A frenectomy is a minor surgical procedure performed usually by pediatric dentists to correct issues related to a tight or restrictive frenulum. The frenulum is the small fold of tissue that connects the tongue to the floor of the mouth (lingual frenulum) or the upper lip to the gums (labial frenulum).
This procedure is often recommended when a restrictive frenulum causes functional problems such as feeding difficulties, speech issues, or improper oral development.
Indications for a Frenectomy
1. Tongue-Tie (Ankyloglossia): A short or tight lingual frenulum restricts tongue movement, potentially causing:
■ Breastfeeding difficulties (poor latch or ineffective feeding)
■ Speech development issues (difficulty pronouncing certain sounds)
■ Poor oral hygiene due to difficulty cleaning teeth
■ Impacted growth of the palate or jaw
2. Lip-Tie: A tight labial frenulum can cause:
■ Challenges with breastfeeding (pain for the mother or difficulty creating a proper seal).
■ Gap (diastema) between the front teeth.
■ Difficulty maintaining good oral hygiene, especially in young children.
3. Other Functional Issues
■ Problems with swallowing, chewing, or speech.
■ Interference with orthodontic treatments or alignment.
Procedure Overview
Pediatric dentists perform frenectomies using techniques designed for safety, precision, and minimal discomfort for young patients. A thorough clinical evaluation, often combined with parental input, determines if a frenectomy is necessary.
Sometimes, collaboration with other specialists (lactation consultants, myofunctional therapists and speech therapists) is recommended.
Treatment Options:
Frenectomies can be done by our state-of-the-art Solea Co2 laser or by surgical methods.
Benefits of laser frenectomy include:
• Minimal bleeding
• Shorter procedure time and faster healing
• Less discomfort for the child
Post-operative care instructions will be provided, including exercises to prevent reattachment.
To learn more about frenectomies at Alameda Pediatric Dentistry, please contact us at (510) 521-5437. We look forward to hearing from you!