Lingual Frenectomy: When Is It Needed?

A lingual frenectomy is a simple surgical procedure that can greatly improve your child’s oral health and overall well-being. In this blog post, we’ll explain what a lingual frenectomy is, why it might be needed, and how it can benefit your child. Understanding this procedure can help you make informed decisions about your child’s dental care, ensuring they have the best possible outcome for their health and comfort.

What Is a Lingual Frenectomy?

A lingual frenectomy is a minor surgical procedure that involves removing or reducing the small band of tissue called the lingual frenum, which connects the underside of the tongue to the floor of the mouth. In some children, this connective tissue is too tight or short (a condition known as tongue-tie), which can restrict the movement of the tongue. This restriction can lead to challenges with breastfeeding and eating and even impact dental health as your child grows.

The purpose of a lingual frenectomy is to release this tight tissue, allowing the tongue to move more freely. At Camp Smile Pediatric Dentistry & Orthodontics, we perform this procedure using advanced laser technology that offers precise and gentle treatment. Many parents opt for this frenectomy procedure to help their children overcome challenges related to tongue-tie, ensuring better oral function and greater overall comfort.

Common Signs Your Child Might Need a Lingual Frenectomy

There are several signs that could indicate your child might need a tongue-tie release. Here are some of the most common signs to look out for:

• Breastfeeding Difficulties: For infants, a tight lingual frenum can make it difficult to latch properly during breastfeeding. This can result in feeding challenges, which may lead to poor weight gain and discomfort for the baby. Difficulty in maintaining a proper latch can also cause pain and frustration for the mother, making breastfeeding a stressful experience for both. A lingual frenectomy can help resolve these issues, allowing for a better latch, more effective feeding, and more comfort for both mother and child.
• Eating Difficulties: Tongue-ties can significantly impact your child’s ability to chew and swallow food properly. The restricted tongue movement makes it difficult to manipulate food in the mouth, which can cause your child to struggle with certain textures or types of food. This can lead to frustration during mealtimes, as they may find it hard to chew thoroughly or swallow comfortably. Over time, these challenges can also affect your child’s nutrition and willingness to try new foods. A lingual frenectomy can allow your child to move their tongue more freely, making eating easier and more enjoyable.
• Mouth Breathing: An overly tight frenum can prevent the mouth from closing fully, leading to habitual mouth breathing. This can increase the risk of dental issues like cavities, as mouth breathing often results in a dry mouth, reducing the protective benefits of saliva. Habitual mouth breathing can also contribute to sleep-related issues such as snoring or sleep apnea, which can affect your child’s overall health and quality of sleep. A lingual frenectomy can help by allowing the mouth to close properly, promoting better breathing habits, and reducing the risk of these complications.
• Gaps Between the Teeth: In some cases, a tight lingual frenum can influence the alignment of your child’s teeth, particularly the lower front teeth. The restricted tongue movement may put pressure on the teeth, causing gaps to form or leading to crowding as your child’s teeth develop. This misalignment can potentially require orthodontic treatment down the road. A lingual frenectomy can help by removing the tension caused by the tight frenum, allowing for more natural tooth alignment and reducing the likelihood of gaps or crowding as your child grows.
• Oral Hygiene Issues: A restricted tongue can make it challenging for your child to clean their mouth effectively. This can lead to an increased risk of cavities and gum problems, as debris is not adequately cleared away during brushing and flossing. Over time, this buildup can contribute to tooth decay and gingivitis. A lingual frenectomy can help by allowing the tongue to move more freely, enabling better oral hygiene and reducing the risk of dental issues.
• Difficulty Sticking Out the Tongue: If your child has trouble sticking out their tongue past their lower teeth, or if the tip of their tongue appears heart-shaped when they try, it could be a sign of a tongue-tie. This restriction happens because the tight lingual frenum prevents the tongue from extending fully. This limitation can affect your child’s ability to perform everyday functions like licking their lips, eating, and speaking clearly. A lingual frenectomy can help your child move their tongue more freely without any discomfort.
• Gum Recession: Tension from a tight tongue-tie can cause the gums to pull away from the teeth, leading to gum recession. This can make the teeth appear longer and expose the roots, increasing the risk of sensitivity, cavities, and other dental issues. If you notice that your child’s gums are receding, it may be time to consult with our pediatric dentist about a frenectomy. This simple procedure can relieve the tension caused by tongue-ties, helping to protect your child’s gums and maintain healthy teeth.

