Understanding Frenectomy: A Complete Guide to Procedure and Benefits

You might be considering a frenectomy if you’re faced with oral issues like tongue-tie, lip-tie, or dental misalignments. This minor surgical procedure targets the frenum, a small fold of tissue that can cause significant dental problems when not functioning as it should. This article will explore when a frenectomy is necessary, how it’s performed, and what benefits it offers for both oral movement and dental health.

Key Takeaways

  • A frenectomy is a surgical procedure for removing a frenum when it’s causing issues like speech impediments, tooth misalignment, or breastfeeding problems. The procedure can fix the lingual, labial, or buccal frena.
  • The frenectomy process has evolved to use less invasive techniques such as laser surgery, which reduces tissue damage and bleeding. It is typically a brief procedure that may include local anesthesia and takes less than 30 minutes. The need for the procedure can vary with age and specific oral health issues.
  • Post-operative care is crucial for a successful recovery from a frenectomy, including pain management, maintaining oral hygiene, and follow-up visits.

What is the Frenum?

Child with labial frenum lip tie

The frenum is a simple piece of tissue in your mouth. It connects your gums to your lips and helps with talking, swallowing, and keeping your teeth in place.

Did you know you have three kinds of frenum in your mouth? They are the lingual, labial, and buccal frenum. Each one has a different job and can sometimes cause problems. Let’s learn more about these important parts of your mouth!

Lingual Frenum and Tongue Tie

The lingual frenum, a band of tissue tying your tongue to the floor of your mouth, is situated just behind your teeth. Its location and function make it a critical player in our ability to speak and swallow.

However, when this frenum is abnormally short or thick, it restricts the tongue’s movement, leading to a condition known as tongue-tie or ankyloglossia. This can result in speech impediments and dental issues like changes in tooth position. Removing part of the frenulum can provide significant relief, enhancing tongue mobility and improving breastfeeding and speech quality.

Labial Frenum and Lip Tie

The labial frenum, also referred to as the labial frenulum, plays a pivotal role in lip mobility. This soft tissue, specifically the superior labial frenulum, connects your upper lip to the maxillary gingiva (upper gums), with a similar tissue connecting your lower lip to your lower gums. Its primary function is to allow normal movement and growth of teeth, contributing to your overall dental health.

But what happens when this frenum causes more harm than good? When the attachment tissue between the lip and gums is too short and tight, it restricts lip movement, leading to a condition known as lip tie. Left untreated, this can lead to gaps between teeth, speech difficulties, and oral hygiene challenges.

Buccal Frenum: Its Role and Potential Issues

Let’s not forget the buccal frenum – the unsung hero connecting your gums to the inner cheek. This critical piece of connective tissue plays a major role in allowing mouth movement during normal oral functions, such as talking and chewing.

However, if the buccal frenum is compromised, it can result in oral dysfunctions. Consistent strain on this frenum could potentially damage the tissue around the teeth. In such instances, a procedure might be necessary to alleviate these concerns.

The Frenectomy Process: What Does It Involve?

Woman in dentist chair to get a frenectomy

A frenectomy is a surgical procedure that removes unwanted frenum tissue for improved oral health. The frenectomy procedure is categorized mainly into two types: one that addresses tongue-ties called a lingual frenectomy, and another that resolves lip-ties known as a labial frenectomy. Additionally, this procedure can be adapted for the lower lip in rare cases.

The procedure is quite simple. It typically involves numbing the area with anesthetic, then the surgeon cuts the frenulum using surgical instruments. The tissue is then stitched back together. The procedure not only alleviates stress on the jawbone but also significantly improves functions like breathing and eating.

Laser Surgery vs Traditional Methods

Traditional methods of frenectomy use scalpels or surgical scissors. While these methods have been utilized for a long time, they may not always be the most comfortable for the patient.

Enter laser surgery—a modern and less invasive alternative. Laser surgery offers several benefits:

  • Causes less tissue damage and bleeding, which enables improved healing post-surgery
  • Improved precision
  • Eliminates the need for stitches
  • Aids in quick clotting
  • Sterilizes the area

Preparing for a Frenectomy

Preparing for a frenectomy is also simple and straightforward. Your healthcare provider will review your health history and discuss sedation options if necessary. This two-way conversation is to ensure you’re comfortable and well-informed before the procedure.

If a frenum has caused a tooth gap, it’s recommended to complete any orthodontic or aesthetic treatment to close the gap before getting a frenectomy. This is because a frenectomy alone won’t cause already spaced teeth to come together. So, better to talk with your orthodontist beforehand!

What to Expect During the Procedure

During the procedure, local anesthesia may be used to numb the tissue before the removal or modification of the frenum. The need for sedation is determined by several factors, including the individual’s age, the complexity of the procedure, and their overall comfort level. Sedation options include nitrous oxide or oral sedatives.

But how long does the procedure take? Not as long as you might think! The entire frenectomy procedure generally takes less than 30 minutes for older children and adults. So, you can be in and out in less time than it takes to watch your favorite sitcom episode!

Post-Frenectomy Care and Recovery

smiling child sitting in a blue chair dental

Once the procedure is complete, your surgeon will give you simple care instructions to follow. These generally include the use of pain relievers, application of antibacterial mouthwash, and scheduling follow-up visits to ensure proper healing. It’s not too complicated, but it’s crucial to follow these steps for a smooth recovery.

