What Is a Frenectomy?
A frenectomy is a minor surgical procedure that removes or reshapes a small fold of tissue called the frenum that restricts movement in the mouth. There are three types of frenum in the mouth, and each can affect oral function differently:
- Lingual frenum: A tight or short frenum under the tongue can cause a tongue-tie, which limits movement and may lead to speech difficulties, infant feeding issues, and breathing problems.
- Labial frenum: A tight frenum inside the upper lip can make brushing and flossing difficult, cause gum recession, or lead to spacing between the front teeth.
- Buccal frenum: Found inside the cheek near the molars, this frenum can sometimes pull on the gums causing recession or interfere with denture fit.
When these tissues interfere with normal oral function or comfort, a frenectomy can help improve mobility, prevent complications, and support better oral health.
Common Reasons for a Frenectomy
Frenectomies are commonly performed to treat:
- Ankyloglossia: Also known as a tongue-tie, it can lead to speech impediments, challenges with breastfeeding, discomfort while eating or speaking, or contribute to sleep apnea.
- Lip-ties: May cause gum recession, interfere with brushing and flossing, or create spacing between front teeth.
- Orthodontic or prosthetic concerns: A tight frenum can affect how braces work or how dentures fit.
- Oral discomfort or restrictions: Persistent tension, irritation, or challenges with movement.
We routinely perform frenectomy procedures for infants, children, teens, and adults, always with gentle techniques and your comfort in mind.
Electrosurgery for Frenectomy
We use electrosurgery to perform most frenectomies. It involves using a high-frequency electrical current to carefully remove or reshape the frenum. This approach allows for precise tissue control with minimal bleeding, making it a safe and effective option for patients of all ages.
Electrosurgery offers several benefits when used for frenectomy procedures:
- Gentle, targeted treatment with minimal impact on surrounding areas
- Minimal bleeding during the procedure
- Shorter procedure time
- Reduced need for sutures
- Faster healing
- Less trauma to the surrounding tissue
Compared to using a scalpel or surgical scissors, electrosurgery causes less bleeding and reduces trauma to nearby tissues. This results in a more comfortable procedure and a quicker, smoother recovery for most patients.
What to Expect During a Frenectomy Procedure
Whether you are navigating speech concerns, breastfeeding challenges, orthodontic issues, or another oral restriction, our dedicated team is here to help. We take the time to explain every step of the process and provide exceptional care that puts your comfort and clarity first.
Here’s how it typically works:
- Evaluation and diagnosis: We begin with a gentle oral exam and, if needed, may use imaging to better understand the anatomy and plan the best treatment approach.
- Treatment planning: Based on age, oral anatomy, and your specific symptoms, we recommend the best approach for safe and effective treatment.
- Anesthesia and sedation: Most patients only need a topical anesthetic or local numbing. We also offer sedation options if you suffer from dental anxiety.
- Frenectomy surgery: We use electrosurgery to carefully release the frenum. This technique uses a controlled electrical current to remove soft tissue with precision while minimizing bleeding and supporting a clean, efficient procedure.
- Post-procedure guidance: We review recovery tips, stretches if needed, and any follow-up care to support a short and smooth frenectomy recovery.
Frenectomy Recovery: What You Need to Know
Frenectomy recovery time is typically fast. Most patients return to normal function within 24–72 hours, with full healing in about 1–2 weeks. Here are a few tips to support healing:
- Avoid hot or spicy foods for the first day
- Use over-the-counter pain relief if needed
- Perform any recommended post-op stretches
- Keep the area clean, but avoid aggressive brushing near the site
If we perform the procedure on your child, we’ll provide age-appropriate instructions for care and healing. For babies, feeding can often resume immediately.
We participate with Delta Dental PPO Plus Premier and can help you make the most of your benefits, and we accept payment from all major dental insurance companies. As an in-network provider, we help patients maximize their benefits while receiving expert, personalized care that fits their coverage.We proudly serve Midlothian and Richmond and the Greater Richmond area with personalized, high-quality dental care.
Schedule a Frenectomy Consultation in Midlothian, VA
Dr. Rebecca Angus provides personalized frenectomy treatment for children and adults with a focus on improving oral function and comfort. Every evaluation is tailored to your individual needs to determine whether treatment is appropriate.
To book an appointment at our dentist office in Midlothian, VA, call (804) 794-6893 or visit us at 2400 Pagehurst Dr, Midlothian, VA 23113.
FAQs About Frenectomy
What is the difference between a lingual and labial frenectomy?
A lingual frenectomy addresses a tongue-tie, while a labial frenectomy treats a lip-tie. Both help improve oral function and comfort.
Is a frenectomy safe for children?
When performed with the right tools and techniques, frenectomy procedures are safe for patients of all ages, including infants and young children. We use electrosurgery to gently and precisely release the frenum with minimal discomfort and a quick recovery.
Will my child be able to eat or speak after the procedure?
Most patients can return to eating and speaking the same day. In babies, breastfeeding or bottle feeding can usually resume immediately.
Does insurance cover a frenectomy?
Coverage depends on your plan and the reason for treatment. We will help you review your benefits and understand your options before scheduling.
How long is frenectomy recovery time?
Most patients feel better within 1–3 days. Full healing may take 1–2 weeks, depending on age and healing response.
Where can I get frenectomy surgery in Midlothian?
Angus Dentistry in Midlothian, VA offers frenectomy procedures to gently release tongue-tie or lip-tie and improve oral function. We use precise, minimally invasive techniques to ensure a comfortable experience and effective results. Call (804) 794-6893 to schedule a consultation.