If your child has a restrictive frenulum, also known as tongue-tie, it can lead to various oral function and development challenges.

Your dental professional may recommend a frenectomy procedure to correct the problem if your child is experiencing issues related to an overly tight or restrictive frenulum.

In this article, we will unpack the details of a frenectomy, explaining the procedure, benefits, and what to expect during recovery.

What is a frenectomy?

A frenectomy is a surgical procedure to address problems caused by an abnormal frenulum, the small fold of tissue connecting the lips, cheeks, or tongue to the underlying tissues.

The procedure involves removing or modifying the frenulum to alleviate functional limitations and improve oral health.

Why is a frenectomy necessary?

There are various reasons why a frenectomy may be necessary:

  • Tongue-tie: Ankyloglossia, commonly known as tongue-tie, occurs when the lingual frenulum is too short or tight, restricting the movement of the tongue. This condition can interfere with breastfeeding, speech development, and oral hygiene.
  • Lip-tie: A lip-tie occurs when the labial frenulum, which connects the upper or lower lip to the gums, is overly restrictive. It can cause difficulties with breastfeeding, proper tooth alignment, and oral hygiene.
  • Speech impediments: In some cases, an abnormal frenulum can contribute to speech impediments, affecting the clarity of speech sounds. A frenectomy can help improve speech function.
  • Orthodontic treatment: When an abnormal frenulum prevents proper alignment of teeth or causes a gap between them, a frenectomy may be necessary to support orthodontic treatment and achieve optimal results.

The frenectomy procedure

A frenectomy is typically a quick and straightforward outpatient procedure performed by a dental professional or an oral surgeon.

Here’s what you can expect during the procedure:

  • Anesthesia: Before the frenectomy, local anesthesia will be administered to numb the area, ensuring a comfortable experience.
  • Incision or laser technique: The frenulum is then released through either an incision or a laser technique. The choice of method depends on various factors, including the individual’s condition, age, and the professional’s preference.
  • Healing process: After the frenulum is modified or removed, the area will heal. The healing time varies, but it usually takes a few days to a few weeks. Proper post-operative care is crucial to facilitate healing and minimize complications.

Benefits of a frenectomy

Undergoing a frenectomy can offer numerous benefits, including:

  • Improved function: By eliminating the restrictions caused by an abnormal frenulum, a frenectomy can enhance tongue mobility, breastfeeding success, speech articulation, and overall oral function.
  • Enhanced oral health: Removing or modifying an overly restrictive frenulum can help improve oral hygiene by allowing for better access during brushing and flossing, reducing the risk of dental issues such as cavities and gum disease.
  • Orthodontic support: For individuals undergoing orthodontic treatment, a frenectomy can assist in closing gaps between teeth or facilitating proper alignment, leading to more effective and stable results.

Aftercare instructions

Following the aftercare instructions provided by your dental professional is essential.

These instructions may include:

  • Maintaining oral hygiene: Clean the surgical area with a soft toothbrush or a damp cloth as advised. Practice regular oral hygiene routines, being cautious around the treated area.
  • Pain management: Over-the-counter pain relievers may be recommended to manage discomfort or soreness. Follow the recommended dosage instructions and consult your dental professional if needed.
  • Dietary considerations: Stick to a soft or liquid diet for the first few days after the procedure to avoid irritation or injury to the surgical site. Gradually reintroduce solid foods as advised.
  • Avoiding irritants: Steer clear of irritants such as spicy foods, as they can hinder the healing process and cause discomfort.
  • Follow-up appointments: Attend scheduled follow-up appointments with your dental professional to monitor the healing progress and address any concerns.

Consultation and evaluation

If you suspect that your child may benefit from a frenectomy procedure, it is essential to consult with a dental professional or an oral surgeon.

They will evaluate your situation, discuss treatment options, and guide you through the process to ensure the best possible outcome.


Does a frenectomy procedure hurt?

Local anesthesia is typically used during a frenectomy to numb the area, ensuring a comfortable experience. However, some discomfort or soreness may be experienced after the procedure, which can be managed with over-the-counter pain relievers as advised by your dental professional.

How long does the frenectomy procedure take?

The duration of a frenectomy procedure can vary depending on the specific case and the method used. Generally, it is a relatively quick outpatient procedure that can be completed in minutes.

Are there any risks or complications associated with a frenectomy?

Like any surgical procedure, a frenectomy can have risks and potential complications. However, they are generally rare. Following your dental professional’s instructions for post-operative care is essential to minimize the risk of complications.

How long does it take to recover from a frenectomy procedure?

The healing time after a frenectomy can range from a few days to weeks. Following the aftercare instructions your dental professional provides is crucial to facilitate proper healing and minimize complications.

Will there be any dietary restrictions after a frenectomy procedure?

Depending on your specific case, your dental professional may recommend a soft or liquid diet for the first few days following the procedure to avoid irritation or injury to the surgical site. Gradually reintroducing solid foods as advised is typically recommended.


A frenectomy procedure can benefit individuals facing challenges associated with an abnormal frenulum.

By addressing restrictions caused by tongue-tie or lip-tie, a frenectomy can improve oral function, speech, and overall oral health.

If you believe a frenectomy may be necessary, consult a dental professional to guide you through the evaluation, treatment, and aftercare process.


Bright Smiles Pediatric Dentistry is located in St. Johns, FL, and Yulee, FL, and we happily welcome folks from neighboring areas.

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