Orthodontic closure of a midline diastema in a patient with thick maxillary frenum:
Orthodontic closure of a midline diastema is accomplished prior to the periodontal surgery. If a frenectomy is performed prior to orthodontic treatment, it is possible that scar tissue could form in the area, which may impede orthodontic tooth movement.
Is accomplished prior to the frenum surgery
Is accomplished after the frenum surgery
After orthodontic closure, frenum surgery is typically not indicated
After frenum surgery, orthodontic closure is typically not indicated