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What Is a Frenectomy?
A frenectomy is the surgical release or removal of a frenum — a small fold of soft tissue that connects two structures in the mouth. There are two frenums of primary concern in dentistry: the lingual frenum, which connects the underside of the tongue to the floor of the mouth, and the labial frenum, which connects the upper or lower lip to the gum tissue between the front teeth.
When one of these frenums is too thick, too tight, or attached in the wrong position, it can restrict movement or put tension on surrounding tissue. A lingual frenectomy addresses what's commonly called "tongue tie," while a labial frenectomy is often used to close a gap between the upper front teeth or to prevent gum recession caused by a low labial attachment.
Why Is a Frenectomy Sometimes Necessary?
Left untreated, a problematic frenum can cause a range of issues depending on its location and severity:
Lingual frenum (tongue-tie):
- Interferes with breastfeeding in infants
- Limits tongue mobility in older children and adults
- Can contribute to speech difficulties, trouble swallowing, and altered jaw development
Labial frenum:
- Can prevent front teeth from closing together, creating a persistent midline gap
- May cause gum recession by pulling on surrounding tissue — a more serious long-term concern
What Does the Frenectomy Procedure Involve?
Frenectomies are performed under local anesthesia and are typically completed in under 30 minutes. We use precise techniques — which may include laser-assisted treatment — to release the frenum with minimal bleeding and maximum accuracy. Laser frenectomies in particular are known for faster healing times, reduced post-operative discomfort, and no need for sutures in many cases.
Recovery is generally straightforward. Patients may experience mild soreness for a few days, which resolves with over-the-counter pain management. We'll provide detailed aftercare instructions and, in cases where a frenectomy was performed to support orthodontic results or speech therapy, coordinate care with the appropriate providers to ensure the best overall outcome.
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Is a Frenectomy Right for You or Your Child?
If you or someone in your family has been dealing with feeding difficulties, speech challenges, a gap between the front teeth, or unexplained gum recession, a frenum may be the culprit. The team at Bethesda Center for Family and Cosmetic Dentistry is experienced in evaluating and treating frenum issues for patients of all ages. Call us or book a consultation online — we'll take a close look and give you a clear picture of what's going on and what we can do about it.
