“Does my child’s upper lip frenulum mean they need surgery?”

The short answer: not always. Let’s break it down in a clear, parent-friendly way.

What Is the Upper Lip Frenulum?

The upper lip frenulum (sometimes called an upper lip tie) is the thin band of tissue that connects the upper lip to the gums above the front teeth.

In children, this tissue can look thick, tight, or positioned low on the gums—and in most cases, this is completely normal.

As kids grow, their mouth and facial structures develop, and the frenulum often stretches or moves on its own.

When Is an Upper Lip Frenulum NOT a Problem?

In many kids, the upper lip frenulum:

• Does not cause pain

• Does not affect brushing or oral hygiene

• Does not interfere with speech

• Does not require treatment

A visible frenulum alone is not a reason for surgery. That’s why observation is often the best approach in kids dentistry.

When Might Surgery Be Considered?

An upper lip frenulum procedure (frenectomy) may be recommended only if it causes functional problems, such as:

• A large gap between the front teeth that does not improve with growth

• Difficulty keeping the area clean, leading to recurrent cavities or gum inflammation

• Interference with orthodontic treatment

• Tension or pulling that causes discomfort

Your Sedona kids dentist will always evaluate the whole picture, not just the appearance of the tissue.

What About the Gap Between the Front Teeth?

Many parents worry when they see a space between their child’s top front teeth. The good news?

👉 Gaps are very common in kids and often close naturally as permanent teeth erupt.

In most cases:

• Dentists recommend waiting until adult teeth come in

• Frenulum surgery is considered only after orthodontic evaluation, if needed

Early surgery is rarely necessary.

Does an Upper Lip Frenulum Affect Speech?

Unlike tongue ties, upper lip ties rarely cause speech issues.

If speech concerns exist, your kids dentist may collaborate with:

• A speech therapist

• An orthodontist

This team approach helps ensure surgery is recommended only when truly beneficial.

How Kids Dentistry in Sedona, AZ Approaches This

At Molar Opposites Sedona, our philosophy is simple:

🦷 Conservative care first 🦷 Monitor growth and development 🦷 Recommend surgery only when it improves function and long-term oral health

We focus on education, prevention, and helping parents feel confident—not rushed—about dental decisions.

Final Takeaway for Parents

Seeing an upper lip frenulum can be surprising, but in most cases, it’s a normal part of your child’s development.

✔ Surgery is not always needed ✔ Observation is often the best first step ✔ A trusted kids dentist in Sedona, AZ can guide you on timing and options

If you have questions or concerns about your child’s smile, we’re here to help.

📍 Schedule a visit with our Sedona kids dentistry team and get personalized, honest guidance for your child’s oral health.