If you notice any of these signs in your child, it’s a good idea to consult with our pediatric dentist or orthodontist. A lingual frenectomy may help improve your child’s oral function, comfort, and overall quality of life.

Ideal Age for a Lingual Frenectomy

The ideal age for a lingual frenectomy depends on your child’s specific needs and oral health concerns. While this gentle procedure can be performed at any age, there are certain stages when it may offer the most benefits.

• Infancy: Many cases of tongue-ties are diagnosed soon after birth, especially if they cause significant feeding difficulties. In such cases, a lingual frenectomy may be performed within the first few weeks or even days of life. Early intervention can help your baby latch more effectively during breastfeeding, ensuring they receive the nutrition they need for healthy development.
• Early Childhood: If a tongue-tie isn’t identified at birth, it may become more apparent as your child grows. Signs such as difficulty with eating solid foods might prompt the need for a frenectomy during their early childhood years, typically between ages 2 and 6. Addressing the issue at this stage can help prevent further complications and support your child’s development and eating habits.
• Later Childhood: In some cases, a lingual frenectomy might be necessary later in childhood, particularly if dental problems related to tongue-tie become evident. This can occur between ages 6 and 11, depending on your child’s development and specific needs. At this stage, the procedure can also support orthodontic treatment by preventing potential alignment issues caused by restricted tongue movement.

Each child’s situation is unique, and the timing of the laser frenectomy should be based on an individual assessment by a pediatric dentist or orthodontist. At Camp Smile Pediatric Dentistry & Orthodontics, we’ll work with you to determine the right time for this surgical correction, ensuring the best outcome for your child’s comfort and smile.

The Lingual Frenectomy Procedure: What to Expect

Understanding what happens during a lingual frenectomy can help you feel more confident about your child’s procedure. Here’s a step-by-step overview of what to expect:

• Consultation and Evaluation: Before the procedure, we’ll conduct a thorough examination of your child’s mouth to assess the tightness of the lingual frenum. We’ll discuss any symptoms your child may be experiencing, such as difficulties with breastfeeding or eating. This is also a great time for you to ask any questions and understand the benefits and potential outcomes of the procedure.
• Team Approach: We believe in a collaborative approach to your child’s care. Depending on your child’s specific needs, we may work closely with lactation consultants, speech and occupational therapists, and other healthcare providers to ensure the best possible results. This team effort helps improve your child’s oral function, whether it’s for feeding or long-term dental health.
• Preparation: On the day of the procedure, we’ll make sure your child is comfortable and at ease in the dental chair. The area around the tongue will be carefully cleaned and sterilized to minimize any risk of infection. Thanks to the use of laser, local anesthesia or numbing injections are often not needed, which makes the experience much easier for your child. Without the discomfort of needles or numbness, your child can relax more during the procedure. To further ensure your child’s comfort, we apply a gentle topical gel to numb the area and minimize any sensation during the procedure, making the entire process as easy and stress-free as possible.
• Performing the Frenectomy: The procedure itself is quick and straightforward. Using advanced laser technology, we’ll gently vaporize the tight lingual frenum, releasing the tongue’s restricted movement. The laser cauterizes the area as it works, which means there’s minimal bleeding, no need for stitches, and the entire process typically takes just 30 to 60 seconds. This precision and efficiency make the procedure virtually painless for your child.
• Postoperative Care: After the procedure, we’ll monitor your child for a short time to ensure they are comfortable and doing well. We’ll also provide you with clear, easy-to-follow aftercare instructions to support proper healing. These may include tips on maintaining oral hygiene, monitoring the healing process, and performing gentle tongue exercises if needed to prevent the soft tissue from reattaching. For breastfeeding infants, we provide a private space where moms can work on latching and feeding before leaving the practice. Many parents notice an immediate improvement in their baby’s ability to feed, which can bring relief and reassurance.

Laser surgery allows us to make the lingual frenectomy a smooth and stress-free experience for both you and your child. This quick procedure is designed to enhance your child’s comfort and oral health, helping them achieve the best possible outcome with minimal discomfort and a speedy recovery.

