Frenum is a fold of mucous membrane, usually with enclosed muscle fibers, which attaches the lips and cheeks to the alveolar mucosa and/or gingival and underlying periosteum. Different types of frenal attachments have been observed and classified. Frenum with abnormal attachments may lead to mucogingival problems while hampering gingival health, as they cause an interference in the plaque control or may create a muscle pull. This condition may require management that can be usually performed with frenectomy and frenotomy procedures. Frenectomy is the complete removal of the frenum, while frenotomy is the incision and relocation of the frenal attachment. The present article is a compilation and review of a series of clinical cases of frenal excision through different surgical approaches.
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