A frenectomy is a minor surgical procedure that removes or modifies a frenum—an oral tissue band that can interfere with normal function or development. This soft tissue structure connects areas within the mouth, such as the lips, cheeks, or tongue, to the jaw or gums. When the frenum is too tight, thick, or restrictive, it can impact speech, dental alignment, or oral hygiene. A periodontist performs a frenectomy to improve mobility, comfort, and overall oral health.
The frenum, depending on its location, can cause a range of issues when improperly formed or positioned. A frenectomy may be recommended when a restrictive frenum interferes with breastfeeding in infants, speech development in children, or orthodontic treatment in older patients. It may also be necessary when the frenum contributes to gum problems or denture instability.
Lingual frenectomy and labial frenectomy are two main types of oral frenectomies. Lingual frenectomy is ideal when the tissue under the tongue (lingual frenum) limits tongue movement, a condition known as tongue-tie (ankyloglossia). Meanwhile, a labial frenectomy involves a periodontist removing or reshaping the frenum between the front teeth and gums to address issues like spacing, discomfort, or gum recession.
A periodontist is uniquely trained in diagnosing and treating gum and soft tissue issues, making this specialist well-suited to perform a frenectomy. The procedure can be completed in a dental office using local anesthesia. Depending on the technique, the periodontist may use traditional surgical methods or laser-assisted. Traditional surgical methods involve a small incision with surgical instruments and, in some cases, sutures.
Some periodontists also offer laser-assisted frenectomies, which use focused light energy to remove the tissue with minimal bleeding and no need for stitches. Laser methods typically result in faster healing, less discomfort, and reduced risk of infection. The procedure is usually quick, and patients often return to normal activities the same day or shortly thereafter.
Undergoing a frenectomy can offer several benefits for patients across all age groups. Some of these advantages include:
These improvements can contribute to healthier gums, functional bite alignment, and greater comfort during daily oral movements.
Recovery after a frenectomy is typically brief. Most patients experience mild soreness or swelling, which can be managed with cold compresses or over-the-counter pain relievers. Proper oral hygiene is essential to prevent infection and ensure smooth healing.
The periodontist may recommend rinsing the area with a saltwater solution, as this helps keep the area clean. In addition, for several days, the patient should avoid consuming spicy or hard foods to prevent irritating the treatment area. The periodontist may suggest specific stretching or movement exercises, so the patient needs to follow those instructions, especially after a lingual frenectomy. Follow-up visits may be necessary to ensure the tissue is healing properly and that full oral function has been restored.
Early evaluation is important when signs of frenum restriction are present. In infants, difficulty latching or feeding may indicate a tongue-tie that requires correction in the first few weeks after the baby is born. Older children or adults may need a frenectomy if their symptoms include:
A periodontist can assess whether the frenum contributes to oral health problems and recommend treatment when necessary. Improved function and oral hygiene often make a frenectomy an effective solution.
Taking care of restrictive frena early can help avoid problems with speech, tooth alignment, and gum health. A frenectomy is a simple and effective procedure that can lead to a healthier and more comfortable smile. Do not wait for more oral health issues to occur before getting the professional care that you need. For more information or to schedule a consultation, call Periodontal & Implant Specialists at (239) 791-7667 at our Fort Myers office.
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