Lip & Tongue Ties (Frenectomy)
Frenulum Removal
A frenulum is a small piece of tissue that connects parts of your mouth, such as your lips to your gums or your tongue to the floor of your mouth. Sometimes, the frenulum can be too thick or too short, restricting movement and leading to difficulties in speech, eating, or even proper dental development. This condition, commonly seen in infants and young children, may require a procedure known as a frenectomy to correct.
What Is a Frenectomy?
A frenectomy is a simple and safe surgical procedure designed to remove or modify a restrictive frenulum, allowing for a greater range of motion in the lips or tongue. By improving oral mobility, a frenectomy can make speaking and eating more comfortable and natural. The procedure is typically quick, lasting only 10-20 minutes, and can be performed using either a scalpel or laser technology.
Types of Frenectomies
We offer three main types of frenectomy procedures, depending on which frenulum is being treated:
- Upper Lip Frenectomy: This procedure involves removing or adjusting the frenulum that connects the upper lip to the gums above the front teeth. It’s often performed to correct issues like a gap between the front teeth (diastema) or difficulty closing the mouth fully, which can affect breathing and oral development.
- Lower Lip Frenectomy: This procedure focuses on the frenulum connecting the lower lip to the gums below the front teeth. It’s commonly done to address problems like gaps between lower teeth, receding gums, or difficulties with chewing and speaking. For older patients, it can also help improve the fit of dentures.
- Lingual Frenectomy: This procedure targets the frenulum that connects the tongue to the floor of the mouth. A restrictive lingual frenulum can lead to a condition known as ankyloglossia, or being “tongue-tied,” which can interfere with eating, speaking, and even breastfeeding in infants. A lingual frenectomy helps restore normal tongue movement and prevent related complications.
What to Expect During a Frenectomy
A frenectomy is a straightforward procedure that typically takes just 10-20 minutes. Depending on the case, the procedure can involve simply cutting the frenulum or removing it entirely to allow for a full range of motion. For your comfort, a topical anesthetic is usually applied, and in some cases, laser technology is used to minimize healing time and discomfort.
Recovery After a Frenectomy
The recovery from a frenectomy is usually quick and uneventful. Most patients can return to their normal activities almost immediately after the procedure. Recovery time may vary depending on the number of frenula treated and the method used, but over-the-counter pain relievers are generally sufficient to manage any post-procedure discomfort.
Ready to Get Started with a Frenectomy?
Dr. Dieu and our team are here to answer any questions you may have about frenectomy and to help you decide if it’s the right option for you or your child. To schedule an appointment please call us at 302-273-8300 or request an appointment online.
Frequently Ask Questions
What Are the Benefits of a Frenectomy?
A frenectomy can provide numerous benefits, including improved breastfeeding in infants, better speech articulation, easier eating and swallowing, and the prevention of potential dental issues such as misalignment or gaps between teeth. For older patients, it can also enhance the fit and comfort of dentures.
Are There Any Risks Associated with a Frenectomy?
As with any surgical procedure, there are some risks involved, but they are generally low. Potential risks include infection, bleeding, or a reaction to anesthesia. However, frenectomies are considered safe and are commonly performed with minimal complications.
How Do I Know If My Child Needs a Frenectomy?
If your child is having difficulty breastfeeding, speaking, or eating, it could be due to a lip or tongue tie. A consultation with a pediatrician, dentist, or oral surgeon can help determine if a frenectomy is needed to resolve these issues.
Will My Child Need Speech Therapy After a Frenectomy?
In some cases, children may benefit from speech therapy after a frenectomy, especially if they have developed speech patterns due to the restriction. However, many children experience significant improvement in speech clarity and eating habits shortly after the procedure without the need for further intervention.
At What Age Can a Frenectomy Be Performed?
A frenectomy can be performed at any age, but it is often done in infancy or early childhood when the benefits can have a significant impact on feeding, speech, and dental development. However, adults can also undergo the procedure if they experience symptoms related to a restrictive frenulum.
How Can I Prepare My Child for a Frenectomy?
Preparing your child for a frenectomy involves explaining the procedure in simple, reassuring terms. Let them know that the procedure is quick and will help them feel better. It’s also important to follow any pre-operative instructions provided by your healthcare provider to ensure a smooth procedure and recovery.