Overview
Gum recession is not always plaque-driven. In some patients, high or tensioned frenum attachment creates mechanical pull on the gingival margin, especially in lower anterior teeth.
When this traction is persistent, recession may continue even with good oral hygiene.
Clinical Context
The oral cavity has multiple frena. The lower labial frenum is frequently involved in recession progression when the attachment is too close to the gingival margin.
Typical signs:
- Tension blanching during lip movement
- Narrow attached gingiva in the affected zone
- Progressive recession in lower incisors
Case Summary
- Patient: 28-year-old female
- Referral source: orthodontist
- Primary finding: recession of lower incisor associated with frenum traction
Why Laser Frenectomy
Laser-assisted frenectomy was selected to release the pull between the frenum and marginal tissue.
Key practical advantages:
- Better hemostatic control
- Reduced tissue trauma
- Faster functional recovery
- Lower post-operative discomfort in many patients
Outcome
At follow-up, the frenum attachment was repositioned away from the recession-prone gingival margin. Tissue stability improved, and the area demonstrated better conditions for long-term maintenance.
Clinical Note
Frenectomy is indicated only when traction is a true etiologic factor. Proper diagnosis is essential, and treatment should be integrated into a full periodontal risk-control plan.
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