Frenectomy
Serving Miles City, Baker, Brodus, Circle, Forsyth, Glendive and Surrounding Areas
A frenectomy is a surgical procedure which releases the frenum, a small portion of muscular and connective tissue, found between two distinct tissues in the mouth. The lingual frenum is found between the tongue and the floor of the mouth. The labial frenums are found between the lip and gingiva near the upper and lower central teeth. Frenums that are too taut can lead to:
· gingival recession
· difficulty latching
· malposition of teeth
· difficulty with speech and chewing
· compromises of facial aesthetics
Who Benefits?
Children
Frenectomies in children are often performed if a child has difficulty eating or speaking. Sometimes the frenum causes limited movement of the lips or the tongue, causing delayed or difficult speech. When a child cannot properly protrude the tongue, a frenectomy is indicated to increase the range of motion for the tongue.
An orthodontist may request a frenectomy to assist with proper tooth and jaw alignment when the band of tissue between the two front teeth is too thick. Adults can also benefit from this procedure.
Infants
Frenectomies are highly recommended when infants have difficulty latching during nursing. This is caused by two conditions: Anklyloglossia (tongue-tied) or the maxillary labial frenum. Anklyloglossia is when the tissue between the tongue and the floor of the mouth is too short. This condition results in limited movement of the tongue. A simple frenectomy will increase the range of motion of the tongue allowing infants to have an improved suckling reflex and the ability to latch properly. Parents are encouraged to remain with their infant during this procedure.
What to Expect During a Frenectomy
Topical anesthetic may be used to enhance patient comfort during a frenectomy. Laser energy, which loosens the muscular attachment, is used to treat the frenum. Depending on the depth of the frenum attachment, a suture may be placed for patient comfort and to enhance healing. Many times, tissue adhesive is used over the treatment area; the adhesive dissolves naturally and does not require an additional visit, unless non-resorbable sutures were placed.
Post-operative Care
After the laser treatment, warm salt-water rinses are recommended to keep the area clean. A second post-operative appointment will be scheduled, if sutures were placed.
