frenectomy and tongue tie release
Gentle treatment for tongue-tie and lip-tie to improve comfort, function, and oral health.
What is a Frenectomy?
A frenectomy is a simple procedure that releases a tight band of tissue called a frenum. When this tissue is too short, thick, or tight, it can restrict movement and cause problems with speech, breastfeeding, gum health, or how the teeth and jaws develop.
- Tongue-tie (lingual frenum) can limit tongue movement.
- Lip-tie (labial frenum) can pull on the gums or affect a baby’s latch.
- Gum recession or spacing can sometimes be related to an abnormal frenum.
Signs a Frenectomy May Be Needed
Not every tight frenum requires treatment, but certain signs can suggest a frenectomy could be helpful.
In Infants
- Difficulty latching or staying latched while breastfeeding or bottle-feeding
- Clicking sounds while feeding
- Prolonged feeding sessions or poor weight gain
- Maternal nipple pain, cracking, or damage
In Children and Adults
- Limited tongue movement (trouble sticking the tongue out or up)
- Speech difficulties or articulation challenges
- A gap between the front teeth related to a thick lip frenum
- Pulling on the gums that may contribute to recession
- Tension, strain, or discomfort when lifting the lip or tongue
How the Frenectomy Procedure Works
Before recommending treatment, we thoroughly evaluate the frenum, surrounding tissues, bite, and overall function. If a frenectomy is appropriate, we’ll walk you through every step.
1. Comprehensive Evaluation
We review medical and dental history, discuss symptoms, and perform a detailed exam. For infants and children, we may also coordinate with your pediatrician, lactation consultant, speech therapist, or other providers when appropriate.
2. Gentle Anesthesia
The area is carefully numbed for comfort. For young patients, we use age-appropriate techniques and take the time needed to help them feel at ease.
3. Releasing the Frenum
Using precise instruments (and, in some cases, laser technology), we free the tight frenum and reshape the tissue so it can move more naturally.
4. Aftercare and Healing
Most patients experience only mild soreness for a short time. We provide detailed home-care instructions, stretching or movement exercises if needed, and follow-up visits to monitor healing.
Benefits and Possible Risks
Potential Benefits
- Improved breastfeeding or bottle-feeding for infants
- Better tongue and lip mobility
- Reduced strain on the gums and surrounding tissues
- Support for speech development and oral function
- Improved comfort, especially with eating, speaking, and oral hygiene
Risks and Considerations
Any procedure carries some risk, though complications from a frenectomy are rare when performed by an experienced provider. These may include:
- Temporary soreness or swelling
- Minor bleeding or bruising
- Scar tissue or partial re-attachment of the frenum
- Need for additional therapy (such as speech or myofunctional therapy)
We will review these risks in detail and answer all of your questions before treatment.
What to Expect After a Frenectomy
Healing timelines vary depending on age, the specific frenum treated, and individual healing responses. Many patients notice improvements in movement and comfort quickly, while others experience gradual changes over several weeks.
- Mild soreness is common and can usually be managed with over-the-counter pain relief (as directed).
- We may recommend specific stretches or exercises to support proper healing and mobility.
- Infants may need time and support to adjust their latch and feeding patterns.
- We schedule follow-up visits to ensure healing is progressing as expected.
