A frenectomy is a minor surgical procedure involving removing or modifying a frenulum, a small fold of tissue that restricts the movement of an organ in the body. In dentistry, it commonly refers to removing the frenulum under the tongue (lingual frenulum) or the upper lip (labial frenulum).
This procedure is often performed to address conditions such as tongue-tie (ankyloglossia), which can interfere with speech, eating, and oral hygiene, or a prominent labial frenulum, which can cause a gap between the front teeth. The procedure can be done using traditional surgical methods, lasers, or electrosurgery, and it generally involves a quick recovery period with minimal discomfort, improving the patient's oral function and comfort.
When Is a Frenectomy Needed?
Tongue-Tie
In cases of an abnormally tight or short lingual frenulum, a condition known as tongue-tie (ankyloglossia) may occur. This restricts the movement of the tongue, potentially leading to difficulties with speech articulation, eating (particularly breastfeeding in infants), and oral hygiene practices such as proper tongue cleaning.
Diastema
A prominent or tight labial frenulum can contribute to the development or persistence of a gap between the upper front teeth, a condition known as diastema. This occurs when the frenulum pulls on the gum tissue, preventing the teeth from coming together properly.
Gum Recession
An overly tight labial frenulum exerts continuous tension on the gum tissue, causing gum recession. This recession can lead to aesthetic concerns, tooth sensitivity, and an increased risk of dental problems such as decay and tooth loss.
Orthodontic Concerns
In orthodontic treatment, a restrictive frenulum can interfere with the movement of teeth or the placement of orthodontic appliances, potentially complicating treatment outcomes. Addressing the frenulum with a frenectomy may be necessary to optimize orthodontic results.
Speech Impediments
A tight lingual frenulum can hinder the proper movement of the tongue required for speech articulation, leading to speech impediments or difficulties in pronunciation.
Discomfort or Pain
In some cases, individuals with an abnormal frenulum may experience discomfort or pain, particularly when the frenulum pulls or irritates surrounding tissues during oral activities such as eating or speaking. Call us to learn more.
The Frenectomy Procedure
Pre-Procedure Preparation
- The process typically begins with a consultation with our dentist in Cajon, CA. During this appointment, our healthcare provider evaluates the condition of the frenulum and discusses the need for a frenectomy, explaining the procedure, potential risks, and benefits.
- The patient's medical history, including any allergies, current medications, and previous surgeries, is reviewed to ensure they are suitable candidates for the procedure.
- Before the procedure, the patient is administered local anesthesia to numb the area of the frenulum. In some cases, sedation may also be offered to help relax anxious patients or young children.
Frenectomy Procedure
- Once the patient is comfortable and adequately anesthetized, they are positioned appropriately for the procedure. For lingual frenectomy, the patient may be asked to stick out their tongue, while for labial frenectomy, the upper lip may be flipped upward to expose the frenulum.
- The frenulum is then either cut using a scalpel (traditional method) or removed with a laser or electrosurgical instrument. The choice of technique depends on various factors, such as the healthcare provider's preference, the patient's condition, and the desired outcome.
- After the frenulum is cut or ablated, bleeding is controlled. In traditional methods, this may involve applying pressure or using sutures to close the wound. Laser or electrosurgical methods often provide immediate hemostasis, minimizing bleeding.
- In some cases, particularly with larger frenula or when excessive bleeding is a concern, the wound may be closed with sutures. However, many frenectomies do not require sutures, as the wounds tend to heal well.
Post-Procedure Care
- Following the frenectomy, the patient is monitored briefly in a recovery area to ensure there are no immediate complications and that the anesthesia wears off safely.
- The patient receives detailed instructions on how to care for the surgical site at home. This typically includes guidelines on oral hygiene, dietary restrictions (if any), pain management, and signs of complications to watch out for.
- A follow-up appointment is scheduled to assess the healing progress, remove any sutures (if used), and address any concerns or questions the patient may have.
The Benefits of a Frenectomy
- Enhanced movement of the tongue or lips can improve speech, eating, and oral hygiene.
- Addressing a tight labial frenulum can help close gaps between teeth and reduce the risk of gum recession.
- For infants with tongue-tie, a frenectomy can improve breastfeeding by allowing better tongue movement and latch.
- Reducing the tension caused by a tight frenulum can alleviate discomfort and enhance oral health.
A frenectomy can significantly enhance a person's oral health, function, and overall well-being by addressing abnormal frenula in the mouth. Visit Ali Haeri D.M.D., M.H.S. at 1297 W Main St., Suite A, El Cajon, CA 92020-4135, or call (619) 579-0505 to learn more.