The Frenum Attachment

Updated on


Hi, I’m Dr. B, practicing functional dentist for 35 years. I graduated from the Dugoni School of Dentistry in San Francisco, CA in 1987 and am a member of the American Academy of Dental Sleep Medicine (AADSM), Academy of General Dentistry (Chicago, IL), American Academy for Oral Systemic Health (AAOSH), and Dental Board of California. I'm on a mission to empower people everywhere with the same evidence-based, easy-to-understand dental health advice that my patients get. Learn more about Dr. B

Today on the show Dr. B gets a question from a listener about whether it is necessary to do surgery on a one-year-old due to the formation of their frenum attachment. The frenum, in simple terms, is the web-like skin tag that connects the upper lip to the upper gum. Dr. B busts a few myths about the frenum attachment to the upper gum and the role this plays in causing gaps in teeth. He talks about the fact that gaps in teeth in young children are normal and also makes sure to suggest which types of associated conditions related to the frenum attachment are cause for concern. Tune in today!

Key Points From This Episode:

  • A question about whether it is necessary to intervene in a diastema in a one-year-old.
  • Whether a piece of skin joining the upper lip to the gums will cause a gap tooth.
  • It is typical to expect spaces between teeth in children around the age of one.
  • Issues that can become serious because of a frenum tie.
  • When to see a specialist who deals with lip and tongue ties.

How to Submit Your Question:

Record your question for Dr. B at


“If the frenum attaches too low to the edge of the gums close to the teeth, the thinking is, and again this is a bit of a myth, that that could cause separation of those two teeth, otherwise known as a diastema.” — @askthedentist [0:01:30]

“The space that you are seeing between E and F now is probably a good thing.” — @askthedentist [0:01:30]

Links Mentioned in Today’s Episode:

Ask the Dentist Website

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory