Frenectomies in Dentistry: A Comprehensive Guide
Table of Contents
What is a Frenectomy?
A frenectomy, also known as a frenulectomy, is the removal of muscle attachments. A frenum (or frenulum) is a muscle connecting movable soft tissue, such as cheeks, lips, and the tongue, to immovable soft tissues like the gums and floor of the mouth. Frenectomies address issues like tongue ties, large and strong frenums causing the separation of upper central incisors, and high attached frenums leading to gum recession.
Types of Frenectomies
- Lingual frenectomy – relieving the frenum under the tongue
- Labial frenectomy – addressing frenum attachments on the lips, including upper and lower lip frenectomies
Frenotomy vs. Frenectomy
Although these terms can be used interchangeably, they have distinct differences. A frenectomy entails the complete removal of the frenum, while a frenotomy involves the frenum's relocation. Both aim to enhance the mobility of the soft tissues. Frenotomies, often performed on infants with tongue ties, involve cutting the frenum to allow it to regrow in a new location.
Indications for a Frenectomy
- Infants experiencing difficulty during breastfeeding
- Adults facing speech impairments
- Children with separated upper central incisors due to a robust frenum
- Recession along the lower gumline from a high attaching frenum exerting pulling pressure
How are Frenectomies Performed?
Traditional methods involved scalpels or scissors, possibly leading to moderate bleeding. Often, sutures would be placed to minimize bleeding. Currently, soft tissue and diode lasers can facilitate frenectomies. A laser frenectomy reduces bleeding and postoperative discomfort, emerging as the ideal treatment.
Frenectomy Recovery
The recovery process hinges on the procedure's execution. Traditional methods may induce discomfort lasting several days, requiring around two weeks for complete tissue healing. However, a laser frenectomy involves minimal pain, typically subsiding within a day. The healing process for laser procedures is also considerably swifter and smoother than conventional methods. Sutures, primarily used in traditional frenectomies, might need removal depending on the type used.
Additional Information and Statistics
Frenectomies serve to address issues arising from an abnormally short or tight frenum, such as difficulty in breastfeeding or bottle-feeding in infants, speech impediments, challenges in oral hygiene routines, gum recession, and dental spacing. Performed under local anesthesia in a dental office, a frenectomy involves a minor incision in the frenum to excise the extra tissue, typically completed in about 15 minutes.
Some risks include bleeding, infection, pain, and swelling. Recovery spans 1-2 weeks, during which some discomfort and swelling might be present. Adhering to postoperative care instructions is crucial. The benefits of frenectomies encompass enhanced breastfeeding in infants, improved speech clarity, better oral hygiene practices, reduced gum recession, and minimized dental spacing.
Consider these statistics: In the U.S., approximately 100,000 frenectomies are executed annually, primarily on infants and children, though adults aren't excluded. Most insurance plans cover frenectomies, with costs ranging between $200 to $500. As a tried-and-tested procedure, frenectomies effectively bolster oral health and functionality. If issues emerge due to a tight or shortened frenum, consulting a dentist about a potential frenectomy is recommended.
Dr. Thomas is a general dentist that loves sharing information about all aspects of dentistry, but is passionate about digital and implant dentistry. Dr. Thomas received his DMD degree from Tufts University School of Dental Medicine and continues to find helpful ways to inform and educate people about dental procedures and products.
Are you looking for a second opinion? Dr. Thomas is the CEO of Opinion Two Nonprofit Organization. Opinion Two is available online or on mobile app and it allows patients to receive dental second opinions with top US-licensed dentists. All proceeds are used to benefit future generations of dentists through scholarships and benefits to pre-dental programs.