When it is needed

Lingual frenectomy

A lingual frenectomy is a quick, minor surgical procedure that cuts or reshapes the restrictive band of tissue under the tongue (the lingual frenulum), which is known as a “tongue tie” or ankyloglossia. The procedure uses a scalpel or laser to release the tissue, freeing the tongue to improve speech, eating, and swallowing. Recovery is generally fast, with normal activities returning within a few days, and the benefits can be noticeable immediately.

Why is a lingual frenectomy performed?

Lingual frenectomy treats ankyloglossia, a condition where the lingual frenulum is short or tight, restricting the movement of the tongue. This restriction can cause problems with:
  • Feeding: Difficulty breastfeeding in infants, leading to poor latch, sore nipples, and inadequate milk transfer.
  • Speech: Difficulty with articulation and sound formation, especially in older children and adults.
  • Swallowing: Problems with the mechanics of eating.
Постапката

How does the procedure work?

The procedure is usually performed under local anesthesia and can be done in a dental office or hospital:
After
Before

АнестезијаAnesthesia

The area around the frenulum becomes numb.

Frenulum Release

The surgeon uses a scalpel or diode laser to make a precise incision or cut and reshape the lingual frenulum, freeing the tongue.

Closure

Removable or resorbable sutures may be placed to aid healing.

Recovery

Recovery is generally quick and simple.

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.

Short-term

You may experience mild discomfort or swelling for a few days, but this usually subsides quickly.

Long-term

Normal activities can often be resumed within 1-2 days, and full recovery occurs within 1-2 weeks.

Benefits

Patients often notice immediate improvements in oral function, such as easier feeding and better speech articulation.

Postoperative care guidelines for lingual 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.

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