Frenectomy

Frenectomy

What is a frenectomy?

A frenectomy is a minor surgical procedure that removes or modifies a frenum—a small fold of tissue in the mouth that connects the cheeks, or tongue to the gums.

When a frenum is too tight or positioned in a way that restricts movement, it can cause issues such as tongue-tie (ankyloglossia), lip-tie, speech difficulties, breastfeeding problems, or gaps between teeth.

Why might you need a frenectomy?

Frenectomy procedures can benefit individuals across all age groups. For infants, a frenectomy may be recommended to improve breastfeeding and latch when tongue-tie or lip-tie is present. In children and adults, this procedure can help correct speech impediments, enhance oral hygiene, close gaps between teeth, and relieve tension that may contribute to gum recession or discomfort.

Different types of frenectomy

  • Lingual Frenectomy: Targets the tissue under the tongue. This procedure is often performed to correct tongue-tie, improving tongue mobility for better speech, eating, and breastfeeding.
  • Labial Frenectomy: Removes or loosens the frenum connecting the upper or lower lip to the gums, which can help close gaps between front teeth and improve oral hygiene.
  • Buccal Frenectomy: Less common, this addresses the tissue connecting the cheek to the gums, which may be needed if it interferes with oral function.

A quick, comfortable procedure for frenum removal

The procedure is typically quick, often completed in less than 30 minutes. Local anesthesia is administered to numb the area and ensure patient comfort throughout the process. The surgeon then uses a scalpel, laser, or electrosurgery to release or remove the frenum.

Depending on the technique used, stitches may be placed if necessary, although laser methods often eliminate the need for sutures. Most patients experience minimal discomfort and are able to return to their normal activities soon after the procedure.

Recovery and Aftercare

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