Optimal frenectomy results don’t just rely on the procedure itself; they also depend on thorough and cooperative post-surgical care. A bit of teamwork can make a world of difference in achieving a successful frenectomy outcome.

Managing Discomfort and Healing

After a frenectomy, you might experience some discomfort. But don’t worry, it can be easily managed. Medications like Tylenol or ibuprofen can be taken to relieve discomfort, according to age and weight dosage guidelines. For different types of frenectomies, specific measures like applying ice packs externally or using ice chips can help manage pain directly at the surgical site.

Further steps to promote healing include:

  • Applying ice for the first 24 hours post-surgery
  • Warm salt water rinses twice a day
  • Avoiding eating until the numbness from the local anesthetic wears off
  • Staying away from hard, crunchy, acidic, and spicy foods until the frenectomy site has healed

Following these guidelines can lead to less pain and quicker healing, especially for laser frenectomy patients.

Oral Hygiene and Follow-Up Visits

Maintaining good oral hygiene after a frenectomy is crucial. This, coupled with scheduled follow-up visits with the dentist or oral surgeon, can ensure recovery without complications. Remember, your healthcare provider is there to guide you through the healing process, so don’t hesitate to reach out with any concerns.

During follow-up visits, your provider will monitor the healing process, especially when sutures are placed post-frenectomy. They’ll also check for a ‘wet scab’, a white patchy area at the location of the frenectomy, which is a normal part of the healing process. Sutures used during a frenectomy typically dissolve within 7-10 days, which the patient should not touch or remove themselves.

When Is a Frenectomy Necessary?

So, when would you need a frenectomy? It’s typically recommended when an abnormal frenum leads dental problems such as:

  • loss of papilla – the loss of the small triangular piece of tissue between the teeth, which can lead to an unsightly appearance and may contribute to periodontal problems
  • recession – the pulling back of the gum tissue exposing the roots of the teeth, which can result in sensitivity and increased risk of cavities
  • diastema – a gap or space between the teeth, which can be a cosmetic concern or may affect the bite and oral health
  • interfering with orthodontic treatment and denture fitting by preventing teeth from staying in their corrected positions or making it difficult for dentures to stay in place, causing discomfort

For babies, a frenectomy is often performed shortly after birth with minimal discomfort. For older children and adults, the procedure’s timing can depend on individual needs.

For Infants and Young Children

In infants and young children, a tight lingual frenum can hinder their ability to breastfeed because their tongue is stuck in a low position. This feeding difficulty can potentially affect their growth. With tongue tie treated through a frenectomy, it can significantly improve breastfeeding and provide considerable relief.

Frenum restrictions can also lead to speech impediments, including lisps and difficulty pronouncing certain sounds. They can cause difficulties with swallowing and foster picky eating habits in children. If a lip or tongue tie impacts feeding, speech, or sleep, a frenectomy is recommended.

Choosing the Right Professional for Your Frenectomy

Child giving dentist a high five

When choosing a professional to perform a frenectomy, it’s essential to consider their experience and skill level. Are they certified by organizations like the Academy of Laser Dentistry or World Clinical Laser Institute? These are some questions you might want to ask.

Remember, different professionals are qualified to perform frenectomies. These include:

  • Periodontists for gum-related cases
  • General and pediatric dentists for labial frenectomies
  • Oral surgeons for complex cases
  • ENT specialists for lingual frenectomies affecting speech or swallowing

And don’t forget to consider providers like pediatric dentists with experience handling various age groups, particularly infants and toddlers.

Snodgrass-King Pediatric Dentist in Middle Tennessee

If you are in the area looking for a pediatric dentist to perform a frenectomy, look no further than Snodgrass-King. Offering quality dental care since 1997, we have multiple conveniently located offices across Middle Tennessee, including ones in Franklin, Spring Hill, Murfreesboro, and Mt. Juliet, TN. Simply find your closest location and give us a call.


In conclusion, a frenectomy is a simple procedure that can bring about significant improvements in oral health and functionality.

This article has provided details about the different frena—lingual, labial, and buccal—the potential oral health issues with abnormal frena, the steps involved in the frenectomy surgical process, and the essential care required for a successful recovery.

Remember, whether it’s for you or your child, the decision to undergo a frenectomy should not be taken lightly. Consult with a professional, understand the procedure, and make an informed choice. Here’s to improved oral health and happier smiles!

Frequently Asked Questions

What is a frenum?

A frenum is a piece of soft tissue in the mouth that provides stability to the tongue and lips, with three types – lingual, labial, and buccal frenum. Understanding this can help in knowing the function of these tissues.

What is a frenectomy?

A frenectomy is a surgical procedure that removes or modifies the frenum to improve oral health, often used to correct conditions like tongue tie or lip tie.

How long does a frenectomy procedure take?

A frenectomy procedure typically takes less than 30 minutes for older children and adults. It’s a quick and straightforward process.

What is the recovery process like after a frenectomy?

The recovery process after a frenectomy involves managing discomfort with pain relievers, using antibacterial mouthwash, and scheduling follow-up visits to ensure proper healing. Following these steps ensures a smooth recovery.

When is a frenectomy necessary?

A frenectomy is necessary when an abnormal frenum causes dental problems or interferes with orthodontic treatment or feeding in babies. It may also be recommended for denture fitting.