Oral & Maxillofacial Surgery

Enhancing Oral Function by Correcting Frenum Issues


A frenectomy is a simple and effective surgical procedure used to remove or modify a frenum — the small fold of tissue that restricts movement in the mouth. This treatment is commonly performed to improve oral function, speech, and dental alignment, and to enhance the success of orthodontic or prosthodontic procedures.

A frenectomy (also known as a frenulectomy or frenotomy) is the removal of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far. It can refer to frenula in several places on the human body. It is related to frenuloplasty, a surgical alteration in a frenulum. Done mostly for orthodontic purposes, a frenectomy is either performed inside the middle of upper lip, which is called labial frenectomy, or under the tongue, called lingual frenectomy. Frenectomy is a very common dental procedure that is performed on infants, children, and adults. A similar procedure frenulotomy is where a tight frenulum may be relieved by making an incision in the tight tissue.

A frenum is a natural band of connective tissue found in several parts of the mouth:

  • Lingual frenum – under the tongue
  • Labial frenum – connects the upper or lower lip to the gums
  • Buccal frenum – connects the cheeks to the gums

When the frenum is too tight, thick, or improperly attached, it can cause issues such as restricted tongue movement (tongue-tie), speech difficulties, gum recession, or spacing between teeth.


Why Is a Frenectomy Done?



  • Correct tongue-tie (ankyloglossia) in infants, children, or adults
  • Improve breastfeeding in infants
  • Enhance speech clarity in children and adults
  • Resolve spacing between upper front teeth (diastema)
  • Prevent gum recession and discomfort
  • Aid in denture or orthodontic appliance placement

Treatment Process



Evaluation

The dentist or oral surgeon examines the location and severity of the frenum attachment.

Anesthesia

Local anesthesia is administered to ensure patient comfort.


Frenum Removal

Using a scalpel or laser, the frenum is cut or reshaped for better flexibility and function.

Suturing (if needed)

Some cases require stitches to aid in healing.


Recovery Instructions

Post-procedure care includes oral hygiene guidance and follow-up visits.

Types of Frenectomy


  • Lingual Frenectomy: For restricted tongue movement
  • Labial Frenectomy: To correct gaps between front teeth or ease denture use
  • Laser Frenectomy: Minimally invasive, with faster healing and less discomfort

Frequently Asked Questions