Frenectomy

Frenectomy

Laser frenectomy of lip and tongue

These procedures are seldom and generally do not require complex treatment. Orthodontist’s consultation is required. Children’s tongue frenectomy is done very rarely, in cases when a child cannot reach the palate with his tongue. The upper lip frenectomy can only be carried out after all 6 frontal teeth have erupted or after orthodontic treatment.

Upper lip frenectomy

Thick and short frenulum can cause a space between the front central incisors (diastema). The need of frenectomy is evaluated at the age of 9-11 years, before the eruption of permanent maxillary canines. Diastema usually closes after the eruption of maxillary canines. If one is still worried, or one’s parents have a diastema, one should go to the orthodontist at the age of about 10 years. Orthodontist will evaluate the case and, if needed, will assign surgical treatment. In most cases the frenectomy itself does not close the diastema, further orthodontic treatment is required. Only orthodontist can assign a frenectomy.

Lips frenectomy is not a complicated procedure.

Frenectomy is performed by experienced professionals (periodontist, oral surgeon) at our clinic, using a laser. This ensures less bleeding during the procedure and better healing after. In more severe cases several stitches may be required.

No complaints are usually registered during the healing period.

No special care is needed.

Upper lip frenectomy:

Tongue frenectomy (short frenulum of the tongue)

Short frenulum of the tongue is hereditary. Most often it is observed: at birth, when nutritional function is impaired or when speech impediment occurs.  It limits the movements of the tongue.

There is no consensus on when to adjust short tongue frenulum. Carrying it out for baby has a good chance that the procedure will have to be repeated later. High risk of injury and pain for the baby troubles to perform a proper procedure. 

The procedure is performed only with the assignment of pediatrician or speech therapist, usually after 5 years of age (may be allowed earlier, if indications are present).

This procedure can be done by laser at our clinic. Laser treatment provides security, reduced bleeding and does not require anesthesia and suturing.

In severe cases, when the frenulum is wide and thick, suturing is required, but can be complicated to perform for a minor – general anesthesia may be required.

Every case is assessed individually.

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