A frenectomy is recommended when there is interference from a frenum, the small fold of tissue or muscle connecting the lips, cheek, or tongue. Labial frenums attach from the lips to the center of the mouth between the upper two front teeth and the lower two front teeth. In some instances, patients may have other areas with frenum attachments. This procedure is most often recommended to prevent or eliminate a large gap between the front two teeth or to interrupt the frenum from pulling the gum tissue leading to tissue (gum) recession. Treatment is completed with local anesthetic and the patient is comfortable during the entire appointment. Post treatment discomfort is minimal.