What are Frenectomies and How Can They Improve Oral Health?

frenectomies If your child is experiencing certain speech, eating, or orthodontic problems, your dentist may recommend conducting a frenectomy. This procedure removes the connective tissue at either the top or the bottom of the mouth, helping to correct these problems. New technologies have made frenectomies a safe and convenient option for patients of all ages. Reports show that 20-37% of the population are born with some form a tongue/lip tie. Often tongue-ties and lip-ties co-occur in 90-100% patients.

Lift your tongue and lip up in the mirror to check out your lingual and labial frenulum! Even adults can have undiagnosed lip and/or tongue ties. So, it's never too late to improve!

What is a Frenectomy?

A frenectomy is simply the removal of connective tissue (called the frenum) from under the tongue or the upper gums. In a dental practice, there are two types of routine frenectomies:

Lingual Frenectomy

tongue pre postA lingual frenectomy involves removing the tissue connecting the underside of the tongue to the floor of the mouth. Lingual frenectomies are commonly used to correct a condition called Ankyloglossia, otherwise known as tongue-tie. Tongue-tie is usually related to a short, thick frenum, which limits the tongue's capacity to move.

Ankyloglossia can make it difficult for infants to breastfeed. It can also impact speech and eating in children and adults. Patients often try to compensate for the lack of tongue mobility by changing their jaw position – resulting in other orthodontic issues.

Labial Frenectomy

A labial frenectomy involves removing the piece of tissue connecting the upper or lower gums to the front teeth – commonly referred to as a lip-tie. Everyone has this tissue, but most issues arise when the tissue is excessively large or tight in infants. Newborns who cannot flare or curl out their lips have problems latching onto the breast while breastfeeding.

In older children and adults, a large frenum can also push the front teeth apart, creating a gap between them and necessitating orthodontic treatment once permanent teeth come in. A large frenum can also cause gum recession and thus should be treated as soon as possible to prevent long term damage.

Why are Frenectomies Necessary?

insufficient latch and refluxParents and patients choose frenectomies for a range of reasons, and at various ages.

In infants, both lingual and labial ties can cause problems with breastfeeding and potentially bottle-feeding. Symptoms of a possible tongue-tie or lip-tie in a newborn are: prolonged breastfeeding, difficulty latching onto the breast (causing sore nipples on the mother), and excessive gassiness. More and more, parents are opting for a safe, fast-healing frenectomy to help their babies establish a good seal while eating.

In other patients, both adults and children, frenectomies can be a solution to eating or speech issues. A dentist may also recommend it as part of a patient's overall orthodontic treatment.

Frenectomy and Orthodontics

Frenectomies can be an important part of orthodontic treatment when a long or short frenum is causing tooth or jaw displacement.

In the case of a short lingual frenum, patients may push out the lower jaw to make eating or speaking easier – causing pain in the jaw or an underbite. In this case, a lingual frenectomy may be recommended to help ensure the success of orthodontic treatment.

When treating a patient with a gap between their front teeth, an orthodontist may recommend a labial frenectomy after braces to prevent the upper teeth from spreading apart after treatment.

What Does a Frenectomy Involve?

A frenectomy is commonly accomplished using specialized soft tissue lasers. These lasers emit a highly focused beam that essentially vaporizes oral tissue. Laser treatment generally causes very little bleeding and minimal discomfort, making it an ideal solution for babies and young children. The healing process for laser frenectomies is usually quick and uncomplicated.


Frenectomies and Your Pediatric Dentist

At DPD Smiles Pediatrics & Orthodontics, we take a whole mouth, whole child approach to dentistry and orthodontics. We understand that the tongue, gums, and other oral tissue have a significant impact on the health of teeth and jaws. We believe in treating the patient's entire mouth to ensure the most positive dental outcomes.

Frenectomies are an important part of our practice, whether it's fostering a great bonding experience between a new mother and her infant during breastfeeding, or helping an orthodontic patient make sure her newly straight front teeth stay that way. We encourage families to talk to Drs Joshi & Chong if they any questions about this procedure.