Frenectomy

FOCUS: Learn what a frenectomy is, why it’s needed, and how it can improve oral health and function.

A frenectomy is a simple procedure that releases or removes a band of tissue (the frenum) within the mouth.

The terms “frenectomy” and “frenotomy” are often used interchangeably, both describing this procedure. A frenectomy procedure is performed when the frenum restricts movement and affects functions such as speech, eating, or oral health.

Key Takeaway

A frenectomy is a minor procedure that can significantly enhance oral function and health. By removing or releasing the frenum, individuals may experience improved speech and ease of eating.

The Role of the Frenulum in the Mouth

A frenum is a small band of tissue that connects mobile tissue, like the tongue or lips, to a more fixed area in the mouth. There are two main types:

  • Lingual frenulum: This fold of tissue is located beneath the tongue, connecting it to the floor of the mouth.
  • Labial frenulum: The bands between the inner lip and the gums in both the upper and lower lip.

While these tissue bands are normal, overly tight or restrictive frenulums can limit movement, leading to issues that affect oral health and daily function.

When Is a Frenectomy Needed?

Frenectomies are generally recommended when a tight frenum creates conditions like tongue-tie or lip-tie.

In cases of tongue-tie, or ankyloglossia, a restricted lingual frenulum limits tongue movement, affecting speech, eating, and oral hygiene.

Lip ties restrict lip movement and contribute to issues like gum recession, gaps between the teeth, or discomfort when wearing dental appliances.

Signs That You Might Need a Frenectomy

Frenum restriction can manifest in various ways and may not always require treatment. However, if it affects oral health or daily function, a frenectomy procedure may be necessary.

For Infants and Children

  • Breastfeeding: Difficulty latching on, poor weight gain, or frequent breastfeeding problems can all indicate a tongue-tie.
  • Swallowing: Problems with feeding, choking, or gagging during meals could be due to a tongue-tie.
  • Speech difficulties: Speech delays or difficulty with certain sounds or speech delays could be due to a tight frenulum.

For Adults

  • Speech limitations: Difficulty with certain sounds like “T,” “D,” or “L” could be an indication of a frenum-related speech issue.
  • Gum recession: A tight upper lip frenum can pull on the gum line, causing recession and exposing the tooth’s root.
  • Orthodontic concerns: A frenulum restriction can cause gaps between the teeth. It can also cause issues with dental appliances, such as dentures or braces, fitting correctly.

Key Takeaway

The frenulum connects mobile and fixed tissue within the mouth, facilitating essential functions like speaking and eating. A frenectomy is necessary when a tight frenum restricts oral function and impacts oral health. Early intervention can significantly improve speech, feeding, and dental health, especially in children.

Types of Frenectomy Procedures

A lingual frenectomy improves tongue mobility by releasing a tight lingual frenulum. 

It is often referred to as tongue-tie surgery. It is particularly beneficial for infants and children, as improved tongue movement can significantly impact their eating and speaking ability. 

Addressing a tongue-tie early can minimize or eliminate potential complications like speech difficulties and feeding issues.

A labial frenectomy helps resolve issues related to the upper lip.

Lip ties can cause gaps between the teeth and can make wearing dental appliances such as braces and dentures uncomfortable.

A tongue tie-release often results in  improved oral function and aesthetics, leading to better oral health outcomes.

Key Takeaway

A frenectomy offers an effective solution for issues related to tongue-tie and lip-ties. A scalpel frenectomy is a quick and easy procedure used to release frenulum restriction.

Frenectomy for Children vs. Adults

Frenectomies are safe and beneficial for individuals of all ages, but the procedure may vary depending on the patient’s age.

Infants and Children

For infants and children, frenectomy procedures are generally quicker and often require only local anesthesia to manage discomfort. This is because younger patients typically have smaller, more flexible frenums.

The recovery time is relatively short, and the procedure can be performed as early as a few days old. Parents often see improvements in feeding or speech soon after.

Adults

Adults often need a frenectomy to address concerns such as gum recession or to help dental appliances fit more comfortably. 

Adult patients may experience a slightly longer recovery period than children because of their more advanced tissue development.

Benefits of Frenectomy

A frenectomy offers many benefits, some of the most significant advantages include:

  1. Improved oral function: Patients experience better tongue and lip movement which helps improve speech, eating, and oral hygiene.
  2. Better dental health: Prevent complications such as gum recession and gaps between teeth. 
  3. Supports children’s development: For young patients, improved feeding and speech abilities promote growth, social interaction, and long-term development.

The Frenectomy Procedure: What To Expect

The frenectomy procedure is relatively simple and straightforward.

At our periodontal clinic, we use the scalpel method. The procedure typically takes less than 30 minutes and involves the following steps:

  1. The area is numbed with a local anesthetic, or general anesthesia may be provided if necessary.
  2. A small incision is made in the frenulum with a scalpel.
  3. Once the frenum is released, sutures may be placed to close the incision site if needed.

Post-Procedure Care

After the procedure, you can return home immediately and resume your normal activities within 24 hours.

You may experience mild discomfort, swelling, or bleeding. These side effects are typical and should subside within a few days.

Here are some tips for post-procedure care:

  1. Take any prescribed pain medication as directed to manage discomfort.
  2. Avoid hard or crunchy foods that may irritate the incision site.
  3. Rinse your mouth with saltwater multiple times daily to keep the area clean and promote healing.
  4. Follow up with your dentist or periodontist for necessary post-procedure checkups and care instructions.

Risks and Considerations

A frenectomy is a safe procedure however, as with any surgical procedure, there are a few risks. These include:

  • Bleeding or infection at the incision site.
  • Slight discomfort during healing.
  • Reattachment of the frenulum.

Schedule a Consultation Today!

A frenectomy can significantly improve oral function and comfort. Our periodontists, Dr. Kerri Font, DDS, and Dr. Mike Norouzinia, DDS, are experienced in performing frenectomies for patients of all ages.

To book an appointment at our periodontal clinic in Highlands Ranch, call (303) 683-1144 or complete the online booking form.

Learn More

Check out our blog to learn more about the frenectomy procedure.

FAQs About Frenectomy

Will insurance cover a frenectomy?

Frenectomy procedures are often covered by dental insurance when deemed medically necessary. However, it’s best to consult with your insurance provider for specific coverage details.

How long does a frenectomy take?

The procedure typically takes less than 30 minutes, with minimal recovery time.

How do I know if my child needs a frenectomy?

If your child has difficulty with eating, speaking, or oral hygiene due to a tight frenulum, it may be necessary to consult a dentist or periodontist for an evaluation. Signs of a restricted frenum in infants can include difficulty breastfeeding or poor weight gain, while older children may struggle with pronunciation and speech development.

What should I avoid after the procedure?

Avoid hard or crunchy foods that may irritate the incision site. It’s also recommended to refrain from using straws or smoking for at least 24 hours after the procedure to prevent bleeding and promote healing. Follow any additional instructions provided by your dentist or periodontist for optimal recovery.

Does a frenectomy change speech?

A frenectomy can significantly improve speech development and pronunciation by releasing tension in the tongue and lips.

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