• Michael T. GoupilEmail author
  • Tyler J. Thomas
  • Stephan Goupil


A frenum is defined as a fold of membrane that secures or restricts the motion of a mobile organ of the body. There are several frena located in the oral cavity but the two most likely requiring surgical intervention are the maxillary labial frenum and the lingual frenum. The purpose of this chapter is to discuss the indications for a frenectomy and to describe surgical treatment options.


Frenum Frenulum Frenectomy Frenotomy Frenulectomy Frenulotomy Vestibuloplasty Ankyloglossia 


  1. 1.
    Suter VGA, Heinzman AE, Grossen J, Sculean A, Burnstein MM. Does the maxillary midline diastema close after frenectomy? Quintessence Int. 2014;45(1):57–66.PubMedGoogle Scholar
  2. 2.
    Baker AR, Carr MM. Surgical treatment of ankyloglossia. Oper Tech Otolaryngol. 2015;26(1):28–32.CrossRefGoogle Scholar
  3. 3.
    Olivi G, Signore A, Olivi M, Genovese MD. Lingual frenectomy: Functional evaluation and new therapeutical approach. Eur J Paediatr Dent. 2012;13(2):101–6.PubMedGoogle Scholar
  4. 4.
    Steehler MK, Harley EH. A retrospective review of frenectomy in neonates and infants with feeding difficulties. Int J Pediatr Otorhinolaryngol. 2012;76:1236–40.CrossRefGoogle Scholar
  5. 5.
    O’Callahan C, Macary S, Clmente S. The effects of office-based frenectomy for anterior and posterior ankyloglossia on breastfeeding. Int J Pediatr Otorhinolaryngol. 2013;77:827–32.CrossRefGoogle Scholar
  6. 6.
    Brookes A, Bowley DM. Tongue tie: the evidence for frenectomy. Early Hum Dev. 2014;90:765–8.CrossRefGoogle Scholar
  7. 7.
    Al Jabbari YS. Frenectomy for improvement of a problematic conventional maxillary complete denture in an elderly patient: A case report. J Adv Prosthodont. 2011;3:236–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael T. Goupil
    • 1
    Email author
  • Tyler J. Thomas
    • 2
  • Stephan Goupil
    • 3
  1. 1.University of Connecticut School of Dental MedicineFarmingtonUSA
  2. 2.Indiana Restorative DentistryCarmelUSA
  3. 3.Emerson Family Medicine at Emerson HospitalConcordUSA

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