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Common Indications for Frenectomy: Why and When is It Necessary?

At Palm Beach Center for Periodontics and Implant Dentistry, we prioritize your oral health and understand that certain conditions can impact both function and comfort. One such condition is the presence of an abnormal frenulum, which may require a procedure called a frenectomy. This simple yet impactful surgery can improve speech, eating, oral hygiene, and even orthodontic outcomes. 

What is a Frenectomy?

A frenectomy is a surgical procedure that involves the removal or repositioning of the frenulum—a small fold of tissue that connects the lips, cheeks, or tongue to the surrounding oral structures. There are two main types of frenectomies:
 

• Lingual Frenectomy: Involves the frenulum under the tongue.
   

• Labial Frenectomy: Involves the frenulum between the upper or lower lips and gums.
   

Common Indications for Frenectomy

Frenectomies are often recommended for individuals experiencing specific functional or developmental issues related to the frenulum. Below are the most common reasons a frenectomy may be necessary:
 

1. Tongue-Tie (Ankyloglossia)
 

One of the most common indications for a lingual frenectomy is tongue-tie, a condition in which the frenulum under the tongue is too short or tight, restricting tongue movement. This can lead to:
 

• Speech difficulties: Difficulty pronouncing certain sounds or words.
   

• Breastfeeding challenges: Infants with tongue-tie may have trouble latching properly.
   

• Eating issues: Reduced tongue mobility can affect chewing and swallowing.
   

A lingual frenectomy can improve tongue movement, making speech and feeding more comfortable and efficient.
 

2. Lip-Tie
 

A labial frenectomy may be necessary if there is a lip-tie, where the frenulum connecting the upper lip to the gums is overly restrictive. This condition can lead to:
 

• Breastfeeding issues in infants: Infants may have difficulty forming a seal while nursing.
   

• Gum recession: In older children and adults, a lip-tie can pull on the gums, leading to gum recession and potential periodontal issues.
   

Removing or adjusting the frenulum can improve mobility of the lips and help prevent long-term oral health complications.
 

3. Orthodontic Concerns
 

For patients undergoing orthodontic treatment, a frenectomy may be recommended to prevent or correct spacing issues, particularly between the two front teeth (a condition known as diastema). A tight frenulum can prevent teeth from moving into proper alignment, even with braces. In some cases, a frenectomy is performed after orthodontic treatment to maintain alignment and ensure long-term results.
 

4. Difficulty with Oral Hygiene
 

When the frenulum is too tight or prominent, it can make brushing and flossing challenging, especially in the areas around the gums and teeth. This can lead to an increased risk of gum disease and cavities. By undergoing a frenectomy, patients can improve their ability to maintain good oral hygiene and prevent periodontal issues.
 

Why and When Is a Frenectomy Necessary?

A frenectomy is usually recommended when the frenulum significantly restricts movement or causes functional problems that impact everyday activities such as eating, speaking, or maintaining oral hygiene. Your periodontist will assess the condition of the frenulum during a comprehensive exam and determine if the procedure is necessary.
 

Frenectomies are commonly performed on infants and young children to resolve breastfeeding or speech issues early on. However, adults may also benefit from the procedure, particularly if it improves oral health or corrects orthodontic concerns.
 

Conclusion

Frenectomies can play a crucial role in improving oral function, speech, and hygiene. Whether you or your child is dealing with tongue-tie, lip-tie, or orthodontic concerns, Palm Beach Center for Periodontics and Implant Dentistry is here to help. 
 

If you suspect that a frenectomy might be necessary, schedule a consultation with Palm Beach Center for Periodontics and Implant Dentistry to learn more about how this simple procedure can enhance your quality of life. Contact our office in Palm Beach Gardens, Florida, by calling (561) 621-3111 to book an appointment today.