Frenectomy (Tongue and Lip Tie Release)

What Is a Frenectomy?

A frenectomy is a minor surgical procedure that removes or releases a small fold of tissue known as a frenum. These thin bands of connective tissue can restrict natural movement of the lips or tongue or pull on nearby structures, creating functional or esthetic concerns.

Frenectomies are appropriate for both adults and children with restricted tongue or lip movement or spacing between teeth.

Common reasons a frenectomy may be recommended include:

• Restricted tongue movement: A tight lingual frenulum (tongue tie) can interfere with speech, swallowing, and oral hygiene.
• Gap between upper front teeth: A large or low-attaching labial frenum can create spacing that persists even after orthodontic treatment.
• Preparation for dentures or full-arch restorations: Removing a frenum can improve comfort, fit, and long-term stability of the prosthesis.
• Soft tissue irritation: When the frenum pulls on the gums, it can contribute to gum recession or discomfort while eating or speaking.

By releasing these tissues, a frenectomy improves mobility, reduces tension, and supports a healthier, more balanced oral environment.

Our Approach to the Frenectomy Procedure

Each procedure is planned and performed with precision to achieve predictable results and a comfortable recovery.

• Advanced Technology: We use a radiofrequency (RF) device to make clean, bloodless incisions that minimize trauma to surrounding tissue. The RF energy seals tissue as it cuts, allowing for precise control and faster healing compared to traditional methods.
• Patient Comfort & Safety: Frenectomies are performed under local anesthesia or light sedation for a relaxed experience. The RF technique greatly reduces bleeding, swelling, and post-operative discomfort.
• Expertise in Oral Tissue Surgery: Our surgeons perform frenectomies as part of a comprehensive approach to oral function and restorative success, supporting improved speech, hygiene, and long-term prosthetic stability.

Different Methods of Frenectomy

Frenectomies can be performed using several techniques, each designed to release the restrictive tissue while protecting the surrounding structures.

• Scissors: A simple mechanical method often used for minor ties. It’s quick but may cause light bleeding and typically requires manual pressure or sutures to control it.
• Scalpel: The traditional surgical approach uses a small blade to remove or reshape the frenum. It’s effective and precise but can involve slightly more bleeding and suturing during healing.
• Laser: A laser frenectomy uses focused light energy to vaporize tissue with minimal bleeding. It’s valued for its accuracy and sterilizing effect but generates more heat, which can occasionally lead to delayed healing or postoperative tenderness.
• Radiofrequency (RF): This technique uses controlled energy to separate tissue while sealing blood vessels at the same time. It produces less heat than a laser and allows for even greater control over depth and direction.

We use radiofrequency technology because it combines the precision of a laser with superior temperature control and gentle tissue response. The result is a cleaner incision, less inflammation, and faster, more comfortable healing.

What to Expect

Knowing what will happen before, during, and after surgery helps you feel prepared and confident in your care. Here’s how the frenectomy process typically works:

Consultation and Evaluation

Your visit begins with a careful evaluation of the lingual or labial frenum and how it affects movement, spacing, or prosthetic fit. The surgeon will explain whether a frenectomy is recommended and outline your treatment plan.

Day of the Procedure

The area is gently numbed before the RF device is used to release the frenum. The entire process takes about ten minutes and rarely requires stitches.

Healing and Aftercare

Mild tenderness may occur for a few days, but most patients experience rapid recovery. Detailed aftercare instructions are provided to support proper healing and maintain good oral hygiene.

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