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What is a Pediatric Frenectomy? A Parent's Guide

If you're learning about a pediatric frenectomy, you've come to the right place. A pediatric frenectomy is a dental procedure performed on children to correct issues related to tongue-tie or lip-tie.


In this blog post, we will explore the different types of frenectomies and their benefits Furthermore, we will delve into when it's necessary for your child to undergo a pediatric frenectomy by identifying signs and symptoms as well as age recommendations.


Lastly, we'll discuss how Dr. Dina performs the procedure including preparation steps, anesthesia options available for your child's comfort during treatment and post-procedure care instructions that ensure proper healing after surgery. By understanding what a pediatric frenectomy entails, you can make informed decisions about your child's dental care needs.

What is a Pediatric Frenectomy? A Parent's Guide
What is a Pediatric Frenectomy? A Parent's Guide

Understanding Pediatric Frenectomy

A pediatric frenectomy is a dental procedure that involves the removal or shortening of a frenum, which are thin muscular attachments in the mouth. There are two types of frena: lingual (tongue) and maxillary labial (upper lip). This treatment can provide significant benefits to children experiencing difficulties with speech, eating, swallowing, and maintaining oral health due to an unusually thick or short frenum.


Lingual Frenum Issues Leading to Tongue-Tie

Ankyloglossia, commonly known as tongue-tie, occurs when the lingual frenum is abnormally thick or short. This condition restricts tongue movement and may cause issues such as difficulty breastfeeding for infants (source) and problems with speech development in older children. A lingual frenectomy, performed by a skilled pediatric dentist like Dr. Dina, can help alleviate these challenges by releasing the restrictive tissue.


Maxillary Labial Frenum Problems Causing Lip-Tie

A large maxillary labial frenum can lead to what's known as "lip-tie." In this case, it creates a gap between the two front teeth (source). Lip-ties not only affect tooth alignment but also make it difficult for children to eat certain foods comfortably or maintain proper oral hygiene. To address this issue, we may recommend undergoing a maxillary frenectomy, which removes part of the problematic tissue allowing better functionality.

  • Maxillary Frenectomy: A dental procedure that removes or shortens the maxillary labial frenum, improving lip mobility and potentially closing gaps between front teeth.

  • Lingual Frenectomy: A dental procedure that releases a restrictive lingual frenum, allowing for better tongue movement and improved speech development in children.

In both cases, these pediatric dentistry procedures aim to improve your child's quality of life by addressing specific issues caused by abnormal frena growth. It is imperative to consult with Dr. Dina so she can accurately diagnose the issue and suggest suitable treatment plans tailored to your child's individual requirements.


Understanding pediatric frenectomy is a complex process, but it's important to identify the signs and symptoms of tongue-tie and lip-tie conditions in order to provide the best care for your child. Identifying these conditions can help you determine if a frenectomy procedure may be necessary.


Identifying Tongue-Tie and Lip-Tie Conditions

Ankyloglossia, commonly known as "tongue-tie," is a condition caused by an abnormally thick or short lingual frenum that results in limited tongue mobility. On the other hand, when a large maxillary labial frenum creates a gap between the two front teeth, it leads to what's known as "lip-tie." Both conditions may interfere with proper tooth alignment or cause discomfort while eating or speaking. In this part, we'll look into the signs of tongue-ties and lip-ties in children and how they can affect daily life.


Identifying Tongue-Tie and Lip-Tie Conditions
Identifying Tongue-Tie and Lip-Tie Conditions

Symptoms of Tongue-Ties in Children

Tongue-tied children may exhibit various signs indicating restricted tongue movement due to their shortened lingual frenum. Some common symptoms include:

  • Difficulty latching on during breastfeeding for infants

  • Poor weight gain due to inadequate feeding

  • Speech difficulties such as lisping or unclear pronunciation

  • Inability to stick out the tongue past the lower gum line

  • Challenges with oral hygiene leading to increased risk of cavities and gum disease

Signs of Lip-Ties Affecting Daily Activities

Lip ties are less common than tongue ties but can still cause significant issues if left untreated. Here are some indicators that your child might have a lip tie:

  • A visible gap between their upper front teeth (diastema)

  • Painful breastfeeding for mothers due to poor latch by infants

  • Dental problems like tooth decay from food getting trapped behind the tight upper lip

  • Difficulty brushing teeth or flossing properly due to restricted lip movement

Parents should be mindful of potential indicators of tongue-tie and lip-tie in order to ensure your child gets the necessary care.


The Procedure Involved in Performing Pediatric Frenectomies

The treatment process involved usually includes numbing the area using local anesthesia followed by utilizing soft tissue laser technology for precise incisions. This results in minimal discomfort during treatment along with reduced bleeding post-procedure compared to traditional surgical methods involving scalpels and sutures.


Anesthesia Options for Pediatric Frenectomies

Your child's comfort is our top priority at Urbana Pediatric Dentistry. Depending on your child's situation, we may employ nitrous oxide (or "laughing gas") to help keep your child calm and relaxed during their appointment.


Advantages of Using Soft Tissue Laser Technology

  • Precision: Soft tissue lasers allow our pediatric dentist to make extremely accurate cuts while preserving surrounding healthy tissues.

