<prompt> Orthodontic closure of a midline diastema in a patient with thick maxillary frenum:Is accomplished prior to the frenum surgeryIs accomplished after the frenum surgeryAfter orthodontic closure, frenum surgery is typically not indicatedAfter frenum surgery, orthodontic closure is typically not indicated  <response>: 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. 