When it is needed

Labial frenectomy

Labial frenectomy is a surgical procedure that can make a big difference in your child’s oral health and comfort. Knowing more about this procedure can help you feel confident in making the best decisions for your child’s dental care and overall well-being.
After
Before

What is labial frenectomy?

A labial frenectomy is a simple procedure that removes or modifies the small band of tissue called the labial frenum, which connects the inside of the upper lip to the gums just above the two front teeth. In some cases, this tissue can be too tight or thick, leading to what is commonly referred to as a “lip tie.” A lip tie can restrict the movement of the upper lip and cause problems such as difficulties with breastfeeding or even uneven dental alignment as your child grows.

A labial frenectomy helps correct these issues, allowing easier movement of the upper lip and promoting better dental health.

This quick procedure is performed using laser technology that enables precise and gentle treatment. Laser surgery eliminates the need for local anesthesia or numbing injections in infants, making the experience more comfortable for your child. Many parents choose this frenectomy procedure to help their children avoid potential dental or orthodontic problems as they grow.

Signs

Common signs that your child may need a labial frenectomy

After any dental procedure, the body naturally adapts and recovers over a short period of time. With proper care and following instructions, the healing process is quick, painless, and with minimal discomfort.

Breastfeeding difficulties

In infants, a tight labial frenum can make it difficult to achieve a proper latch during breastfeeding. This can result in feeding challenges, poor weight gain, frequent slipping off the breast, or discomfort for the mother. If your baby struggles to suck or has difficulty staying firmly latched, the cause may be a restricted frenum.

Bottle feeding problems

Just like with breastfeeding, a tight labial frenum can interfere with your child’s ability to form a proper seal around a bottle nipple. This can cause them to swallow excess air while feeding, which may lead to gas, discomfort, and fussiness during and after feeding. Babies may also have difficulty maintaining a consistent latch, which can make bottle-feeding frustrating and less effective. If your child often experiences these issues, it may be worth discussing the possibility of a tight frenum with your pediatric dentist to determine whether a labial frenectomy could help improve their feeding experience.

Separation between teeth

A thick or narrow labial frenum can cause a noticeable gap between the two upper front teeth, known as a diastema. This can also affect the proper alignment of the teeth as they grow, potentially complicating future orthodontic treatment. If this gap does not close naturally as your child’s teeth develop, a labial frenectomy may be recommended to improve dental alignment and make orthodontic treatment more successful.

Oral hygiene problems

When the labial frenum is too tight, it can make brushing and flossing more difficult for your child. The restricted movement of the lip can prevent effective cleaning of the teeth and gums, leading to an increased risk of cavities and gum disease. A frenectomy can improve access to these areas, promoting better oral hygiene and long-term dental health.

Facial aesthetics

A thick or long labial frenum can affect the appearance of your child’s smile, potentially causing feelings of self-consciousness as they grow. Correcting this with a labial frenectomy can improve the appearance of their smile and boost their confidence.

Difficulty smiling or eating

A tight frenum can limit your child’s upper lip movement, making it difficult to fully smile or perform everyday actions such as licking their lips or eating certain foods. If your child experiences discomfort or struggles with these movements, a frenectomy may help restore normal function.

Процедура

Labial frenectomy procedure

If your child needs a laser frenectomy, it’s natural to want to know what to expect. Here’s a step-by-step overview of what happens during the procedure to help you feel confident and at ease:

Frenectomy

During the procedure, we carefully release or modify the connective tissue. The laser cauterizes the blood vessels as it cuts, significantly reducing bleeding during and after the procedure. The entire procedure usually takes 15 to 20 minutes.

Post-procedure care

After the frenectomy is completed, your child can return to normal activities almost immediately. Laser technology promotes faster healing and reduces the risk of swelling or discomfort. We will give you clear postoperative care instructions to ensure proper healing, and our team is always available if you have any questions. For breastfeeding infants, we provide a private space where mothers can work on latching and feeding before leaving the office. Many parents notice an immediate improvement in their baby’s feeding ability, which can bring relief and reassurance.

Process

What does the labial frenectomy procedure look like?

In this short video you can watch the entire process of performing a labial frenectomy in our office. The procedure is performed carefully, with precision and complete painlessness, under local anesthesia.

Postoperative care guidelines for labial frenectomy

Recovery

Rest with your head elevated when you arrive home after the procedure. Please limit your physical activity and movement to a minimum for the first 24 hours.

Ice Application

For the first 4-5 hours after surgery, we recommend placing an ice pack on your face at 20-minute intervals. This will help reduce facial swelling. If necessary, you can use an ice pack for 24 hours.

Medication instructions

Please take anti-inflammatory medication (NSAIDs) to prevent inflammation, swelling, and pain. If you need NSAIDs, we recommend taking 400mg–800mg of ibuprofen every six hours to reduce swelling and pain and to promote healing. Do NOT exceed 2400mg in a 24-hour period. If you experience excessive pain or discomfort, take the prescribed narcotic. Please take it as directed, together with the NSAID. If you were prescribed an antibiotic, please take it as directed. Be sure to finish the full course. If any of the medications cause severe nausea, itching, or a rash, discontinue use and contact our office immediately.

Gradual Bleeding

In the next few days after surgery, slight oozing may occur, which is not a cause for concern. Gently rinse your mouth with cold water or cold chamomile or sage tea (these teas contain tannic acid, which can help stop bleeding). Please avoid smoking and alcohol, as these activities negatively affect blood clotting and the healing of the surgical site. If bleeding continues, apply pressure to the surgical area by biting down on moistened gauze for 20 minutes. If the bleeding is moderate to heavy and lasts for several hours without stopping, please contact our office immediately.

Eating guide

When you return home after surgery, you may have something very soft to eat or something cold to drink. On the evening of the surgery, we recommend that you eat a soft, bland meal, as this is usually the best way to feel better. During the first week, please do not eat anything hard or crunchy.

Wound care

When possible, we will place a dressing over the surgical area to help keep you comfortable. Please DO NOT brush the areas covered with the dressing. If the dressing becomes loose or falls off and you still feel comfortable, continue avoiding brushing the surgical areas. If the surgical area feels uncomfortable without the dressing, please contact our office so we can place a new one. Please continue your regular oral hygiene routine on all other areas of your mouth. Use an antiseptic mouthwash at least once in the morning and once at night before bed until your next appointment at our office. You may also clean the dressed area by gently wiping it with cotton soaked in antiseptic mouthwash every morning, every night before bed, and after eating and drinking.

Contact us quickly and easily!

We believe that every tooth is a complex organism and its different problems require different specialists.