Frenectomies
The Origin of "Tongue-Tied"
Have you ever wondered about the origin of the term “tongue-tied”? At KidZdent, we are dedicated to spotlighting the latest research on conditions commonly known as tongue or lip ties, medically referred to as ankyloglossia. Ideally, these oral ties would be identified and evaluated during infancy. However, recent findings suggest that factors related to the mobility, tension, and pressure of these ties may be associated with various behavioral conditions, developmental challenges, speech difficulties, sleep disorders, and overall health issues. With proper knowledge and preventive dental care from the KidZdent team, many of these complications can be avoided.
Many infants, children, and young adults who were not diagnosed at an early age are now seeking corrective treatments, highlighting the importance of frenectomies. KidZdent is committed to providing family-centered pediatric dentistry, including specialized care for children with unique needs.
Understanding Tongue and Lip Ties
Our specialists at KidZdent aim to ensure that medical terminology does not intimidate our patients. We prioritize educating parents to foster a thorough understanding of these conditions. Our hygienists and doctors are always available to address questions and explain treatment options in detail.
A frenum, or frenulum, refers to the natural tissue that connects two parts of the body. In the mouth, there are seven frenula:
- Beneath the base of the tongue
- At the midpoint of the upper and lower lips, attaching to the gums
- On each side of the cheeks, connecting to the gums
Some infants may have a short frenum attachment between their upper or lower front teeth, which can hinder normal jaw growth and proper alignment of teeth, potentially leading to spacing issues. Insufficient length in this tissue can also exert pressure on the gum tissue, leading to recession. Whether too short, tight, or rigid, restricted frenum movement can complicate everyday tasks like eating and speaking, making proper length and attachment crucial for oral posture, balance, and breathing during infancy and childhood.
Signs of a Problematic Frenum
Signs of a Problematic Frenum
Our specialists identify several signs that may indicate a problematic frenum, including:
- Difficulties with bottle or breastfeeding, such as gumming instead of sucking, latch failures, or falling asleep during feeds
- Issues like reflux, gagging, choking, aerophagia (air swallowing), and abdominal distension
- Inability to maintain the hygiene of the anterior teeth, leading to decalcification or decay
- Difficulty cleaning the tongue
- Failure to gain weight raises concerns about overall health and development
- Aesthetic concerns, such as spacing or noticeable gaps in front teeth, as the child grows
What is a Frenectomy?
To address restricted movement, KidZdent may recommend a frenectomy or frenuloplasty. This surgical procedure releases the frenum, allowing for improved function and mobility. By performing this oral tie release procedure, patients can experience enhanced oral stability, numerous health benefits, and better orthodontic outcomes at KidZdent.
When a frenectomy is performed during infancy or childhood, it can prevent negative consequences associated with short frenums, such as:
- Tongue thrusting
- Snoring or other sleep disorders
- Breathing difficult
- Speech impediments
- Swallowing issues
- Digestive problems
- Behavioral anxieties
- Challenges in maintaining oral hygiene
Pre- and postoperative care includes stretching exercises to ensure a wide range of motion following the frenum release.
Types of Frenectomy
While there are multiple frenums in the human body, our lip and tongue tie specialists employ similar techniques for the following types of frenectomies:
- Labial/Buccal Frenectomy (Upper Lip and/or Cheeks): This procedure reduces the frenum connecting the upper lip to the upper jaw. A tight frenum may create a gap between the two upper front teeth (diastema) and lead to an “open mouth posture,” which can affect proper respiration and jaw development.
- Lingual/Buccal Frenectomy (Lower Lip and/or Lower Cheeks): Similar to the upper lip frenectomy, this procedure addresses issues related to the lower lip to prevent periodontal problems and improve overall oral function.
- Lingual Frenectomy (Frenuloplasty): This procedure releases the tight band of tissue beneath the tongue, which may restrict movement. Insufficient elasticity can impede tongue mobility, leading to orthodontic issues, sleep apnea, and speech difficulties. A tight frenum can prevent the tongue from pressing against the upper palate, affecting overall health.
KidZdent Frenectomy Procedure
Unlike traditional oral tie releases that use scalpels or scissors—methods that may damage tissue—KidZdent utilizes a state-of-the-art CO2 laser. This technology minimizes mechanical trauma by vaporizing tissue while sealing blood vessels, resulting in less bleeding, reduced infection risk, and decreased postoperative discomfort.
Before the procedure, the area will be anesthetized using topical and local anesthetics. Nitrous Oxide (“Laughing Gas”) may be offered to help the patient relax. For more complex cases or patients with high anxiety or inability to cooperate due to the patient’s age, Oral and IV sedation is available to enhance the treatment experience.
Benefits of a Laser Frenectomy
- Optimal results are often achieved in under 15 minutes
- Reduced postoperative discomfort and bleeding
- Improved healing and recovery time
Post-Procedure Care
After the frenectomy, mild discomfort, swelling, or tightness is normal and should subside within a few days. To assist your child’s recovery, please follow these aftercare instructions:
- Adhere to the pain management guidelines provided by your doctor
- For children, offer cold drinks and sugar-free ice pops to alleviate discomfort and swelling
- For infants, freeze breast milk or formula into ice chips to soothe swelling
- Avoid sour, spicy, and hot liquids
- Limit strenuous activity for the first 24 hours while swelling subsides
- Gently resume normal brushing and flossing, being cautious around surgical sites
- Return for a follow-up appointment within 3-5 days post-operation as advised
Download Our Lip & Tongue Tie Flyer Here!
This educational flyer can help you recognize a lip & tongue tie case, identify usual symptoms, and be used as a guideline for pre & post-operative care.
Frequently Asked Questions
- Can a tongue tie resolve itself?
- No, tongue ties typically do not correct on their own. The frenulum is made of tough tissue that does not naturally stretch or loosen as a child grows. Concerns regarding a potential tongue tie should be discussed with a qualified professional.
- Does my child need a tongue tie release?
- A release isn’t always necessary, but should be considered if your child experiences ongoing difficulties with feeding, speaking, or swallowing despite other therapies. Consulting a professional can help determine if a procedure is warranted.
- When can my baby feed after a tongue tie release?
- Babies can usually breastfeed or bottle-feed immediately after a release, which may help soothe them and minimize any minor bleeding. Each baby may adapt differently to their new tongue movement.
- What is the recovery process like?
- Initial healing typically takes a few days to a week, with full recovery around 4 to 6 weeks. Mild pain and swelling are common and manageable with recommended pain relief. It is crucial to perform the stretching exercises provided by your dentist to encourage proper tongue movement.
- Can older children have a tongue tie release?
- Yes, older children and adults can undergo a tongue tie release when necessary.
Collaboration for Optimal Care at KidZdent
At KidZdent, we recognize the importance of a collaborative approach to ensure your child receives the best possible care and outcomes. It has been proven that seeing an oral myofunctional therapist (OMTs), speech therapist, and/or feeding therapist can significantly enhance your child’s treatment plan.
It may be recommended that your child consult with one or more of these specialists before and/or after their procedure. This collaboration aims to address any underlying issues effectively and support your child’s overall development.
Get in Touch
Have questions or need any help from our team? Reach out to us below and one of our team members will get in touch with you as soon as we see your request.