Recommended For Frenectomy
Most patients requiring a frenectomy surgery fall into one of the following categories:
Patients who wish to get dentures or braces – patients who want to get braces, Invisalign or dentures may face certain problems while wearing them due to a larger frenulum. The dentures themselves can also fall out because of a tighter or longer than usual frenulum.
Patients with speech difficulty – the frenulum can also affect the person’s ability to speak properly. In this case, a specialist will have to be advised in order to see if undertaking the procedure can improve speech.
Newborns – certain babies can be born with a shorter, longer, or tighter than usual frenulum, and this situation can lead to complications such as difficulty with breastfeeding. Luckily enough, the procedure can be performed safely on young patients too.
Not Recommended For Frenectomy
Patients with an active infection around the mouth should postpone the frenectomy procedure until the infection is fully treated. In some cases, the procedure may be postponed or avoided since the condition may fix itself in time. Only a doctor is able to say for sure if a patient needs the surgery or not.
Number Of Trips Abroad
Duration Of Operation
10 to 15 minutes
1 - 2 days
A frenectomy procedure, also known as a frenulectomy surgery is an operation in which the frenulum is removed. The frenulum refers to any small portion of tissue which restricts the movement of other mobile tissue or organs.
Frenectomy surgery is most commonly performed as a dentistry procedure on both adults and children alike. Frenectomy dental surgery can be categorized according to the area in which it is performed:
- Frenectomy labial – often called lip frenectomy, this surgery is recommended for patients who have their tissue attached on the upper lip or patients who wish to get dentures.Patients with their gum tissue attached to the upper lip can suffer from gum recession.
- Frenectomy lingual – this procedure is often called a tongue frenectomy, and it is used to treat ankyloglossia or tongue-tie.
- Frenectomy dental – this operation is performed in order to eliminate gum tissue between two teeth.
In recent years, more and more medical centers started recommending laser frenectomies as an alternative to traditional surgical frenectomies.
Any intake of blood thinners such as aspirin needs to be avoided for at least two weeks before the procedure is set to take place. This is done because anticoagulants increase the risk of excessive bleeding, especially when patients are undergoing a lingual frenectomy. Patients opting for this procedure due to speech difficulty should definitely see a speech pathologist in order to determine if the procedure is the right step or speech therapy can fix their problem.
How It Is Performed
Frenectomy surgery can be performed under general anesthesia or local anesthesia, with the latter being more common for adults. Young children usually undergo surgery under general anesthesia.
Once the anesthesia takes effect, the surgeon will begin removing the frenulum. There are two main instruments which can be used. Laser frenectomy provides the same results as a traditional frenectomy, but with less bleeding. Although it's a more advantageous technique, the laser can't be used in all cases, and the surgeon may have to resort to a traditional scalpel.
Once the frenulum is cut, dissolving stitches are applied, especially if a lingual frenectomy is performed. The tongue frenulum has plenty of blood vessels. If a labial frenectomy surgery is performed, stitches are not usually necessary.
The procedure lasts just around 15 to 20 minutes.
In most patients' cases, the incision site will heal in around seven days. During this time, slight pain and discomfort are quite common, especially while talking or eating.
Patients should try to keep the area as clean as possible – rinsing the mouth with salt water is recommended at least twice a day until the incision site has properly healed. Since frenectomy surgery usually uses dissolving stitches, patients are not required to return to the doctor after undergoing the procedure.
Frenectomy surgery risks and complications include:
● Excessive bleeding
● Revision surgery
Frenectomy surgery side effects include:
● Discomfort while eating or speaking ● Nausea and vomiting if general anesthesia is used
Frenectomy surgery reviews set the average success rate at around 98%.
Before And After
Patients will notice considerable speech improvement after the frenectomy surgery.
– Is there any guarantee that the frenulum won’t grow back after frenectomy surgery? There is no guarantee, but following the doctor's instructions limit the chance of it happening.
– My child needs frenectomy surgery, is there any way to make it easier?
Laser frenectomy surgery is the best option in this case. If the child is very small or scared of the procedure, general anesthesia may be used.
– How long before I can fit my dentures or braces after frenectomy surgery?
The incision will heal in around 5-7 days.
This content is written and reviewed by our medical content team in September 2019.