A frenectomy is a surgical procedure performed to remove or release a frenulum, a small fold of tissue that connects two structures in the body. In dentistry, frenectomy most commonly refers to the removal or modification of the lingual frenulum (the band of tissue connecting the underside of the tongue to the floor of the mouth) or the labial frenulum (the band of tissue connecting the lips to the gums).

Here’s an overview of the frenectomy procedure:

1. Indications:

• Lingual frenectomy may be indicated when the lingual frenulum is too short, tight, or thick, resulting in restricted movement of the tongue (a condition known as ankyloglossia or tongue-tie). This restriction can interfere with speech, eating, and oral hygiene.
• Labial frenectomy may be indicated when the labial frenulum is attached too close to the gumline, causing tension or pulling on the gums. This can contribute to gum recession, difficulty in maintaining oral hygiene, and aesthetic concerns.

1. Preparation:

• Before performing a frenectomy, the dentist or oral surgeon will conduct a clinical examination to assess the extent of the frenulum attachment and evaluate the patient’s oral health.
• Local anesthesia may be administered to numb the area and ensure the patient’s comfort during the procedure.

1. Procedure:

• Lingual frenectomy: The dentist or oral surgeon uses a scalpel, laser, or other surgical instrument to make an incision in the lingual frenulum, effectively releasing the attachment. The tissue is then carefully dissected and removed.
• Labial frenectomy: A similar technique is used to release the attachment of the labial frenulum from the gumline. The tissue is excised to allow for proper movement and positioning of the lips.

1. Postoperative Care:

• After the frenectomy procedure, the patient may experience some discomfort, swelling, or mild bleeding in the surgical area. Pain medication and cold compresses may be recommended to alleviate discomfort and reduce swelling.
• The patient should follow postoperative instructions provided by the dentist or oral surgeon, including dietary restrictions, oral hygiene practices, and any prescribed medications.
• Healing typically occurs within a few days to a week, depending on the extent of the procedure and the individual’s healing response.

1. Follow-up:

• Follow-up appointments may be scheduled to monitor healing and ensure proper function and mobility of the affected area.
• Speech therapy or exercises may be recommended to optimize tongue movement and function, especially in cases of lingual frenectomy for tongue-tie.

Frenectomy is a relatively simple and straightforward procedure with low risk and high success rates. It can significantly improve oral function, speech, and oral hygiene in patients with restricted frenula. If you or your child are experiencing symptoms related to a tight or restrictive frenulum, it’s important to consult with a qualified dental professional for an evaluation and personalized treatment plan.