New York | Manhattan Frenectomy – Tongue Tie Treatment

frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It connects the inner aspect of the lip with the gum. A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, which exaggerates the pull on the gum margin, can result in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen or the frenum is too large to allow the teeth to come together, the frenum is surgically released from the gum with a frenectomy. A frenectomy is simply the surgical removal of a frenum.

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When Orthodontic treatment is planned or initiated, the removal of an abnormal frenum, with or without a gingival graft, can increase stability and improve success of the final orthodontic result.

1. Why would I need a frenectomy?

A frenectomy may be recommended if you have a condition such as:
  • Tongue-tie (ankyloglossia): A tight or short frenulum under the tongue that restricts tongue movement, affecting breastfeeding, speech, or oral health.
  • Lip-tie: A tight frenulum between the upper lip and the gums, which can cause feeding problems in infants or issues with oral hygiene and dental alignment in older children or adults.

2. Is a frenectomy painful?

The procedure itself is generally not painful because it is typically done under local anesthesia. This numbs the area, so you won’t feel pain during the surgery. Afterward, there may be some mild discomfort, swelling, or soreness, which can usually be managed with over-the-counter pain relievers.

3. How long does it take to recover from a frenectomy?

Recovery time is usually quick. Most people experience only mild discomfort for a few days, and the wound typically heals within a week or two. For infants, breastfeeding may become easier soon after the procedure, while older children and adults may need to follow specific exercises to improve the mobility of the treated area.

4. Are there any risks or complications associated with a frenectomy?

Although a frenectomy is generally safe, there are potential risks, including:
  • Infection
  • Bleeding
  • Scarring
  • Reattachment of the frenulum It’s important to follow post-procedure care instructions and attend any follow-up appointments to ensure proper healing.

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