You need a frenectomy if you are suffering negative effects from the connective skin attached to your lip or tongue, which is called a frenulum. Some issues that you may experience include: Separating gums as the frenulum pulls your gums away from your teeth Lip-tie, where your lip mobility is limited Tongue-tie, where your tongue mobility is limited Diastema, which is a gap between your teeth Pain during brushing or other oral care The removal or modification of the frenulum with a frenectomy can alleviate these issues. For more information, read our blog article "Lip Tie Frenectomy."