum is a band of tissue that connects the upper lip to the jaw. A lower labial frenum connects the lower lip to the jaw. To correct aesthetic issues caused by a labial frenum, your doctor may recommend a labial frenectomy, a surgical or a laser procedure to remove or clip the connective tissue from either the upper or lower frenum. A frenectomy is most commonly used in conjunction with orthodontic treatment of a child’s permanent teeth. Sometimes a child’s upper labial frenum may be too long or too thick, creating a gap between the two upper front teeth. It can also prevent the mouth from properly closing, leading to open mouth breathing, and in some cases, causing gum recession. In adults, a lower lip frenectomy may be needed to stop periodontal issues and gum recession, or it may be performed when being fitted for dentures. A frenectomy is a simple procedure that can be performed surgically or with a laser. For a surgical frenectomy, a local anesthetic is applied to the site. Next, your doctor removes or clips the labial frenum, and uses dissolvable sutures. The site is usually healed within a couple of weeks. A laser can also be utilized for the procedure. Using a topical or a local anesthetic applied to the site, a laser is used by your doctor to remove or sever the labial frenum. A laser can be beneficial as it eliminates the need for stitches and allows for minimal bleeding, as well as a faster healing time. Aesthetic results of a labial frenectomy are usually immediate and when used in conjunction with your orthodontic treatment will improve your child’s smile.