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What is a frenectomy and why do they matter?

A frenectomy is a quick and simple procedure used to fix a tongue-tie or lip-tie. These ties are small pieces of tissue that connect the tongue, lips, or cheeks to the mouth. If they are too tight or in the wrong place, they can cause problems like trouble speaking, limited movement, or dental issues. A frenectomy removes or loosens this tight tissue to improve how the mouth moves and feels.

A labial frenectomy involves removing or releasing the band of tissue that connects the lips to the gums. This procedure may be recommended to address concerns such as gum recession, spacing between the front teeth, or difficulties with dentures or orthodontic appliances.

When is a release recommended and what kinds of signs point to a patient needing one?

Tongue-tie frenectomies are done to fix tongue-tie, a condition that limits how the tongue moves and can lead to breastfeeding problems, as well as difficulties with speech, eating, breathing, and keeping the mouth clean.
Some patients also experience speech problems, such as difficulty pronouncing sounds like "T" "D" L" "R" "N" "TH" "S" and "Z". A lisp may also occur.
If a patient is having trouble licking, chewing solid foods, or using the tongue to clean the teeth. Some people may gag or choke on food.
Patients who may benefit from a frenectomy may also experience; Trouble licking, chewing solid foods, or using the tongue to clean the teeth. Some people may gag or choke on food. Difficulty moving the tongue side to side or lifting it to the roof of the mouth.
Adults may also experience jaw, neck, or back pain, headaches, poor sleep, clenching, or grinding.

If you or your child are showing any of these symptoms, it’s important to see a dentist or oral surgeon for a full evaluation and tailored treatment plan.

What to expect

Before the frenectomy, Dr. Cody will thoroughly assess your or your child's oral health and review the treatment plan with you, including the recommended type of frenectomy and any pre- or post-procedure instructions. The procedure is usually performed under local anesthesia to ensure your comfort.

During the frenectomy, Dr. Cody will carefully remove or release the tongue-tie or lip-tie using precise techniques with the Solea laser. The procedure is generally quick and straightforward, causing minimal discomfort and allowing for a fast recovery with little downtime.

By correcting the functional limitations caused by a tight or restrictive tongue-tie or lip-tie, a frenectomy can enhance oral health and contribute to an improved quality of life.

What Are the Advantages of Undergoing a Frenectomy?

Enhanced oral function and tongue/lip mobility
Better breathing
Clearer speech and improved articulation
Lower risk of dental issues, including gum recession and misaligned teeth
Increased comfort and ease of movement in the mouth

Does Insurance COver this procedure?

Most insurance plans provide some coverage for a frenectomy. Our office will handle the claim submission on behalf of the patient.

Post-op expectations

We have found that most patients achieve the best results when a frenectomy is combined with myofunctional therapy, and in some cases, the use of adjunctive devices to optimize outcomes.

Following a frenectomy, mild discomfort, swelling, or minor bleeding at the treatment site may occur. We will provide comprehensive post-operative care instructions, including guidance on gentle oral hygiene and any necessary dietary modifications. Most patients are able to resume normal activities within a few days and often notice significant improvement in their symptoms soon thereafter.

Follow-up appointments may be scheduled to monitor healing and ensure proper recovery of the tongue-tie or lip-tie. Dr. Cody, in collaboration with Michelle Wheeler (Myofunctional Therapist), will also provide guidance on exercises or stretches to maintain optimal mobility and prevent reattachment.

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