Frenectomy: Correcting Abnormal Frenum Attachments for Improved Oral Health

A frenectomy is a simple surgical procedure that removes or modifies the frenum, a small fold of tissue that connects the lips, cheeks, or tongue to the gums and underlying bone. There are two main types of frenums in the mouth:

  • Labial Frenum: This connects the upper or lower lip to the gums between the front teeth.
  • Lingual Frenum: This connects the underside of the tongue to the floor of the mouth.

An abnormally positioned or overly large frenum can cause several oral health issues, including restricted tongue movement, gaps between teeth, gum recession, or difficulties with speech and feeding. Frenectomy procedures, performed by Dr. Ismail, can resolve these concerns and improve oral function and aesthetics.

 

Why Is a Frenectomy Necessary?

A frenectomy is often recommended for both functional and orthodontic reasons. Here are some common conditions that may require a frenectomy:

  1. Lip-Tie or Tongue-Tie (Ankyloglossia) When the lingual frenum is too short or tight, it restricts the movement of the tongue, a condition known as tongue-tie. This can interfere with speaking, eating, swallowing, and even breastfeeding in infants. A frenectomy can free the tongue, allowing for better mobility.
  2. Gum Recession Due to a High Labial Frenum A labial frenum that is positioned too close to the gumline can pull on the gums, leading to recession and exposing the roots of the teeth. If left untreated, this can cause sensitivity, an increased risk of tooth decay, and aesthetic concerns. A frenectomy can relieve the tension on the gums and prevent further damage.
  3. Diastema (Gap Between Teeth) A prominent labial frenum can create or maintain a gap between the upper or lower front teeth, known as a diastema. In conjunction with orthodontic treatment, a frenectomy can help close this gap by allowing the teeth to move into proper alignment without interference.
  4. Orthodontic Stability When orthodontic treatment is planned or already underway, removing an abnormal frenum may be necessary to ensure that teeth stay in place after braces are removed. A frenectomy can help improve the long-term success of orthodontic treatment.

The Frenectomy Procedure: What to Expect

  • . Ismail performs frenectomies in a minimally invasive manner, ensuring patient comfort and a quick recovery. The procedure is typically done using local anesthesia, though sedation options are available for patients who may feel anxious.

    1. Evaluation and Preparation During your consultation, Dr. Ismail will assess the position of the frenum and determine if a frenectomy is the appropriate treatment. For patients undergoing orthodontic treatment, coordination with your orthodontist will ensure the best outcome.
    2. Surgical Removal of the Frenum The frenectomy itself involves making a small incision to release or remove the frenum. Dr. Ismail may use traditional surgical techniques or a laser, which can minimize bleeding and reduce healing time. The procedure is quick, often taking less than 30 minutes.
    3. Post-Operative Care and Healing Following the procedure, most patients experience mild discomfort that can be managed with over-the-counter pain relievers. Swelling and soreness are common but usually subside within a few days. Dr. Ismail will provide detailed aftercare instructions to ensure proper healing, including:
      • Gently cleaning the area with prescribed mouthwash or saltwater rinses
      • Avoiding hard or crunchy foods for a few days
      • Monitoring the area for signs of infection or complications

    Most patients can return to their normal activities within a day or two, and the treated area typically heals completely within a couple of weeks.

Benefits of a Frenectomy

The benefits of a frenectomy are both functional and aesthetic. By addressing a problematic frenum, you can:

  • Improve Oral Function: A frenectomy can alleviate speech difficulties, improve feeding or breastfeeding in infants, and enhance tongue mobility for better eating and swallowing.
  • Prevent Gum Recession: Reducing tension on the gumline helps prevent further recession and protects the health of your teeth.
  • Enhance Orthodontic Outcomes: Removing a restrictive frenum can aid in closing gaps between teeth and ensure that orthodontic treatment results are long-lasting.
  • Boost Confidence: Correcting a lip or tongue-tie can improve your smile and overall oral appearance, giving you greater confidence in your daily interactions.

Is a Frenectomy Right for You?

If you or your child has a lip-tie, tongue-tie, or an abnormally placed frenum that is affecting oral function or aesthetics, a frenectomy may be the solution. Dr. Ismail will thoroughly evaluate your condition and recommend the best treatment plan to restore optimal oral health.

Contact Dr. Ismail’s office in the DFW area today to schedule a consultation and learn more about how a frenectomy can improve your smile and overall oral function.