How to Care for Your Child After a Lingual Frenectomy

Caring for your child after a lingual frenectomy is crucial to ensure proper healing and to help them feel as comfortable as possible. Here are the steps involved in post-procedure care:

• Immediate Care: Breastfeeding right after the procedure is highly encouraged for infants. This not only provides comfort to your baby but also stimulates natural movement in the treated area, which aids in the healing process and helps improve tongue mobility right away.
• Manage Discomfort: It’s normal for your child to experience some mild discomfort or swelling following the procedure. To manage this, you can apply ice chips under your child’s tongue at short intervals. A helpful method is to use the ice for 20 minutes, take a 20-minute break, and repeat this process within the first 24 hours. This can help reduce swelling, alleviate any discomfort, and promote quicker healing. You can also use over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen, following the dosage guidelines provided by your pediatrician.
• Encourage Gentle Tongue Movements: To promote healing and prevent the soft tissue from reattaching, we may recommend gentle stretching exercises. These exercises should be done a few times a day for 4 to 6 weeks after the procedure. These simple stretching exercises help ensure a full range of motion as the area heals.
• Stick to Soft Foods: For the first day or two after the procedure, it’s best to offer your child soft, easy-to-eat foods like yogurt, mashed potatoes, or smoothies. Avoid hard, crunchy, spicy, acidic, or hot foods that could irritate the treated area. Encourage your child to drink plenty of water to stay hydrated, which also supports the healing process.
• Maintain Oral Hygiene: It’s important to keep your child’s mouth clean to prevent infection. Continue regular tooth brushing, but be gentle around the treated area to avoid irritation. If recommended, you may also use a mild saltwater rinse to help keep the area clean and promote healing.
• Monitor Healing: Most children heal quickly after a lingual frenectomy, but it’s a good idea to keep an eye on the treated area. Look for signs of proper healing, such as reduced redness and swelling over time. If you notice anything concerning, such as excessive bleeding, signs of infection, or discomfort that doesn’t improve, contact us right away.
• Follow-Up Care: We may schedule a follow-up appointment to monitor your child’s healing process and ensure everything is progressing smoothly. During this visit, we will carefully assess the treated area to confirm that the tissue is healing properly and that your child’s tongue movement has improved. 

By following these steps, you can help ensure a smooth and successful recovery for your child after a lingual frenectomy. If you have any questions or concerns, don’t hesitate to reach out—we’re always here to help.

Are There Any Risks or Complications?

Like any medical procedure, a lingual frenectomy does carry some risks, but they are typically very minimal. At Camp Smile Pediatric Dentistry & Orthodontics, we prioritize your child’s safety by using the latest technology and following strict protocols to minimize any potential risks. While no procedure is entirely risk-free, the likelihood of complications from a lingual frenectomy is very low. The benefits of the procedure—such as improved oral function, easier feeding, and better dental health—far outweigh the risks. With our experience, advanced technology, and commitment to your child’s well-being, you can feel confident that your child is in excellent hands.

Potential Benefits of a Lingual Frenectomy

A lingual frenectomy can offer several important benefits for your child’s oral health and overall comfort. Understanding these benefits can help you feel confident in the decision to proceed with this procedure.

• Improved Breastfeeding and Eating: By releasing the tight frenum, the procedure allows for better tongue movement, making breastfeeding more effective and comfortable for both the baby and the mother. As your child grows, this increased mobility also makes it easier for them to chew and swallow food properly, especially when transitioning to solid foods. This can lead to more enjoyable and less frustrating mealtimes, as your child can move food around their mouth, chew thoroughly, and swallow with ease.
• Reduced Risk of Future Complications: Addressing a tongue-tie early through a lingual frenectomy can prevent various issues as your child grows. By improving tongue mobility, this procedure can help avert potential dental problems and other related challenges. Taking this proactive step supports your child’s long-term oral health and overall well-being, giving them the best foundation for healthy development.
• Minimal Discomfort and Faster Healing: One of the biggest advantages of using laser technology for a lingual frenectomy is the minimal discomfort and faster healing time it offers. The laser allows us to perform this procedure with incredible precision, reducing the need for stitches and minimizing bleeding. Because the laser seals blood vessels as it works, there is often less swelling and discomfort afterward, leading to a quicker, more comfortable recovery.
• Reduced Need for Anesthesia: Laser surgery often eliminates the need for local anesthesia or numbing injections, making the procedure far less intimidating for children. Without the discomfort of needles, your child’s experience is much more positive, and they can quickly return to their normal activities with minimal downtime.
• Improved Patient Experience: The use of less invasive techniques, shorter procedure times, and reduced pain creates a more positive dental experience for children. This gentle approach not only makes the current procedure easier but also helps reduce dental anxiety for future visits, fostering a more comfortable relationship with dental care as they grow.

