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Frenectomy
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Frenectomy

A frenectomy is a dental procedure that removes or modifies the frenulum, a small band of tissue connecting the lips, cheeks, or tongue to the gums.

Understanding 

Frenectomy

A frenectomy is a minor oral surgical procedure that removes or reshapes the frenulum, a thin fold of tissue that connects the lips, cheeks, or tongue to the gums or floor of the mouth. In the mouth, common frenula include the labial frenulum, which connects the upper or lower lip to the gums, and the lingual frenulum, which connects the underside of the tongue to the floor of the mouth.

The procedure may be recommended when the frenulum is too tight, thick, or positioned in a way that interferes with oral function or dental development. For example, an enlarged labial frenulum may contribute to spacing between the front teeth, while a restrictive lingual frenulum may affect tongue movement. During a frenectomy, the dentist or oral surgeon removes or modifies the tissue to improve mobility and oral function.

Clinical Significance

Frenectomy improves oral function and may help address issues such as restricted tongue movement, gum tension, or spacing between teeth.

How it Works

The dentist or oral surgeon numbs the treatment area and carefully removes or reshapes the frenulum using surgical instruments or a dental laser. The procedure typically takes only a short time. In some cases, sutures may be placed to support healing depending on the technique used.

Benefits

Improves tongue or lip mobility, supports orthodontic treatment outcomes, may reduce spacing between teeth, improves oral function and comfort.

Risks or Considerations

Frenectomy is a minor surgical procedure and may involve temporary swelling, mild bleeding, or discomfort during healing. In some cases, exercises or follow up care may be recommended to maintain tissue flexibility after the procedure.

Recovery & Aftercare

Healing after frenectomy is usually quick. Mild tenderness may occur for several days. Patients may be advised to maintain gentle oral hygiene, avoid irritating foods temporarily, and follow any recommended exercises if the procedure involved the tongue. Follow up visits allow the dentist to monitor healing.

Frequently Asked Questions

Q

What is the difference between a labial frenectomy and a lingual frenectomy?

A labial frenectomy removes or reshapes the frenulum connecting the lip to the gums, often to address spacing between the upper front teeth or gum tension. A lingual frenectomy treats a restrictive frenulum under the tongue, sometimes referred to as tongue-tie, which can limit tongue movement and affect functions such as speech or feeding.

Q

Is a frenectomy painful?

A frenectomy is typically performed using local anesthesia to numb the treatment area. This helps ensure the procedure is comfortable. After the procedure, mild soreness or swelling may occur during the early healing period, but symptoms usually improve quickly.

Q

How long does it take to recover from a frenectomy?

Most patients experience initial healing within several days to about one week. The exact recovery time depends on the size and location of the frenulum and the surgical technique used. Dentists may schedule a follow up visit to evaluate healing.

Q

Why might a frenectomy be needed before orthodontic treatment?

An enlarged or tight labial frenulum can sometimes contribute to a gap between the front teeth or interfere with tooth movement during orthodontic treatment. Removing or modifying the frenulum may help support orthodontic outcomes and reduce the chance of spacing returning after treatment.

Q

Is frenectomy covered by dental insurance?

Many dental insurance plans provide coverage for frenectomy when it is considered medically necessary to improve oral function or support dental treatment. Coverage may vary depending on the insurance policy and the specific clinical situation.

CDT Codes

D7961
Buccal or labial frenectomy (frenulectomy)
D7962
Lingual frenectomy (frenulectomy)

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Medical Disclaimer: This glossary is provided for educational and informational purposes only. Pearl is not a dental or medical provider and cannot offer medical advice, diagnosis, or treatment recommendations. Always consult a qualified dental professional for questions about your oral health.

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