Frenectomy
Frenectomy
What is a Frenectomy?
A Frenectomy is a minor surgical procedure that involves the removal or modification of the frenulum, a small band of tissue that connects two parts of the body. In dentistry and oral surgery, it typically refers to the correction of the lingual frenulum (beneath the tongue) or the labial frenulum (between the gums and lips). This procedure is designed to improve oral function, speech, or dental alignment.
Types of Frenectomy
Lingual Frenectomy:
Focuses on removing or modifying the frenulum beneath the tongue to enhance mobility and improve speech or feeding.
Labial Frenectomy:
Addresses the frenulum between the upper or lower lip and the gums, often performed to close gaps or reduce tension that may affect oral health.
When is Frenectomy Recommended?
A Frenectomy is performed to address:
- Tongue-tie (ankyloglossia), which restricts tongue movement.
- Difficulty in breastfeeding for infants.
- Speech impediments caused by a tight lingual frenulum.
- Gaps between the upper front teeth (diastema) due to an oversized labial frenulum.
- Periodontal (gum) issues caused by frenulum tension.
- Discomfort or limitations in lip or tongue movement.
What Happens Before Frenectomy Surgery?
Before the procedure, the following steps are taken:
- A detailed examination by a dental or oral surgeon.
- Discussion of symptoms, concerns, and treatment goals.
- Diagnostic imaging (if needed) to assess the structure of the frenulum.
- Instructions on pre-procedure care, such as oral hygiene or fasting (if required).
How Does Frenectomy Surgery Work?
Frenectomy is a straightforward outpatient procedure that includes:
- Administration of local anaesthesia to numb the area.
- Removal or modification of the frenulum using a scalpel, laser, or electrosurgery.
- Closure with dissolvable stitches (if necessary).
Laser-based frenectomy is minimally invasive, reducing discomfort and healing time.
How Long Does Frenectomy Surgery Take?
The procedure typically lasts 15–30 minutes, depending on the complexity and the technique used (traditional vs. laser).
Risks and Benefits of Frenectomy
Benefits:
- Enhanced tongue or lip mobility.
- Improved speech and feeding ability.
- Resolution of dental alignment or periodontal issues.
- Faster recovery with laser techniques.
Risks:
- Minor bleeding or swelling.
- Temporary discomfort in the treated area.
- Rare chances of infection or scarring.
Post-Treatment Care
Following Frenectomy surgery, patients should:
- Maintain oral hygiene by rinsing with a prescribed antiseptic solution.
- Avoid hard or spicy foods for the first few days.
- Follow a soft diet to minimise irritation.
- Perform stretching exercises as recommended by the dentist to ensure proper healing and flexibility.
What Can I Expect for Recovery?
Recovery is typically quick, with most individuals resuming normal activities within a day or two. Complete healing may take 1–2 weeks, depending on the individual and the surgical technique. Patients often notice significant improvements in speech, feeding, or oral comfort post-surgery.
When to Consult a Doctor?
Seek immediate medical attention if you experience:
- Persistent bleeding or swelling.
- Signs of infection, such as fever or pus.
- Difficulty in tongue or lip movement even after recovery.
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FAQ
What is the purpose of a frenectomy?
The primary purpose of a frenectomy is to improve oral function by removing or modifying a frenulum that restricts movement. This procedure helps resolve issues such as tongue-tie, speech difficulties, breastfeeding problems, gaps between teeth, and gum tension.
What is the best age for a frenectomy?
Frenectomy can be performed at any age, but early intervention is often recommended for infants with breastfeeding difficulties or children with speech issues. For dental alignment concerns, it may be done after the eruption of permanent teeth or as advised by your dentist.
How painful is a frenectomy?
Frenectomy is a minimally painful procedure since it is performed under local anesthesia. Patients may experience mild discomfort or soreness post-procedure, which typically resolves within a few days.
Will a frenectomy close a gap?
Yes, a labial frenectomy can help close a gap (diastema) between the upper front teeth, especially when combined with orthodontic treatment like braces.
What are the benefits of removing the frenulum?
Removing the frenulum can:
- Enhance tongue or lip mobility.
- Improve speech and feeding abilities.
- Resolve dental alignment or gum issues.
- Prevent future oral health complications.
Can you talk after a frenectomy?
Yes, you can talk immediately after the procedure. While mild soreness may be present initially, speech generally improves if the frenectomy was performed to address speech impediments.
How much does a frenectomy cost?
The cost of a frenectomy in India varies depending on the type (lingual or labial), surgical technique, and the clinic. On average, the cost ranges from ₹5,000 to ₹25,000. For more accurate pricing, consult your surgeon.
Is a gap between teeth okay?
A small gap (diastema) between teeth is often harmless and purely cosmetic. However, larger gaps may affect oral health or aesthetics and can be corrected with orthodontic treatments.
Does frenectomy change face shape?
A frenectomy does not significantly alter the face shape. However, it may enhance facial harmony by improving oral function, dental alignment, and overall comfort.
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