A lingual frenectomy can significantly improve your child’s quality of life by addressing challenges early on. 

Difference Between Lingual Frenectomy, Frenotomy, and Frenuloplasty

When addressing issues with the lingual frenum, there are three primary procedures to consider: lingual frenectomy, frenotomy, and frenuloplasty. Understanding the differences between these options can help you make an informed decision about the best approach for your child’s specific needs, ensuring they receive the most effective treatment and care.

• Frenectomy: A lingual frenectomy involves the complete removal of the lingual frenum. This procedure is usually recommended when the frenum is too tight or thick, causing significant challenges such as restricted tongue movement. By removing the frenum entirely, a frenectomy helps improve oral function and provide greater comfort for your child.
• Frenotomy: A lingual frenotomy is a less invasive procedure compared to a frenectomy. Instead of removing the entire frenum, a frenotomy involves making a small incision in the lingual frenum to release tension and enhance tongue mobility. This procedure is typically recommended for milder cases of tongue-tie, where the frenum is only slightly restricting movement but still causing some functional difficulties.
• Frenuloplasty: A lingual frenuloplasty is a more complex procedure that involves not only cutting the frenum but also repositioning it. Unlike a frenectomy or frenotomy, which primarily focuses on releasing tension, frenuloplasty includes reconstructing the frenum to ensure it heals in a way that optimizes tongue function. This procedure may be recommended in cases where a simple frenectomy or frenotomy would not fully address the problem, such as when there is significant scarring or if previous treatments have not been successful. Frenuloplasty is typically performed under general anesthesia and may involve the use of stitches to secure the repositioned tissue, ensuring proper healing and function.

The choice between a lingual frenectomy, frenotomy, or frenuloplasty depends on the severity of the tongue-tie and your child’s specific needs. A thorough evaluation by our pediatric dentist will help determine the best approach to ensure optimal results.

Consulting with a Pediatric Dentist or Orthodontist

If you suspect that your child might have a tight frenum or other oral health concerns, consulting with a pediatric dentist or orthodontist is an important first step. We are trained to evaluate and treat a wide range of oral health issues in children and can help determine whether a procedure like a frenectomy is necessary.

• What to Expect During the Consultation: During the consultation, we will conduct a thorough examination of your child’s mouth. We will assess the frenum and evaluate how it may be affecting your child’s oral function. We may also consider other factors like your child’s age, dental development, and any related symptoms.
• Discussing Treatment Options: After the examination, we will discuss our findings with you and explain the available treatment options. We will provide detailed information about the recommended treatment, including what it involves, the benefits, and what to expect during recovery. This is also a great time to ask any questions you may have so you can feel confident in the decision-making process.
• Tailoring the Treatment to Your Child: Every child is unique, and so is their treatment plan. We will tailor the procedure to meet your child’s specific needs, ensuring that the chosen approach is the most effective and least invasive option. We will also coordinate with other healthcare providers, such as lactation consultants or speech therapists, if needed, to ensure a comprehensive approach to your child’s care.
• Planning for the Procedure: We will explain the next steps, including how to prepare your child for dental treatment and what to expect on the day of the procedure. We will also provide clear instructions on post-procedure care to ensure a smooth and successful recovery.
• Ongoing Support and Follow-Up: We believe in providing ongoing support to both parents and children. After the procedure, we may schedule follow-up care to monitor your child’s healing and address any concerns. We are committed to making sure your child’s experience is as comfortable and positive as possible, from the initial consultation to the final follow-up.

At Camp Smile Pediatric Dentistry & Orthodontics, we are dedicated to providing the highest level of care for your child’s dental health. With four convenient neighborhood offices in Minnesota and one in Omaha, Nebraska, our team is here to support your child’s journey to a healthy, confident smile.

Whether you’re seeking preventive care, orthodontic treatment, or a specialized procedure like a frenectomy, we’re here to make every visit a positive experience. Contact us today to schedule an appointment and discover how our caring, expert team can help your child achieve the best possible oral health. Let’s work together to give your child the bright, healthy smile they deserve!