What is a Frenectomy? | Lingual Frenectomy | AAOMS (2024)

Oral Soft-tissue Surgery

A frenum or frenulum is a small “band” of tissue located in the mouth: under the tongue, inside the upper lip, inside the lower lip and connecting the tongue, cheek or lip to the gums. A frenectomy is a simple surgical procedure to release these bands. An oral and maxillofacial surgeon (OMS) typically performs a frenectomy to increase the range of motion of the tongue (removing the lingual frenum) or to assist closing a gap in a patient’s upper front teeth (removing the labial frenum). If untreated, excessive frena may allow gum tissue to be pulled away from adjacent teeth. This can lead to root exposure and periodontal problems. Frenectomies can be performed via scalpel, electrosurgery or laser surgery.

Lingual Frenectomy

The lingual frenum connects the tongue to the floor of the mouth and lower jaw. The specific position of the lingual frenal attachment varies from person to person. This variation means some people will have a lingual frenum that restricts the movement of the tongue. This is sometimes referred to as being “tongue-tied.” Infants with this condition can have difficulty with nursing and, eventually, with speaking. A lingual frenectomy is a quick procedure that reduces the size of the frenum, allowing the tongue to move freely. If restricted tongue movement is discovered early, a frenectomy can be performed as early as the first few weeks after birth.

Labial Frenectomy

The labial frenum normally connects the upper and lower lips to the gum area near the front teeth. If the labial frenum connects closer to the front teeth within the gum tissue, it can create spacing issues and hygiene problems. Although many parents and patients worry about the gap for cosmetic reasons, extra space between the teeth can make it easier for food to become stuck and contribute to gingivitis. If a lower labial frenum attachment causes excess tension, it may result in root exposure and gum problems in the affected teeth. Labial frenectomies are simple procedures that can be performed at any age after the permanent teeth have erupted.

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Although a labial or lingual frenectomy is a common procedure, it isoral surgeryand should still be performed by a qualified professional. Oral and maxillofacial surgeons are the experts in face, mouth and jaw surgery –find an OMS nearby.

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Last updated July 2021

The information provided here is not intended as a substitute for professional medical or dental advice, diagnosis, or treatment. It is provided to help you communicate effectively when you seek the advice of your oral and maxillofacial surgeon. Photos and videos are for illustration purposes only and are not indicative to what a patient may experience.

What is a Frenectomy? | Lingual Frenectomy | AAOMS (2024)

FAQs

What is a Frenectomy? | Lingual Frenectomy | AAOMS? ›

A frenectomy is an oral surgery procedure that treats a lip-tie or tongue-tie. It may be used to increase your tongue's range of motion or help close a gap between two teeth. Frenectomy is a simple treatment that offers a wide range of benefits.

Why would someone need a frenectomy? ›

Since frenectomies lead to breathing, feeding, and speaking issues, a frenectomy is performed to prevent these issues. Typically, they are done after a child has suffered from difficulties with weight gain or the inability to breastfeed which is causing nipple soreness in the mother.

How painful is frenectomy? ›

Not to worry, a labial frenectomy is a quick and pain-free procedure that is done in one visit. Two methods can be used including laser surgery and traditional surgery.

What is the difference between a frenectomy and a frenectomy? ›

A frenectomy involves completely removing the frenulum, while during a frenotomy, the frenulum is snipped and slightly relocated. Both procedures will require an initial consultation during which the dentist or doctor will inspect the frenulum to see what is the best course of action for treatment.

What are the disadvantages of frenectomy? ›

Despite its effectiveness and low-risk nature, there are some disadvantages of having a frenectomy, which include: Uncontrolled Speech. After a frenectomy, those with tongue tie can find that they have trouble controlling their speech.

At what age should a frenectomy be done? ›

At what age should a frenectomy be performed? Each case is different, but the average age at which labial frenectomies are performed is between 8 and 11 years old. Lingual frenectomies are done earlier, as they are performed on babies, sometimes even before they leave the maternity ward.

When is a frenectomy medically necessary? ›

A frenectomy is often recommended if you have the following: An overgrowth of the frenulum tissue causes speech issues due to restricted tongue movement. Gaps between your front teeth are caused by excessive tension on either side. Gingival (gum) recession along one side due to tension from an overgrown frenulum.

Will teeth close after frenectomy? ›

When a labial frenectomy is done before their adult teeth grow in, this eliminates the tension that causes the gap in their teeth. Then, as their adult teeth begin to emerge, they will come out in the proper place and maintain proper spacing, eliminating the gap in your little one's smile.

How long does a frenectomy take to heal? ›

After a frenectomy procedure, the surgical site will take around 2-3 weeks to heal completely. The doctor recommends safe aftercare instructions, including feeding, pain management, and surgical area cleaning.

Will a frenectomy change your smile? ›

A tight frenum makes cleaning the teeth difficult. It can cause oral problems, including speech and eating difficulties, gaps between the front teeth, and speech difficulty. However, getting a frenectomy gives the lips free movement, improving your smile.

Is a frenectomy covered by medical insurance? ›

Coverage depends on the patient's insurance plan, including the plan's guidelines and limitations for the procedure. An insurance plan will usually not consider a claim for reimbursem*nt if your baby is not active on the plan on the date of service.

Why is a frenectomy so expensive? ›

The amount of tissue being removed, age of the patient, geographic market of the doctor performing the procedure, and method used in surgery can also impact overall cost. Laser surgery is typically more expensive as it requires a greater level of training and expertise than the traditional scalpel method.

Is frenectomy worth it? ›

It concluded that “a small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain.” Another systematic review of the evidence published in March by the independent, nonprofit Cochrane Collaboration concluded that “surgical ...

Do you need braces after a frenectomy? ›

Generally, performing a frenectomy before orthodontic treatment is not necessary because braces or Invisalign will still be needed to close the space between the front teeth.

Is speech therapy needed after a frenectomy? ›

Whether parents opt for surgery or not, children will likely benefit from speech therapy. For kids who have undergone a surgical “tongue clipping” procedure, a speech therapist will: Help develop new muscle movements that can help with enunciation.

Why you shouldn't cut a tongue-tie? ›

Professor Mitch Blair, a consultant and officer for health promotion at the Royal College of Paediatrics and Child Health, says tongue-ties used to be routinely snipped, but some doctors now think the risk of infection and tongue damage means babies should be watched, not automatically cut.

What are the benefits of frenectomy in adults? ›

Eliminate dry mouth or mouth breathing. Reduce fatigue from sleep apnea or airway obstruction. Decrease snoring. Correct lisping.

Do adults need frenectomy? ›

There are so many different possible reasons why adults choose to undergo a frenectomy. The frenum is a vital piece of your mouth that helps it move properly. So when your frenum is too tight, tough, short, etc. it makes simple tasks, like chewing or speaking, more challenging.

What type of doctor performs a frenectomy? ›

Qualified practitioners include: Dentists: General dentists, pediatric dentists, and orthodontists may perform frenectomies, particularly those involving the labial frenulum. Periodontists: A periodontist like Dr. Scharf, is specifically trained in all areas of periodontal (gum) and oral tissues.

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