  • Reduced Bleeding: The laser seals blood vessels as it works, resulting in less bleeding both during and after the procedure.

  • Faster Healing: With less damage to surrounding tissues, healing times are often shorter than those associated with traditional surgical techniques.

  • No Stitches Required: Since soft tissue lasers create clean incisions without requiring sutures, there is no need for stitches following a maxillary frenectomy or lingual frenectomy performed using this technology.

  • Lower Risk of Infection: The laser sterilizes the area as it cuts, reducing the chances of post-operative infection.

In addition to these benefits, soft tissue lasers also result in a more comfortable experience for your child during their frenectomy procedure. By choosing Urbana Pediatric Dentistry for your child's dental care needs, you can trust that our team is committed to using the latest technology and evidence-based treatment options to ensure optimal outcomes for every patient we serve.


Pediatric frenectomies are a safe and effective procedure that can help improve the health of your child's mouth. By understanding the healing process and pain management after the procedure, you will be better prepared to ensure your child's comfort throughout recovery.


Healing Process and Pain Management after Frenectomy

The healing process following a pediatric frenectomy is relatively quick as the soft tissue within the oral cavity tends to regenerate rapidly, allowing patients to return to normal activities soon after completion. Post-operative care may include administering pain relievers and using antibacterial mouthwash to prevent infection, ensuring a comfortable recovery period.


Healing Process and Pain Management after Frenectomy
Healing Process and Pain Management after Frenectomy

Expected Healing Time for Infants and Older Children

In most cases, infants recover from a maxillary frenectomy or lingual frenectomy within one week. However, older children might take slightly longer (up to two weeks) due to differences in their oral tissues compared with those of infants. It's essential for parents and caregivers to monitor their child's progress during this time closely.

  • Infants: Typically heal within 7 days post-procedure.

  • Older children: May require up to 14 days for complete healing.

Tips on Managing Pain and Preventing Infections

To ensure your child has a smooth recovery after undergoing a pediatric dentist-recommended dental procedure like maxillary frenectomy or lingual frenectomy, consider these helpful tips:

  1. Pain relief medications: Your child's pediatric dentist may prescribe over-the-counter pain relievers such as ibuprofen or acetaminophen if needed. Always follow dosage instructions provided by healthcare professionals carefully.

  2. Cold compresses: Gently applying cold compresses around the affected area can help reduce swelling while providing some comfort during the initial stages of healing.

  3. Antibacterial mouthwash: Using a prescribed antibacterial mouthwash can help prevent infections and promote faster healing. Ensure your child follows the instructions on proper usage.

  4. Avoiding hard or crunchy foods: Incorporate soft, easy-to-chew meals into your child's diet during recovery to avoid causing discomfort or irritation at the surgical site.

By following these guidelines and maintaining open communication with Dr. Dina you can ensure that your child has a comfortable and successful recovery after their frenectomy procedure.


It is important to provide adequate pain management and prevent infection during the healing process after a frenectomy. Additionally, it is also essential to determine the best age for pediatric frenectomy in order to maximize its benefits.


Determining the Best Age for Pediatric Frenectomy

Parents should consult with Dr. Dina if they suspect that a frenum might be interfering with eating, speaking, or other functions. In infants, undergoing frenectomy surgery can improve breastfeeding problems caused by tongue-tie or lip-tie. For older children, we will review their health history before recommending an appropriate age for the procedure.


Benefits of Early Intervention in Infants

Addressing tongue-tie and lip-tie issues early on has numerous advantages:

  • Better success rates in breastfeeding: A maxillary frenectomy can help infants latch onto the breast more effectively and comfortably.

  • Easier speech development: Correcting a lingual frenum issue at an early stage may prevent future difficulties with pronunciation and articulation.

  • Avoidance of dental complications: Timely intervention helps prevent potential tooth misalignment or spacing issues due to abnormal frena growth.

Factors Influencing Optimal Timing in Older Children

In some cases, pediatric dentists may recommend waiting until a child is older before performing a frenectomy. Factors that could influence this decision include:

  1. Growth patterns: Some children experience natural improvements as they grow; thus, delaying treatment might allow time for self-correction without surgical intervention.

  2. Dental milestones: Dentists often prefer to perform certain dental procedures like maxillary labial frenectomies after permanent teeth have erupted to ensure long-lasting results from the treatment process. Research suggests that waiting until the permanent maxillary central incisors have erupted and are in contact with each other may provide better outcomes.

  3. Child's ability to cooperate: Older children might be more capable of understanding and cooperating during dental procedures, making it easier for both the child and dentist to ensure a successful outcome.

In conclusion, determining the best age for a pediatric frenectomy depends on various factors such as individual growth patterns, dental milestones, and cooperation levels.


Consulting with Dr. Dina is critical to determine the best path of action for your child, as she can assess their particular requirements and advise on an appropriate plan depending on their individual situation. At Urban Pediatric Dentistry, our experienced team provides comprehensive pediatric dentistry services including frenectomies for children of all ages.

To learn more about our services and schedule an appointment for your child's dental needs contact us today Urbana Pediatric Dentistry.

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