Orthodontic surgeries

Orthodontic surgeries

Some surgeries are useful and even necessary for successful orthodontic treatment.

  • Exposure of teeth included
  • The labial frenectomy
  • Lingual frenectomy
  • Extraction

Exposure of teeth included

Most teeth erupt normally, but some may occasionally remain included or taken under the gums. Upper canines are most often involved, followed by premolars. If a tooth is not visible in the mouth, an X-ray will be taken to confirm that it is included. An included tooth could displace or damage adjacent teeth, particularly the upper teeth when the canine is involved. To bring an included tooth back to a good position, a traction device must first be installed. It is a small chain glued to the tooth that will move gradually until it returns to its natural position.

The labial frenectomy

It removes the attachment of the upper lip with the gum when it is too prominent or hypertrophic. This attachment is called the labial brake hence the term frenectomy. A frenectomy will help close the space between the two central incisors if such space is present.

It can be seen that the upper labial brake is an obstacle to closing the space between the central incisors. A frenectomy is therefore necessary.

In addition, too tight an attachment of the lower lip on the gum can cause tension on the gum and cause a loosening. This leads to exposure of the roots of the lower incisors and can lead to sensitivity and periodontal problems.

Lingual frenectomy

The frenectomy can also be performed at the lingual brake if the tip of the tongue is attached too firmly to the gum. The lingual frenectomy frees the tongue so it can move more freely. It is indicated, among other things, to help improve young children’s speech and to prevent the loss of lower incisors.


Extraction of permanent teeth may be required to align other teeth if lack of space is important. Some people also have excess teeth (extra teeth) that will need to be extracted to prevent damage or displacement of the permanent teeth.