Frenectomy

Frenectomies are usually recommended when an overgrown or tight frenum causes one or more of the following issues:

• Speech Impairment: When the lingual frenum (under the tongue) is too tight or short, it can limit tongue movement, affecting speech and eating. This condition, known as tongue-tie, is often treated with a lingual frenectomy.
• Gaps Between Teeth: If the labial frenum (connecting the upper lip to the gums) is large or positioned close to the front teeth, it can create a gap between them, leading to misalignment and cosmetic concerns.
• Recession: In cases where the frenum pulls on the gums, it can cause recession, leading to exposure of tooth roots, discomfort, and increased susceptibility to gum disease.
• Feeding Difficulties in Infants: Newborns with restrictive frena may have trouble breastfeeding, which can be improved with a frenectomy.

A frenectomy is a straightforward and minimally invasive dental surgery often completed in a single office visit. After applying a local anesthetic, the dentist or oral surgeon will either cut or release the restrictive frenum tissue using a scalpel or, more commonly today, a soft tissue laser. Lasers tend to be preferred as they help minimize bleeding and reduce healing time. The entire procedure generally takes between 15 and 30 minutes.

After a frenectomy, patients may experience mild discomfort or swelling in the treated area for a few days. Your dental professional will likely provide specific aftercare instructions to promote healing and prevent infection. Here are some general aftercare tips:

• Pain Management: Over-the-counter pain relievers and cold compresses can help reduce swelling and alleviate discomfort.
• Dietary Adjustments: Soft foods, such as yogurt, applesauce, and mashed potatoes, are gentle on the healing tissue. Avoid hard or crunchy foods that could irritate the surgical site.
• Oral Hygiene: It’s essential to keep the mouth clean to prevent infection. Use a gentle mouth rinse as recommended by your dentist, and brush carefully around the surgical site.
• Avoid Strenuous Activity: To allow proper healing, avoid intense physical activity for at least a few days after the procedure.

A frenectomy can greatly improve quality of life by addressing functional issues caused by restricted or overgrown frena. With the guidance of a dental professional and proper aftercare, recovery is typically quick and uneventful, leading to improved oral comfort and functionality.