What is frenectomy surgery? A comprehensive guide to diagnosis and treatment

Frenectomy surgery is one of the treatment methods in the field of dentistry and medicine, which is performed to solve problems related to the frenum (tissue bands in the mouth). This surgery, while seemingly simple, can have profound effects on a person's quality of life, from improving speech to eating more comfortably. But what is frenectomy surgery and why is it important? In this article, we comprehensively define frenectomy surgery, reasons for its need, prevention methods, alternative treatments, and additional tips. **What is phrenectomy surgery?** A frenectomy is a procedure in which the frenum (the thin connective tissue that connects the lips, tongue, or cheeks to the gums) is cut or modified. Frenums come in two main types: labial frenum (between the lips and gums) and lingual frenum (under the tongue). If these tissues are too short, thick, or stiff, they can cause problems such as limited tongue movement or space between the teeth. ### **types of phrenectomy** - #### **Lingual frenectomy**: - To remove the limitation of tongue movement (ankyloglossia or tongue tie). - #### **labial frenectomy**: - To correct gum problems or gaps between front teeth. - #### **Frenectomy with laser**: - A modern method that is performed with high precision and less bleeding. ### **Why is frenectomy surgery important?** This surgery helps to improve mouth function, speech, nutrition and even smile beauty. For example, children with a tongue tie may have trouble breastfeeding or pronouncing words, and adults may have problems with teeth or dentures. ### **Reasons for the need for frenectomy** - #### **speech problems** - A short lingual frenum can limit the movement of the tongue and cause a disturbance in the pronunciation of some letters. This problem, especially in children, can disrupt speech development. - #### **nutritional problems** - In infants, a tongue tie can make breastfeeding difficult because the tongue cannot move fully and interferes with sucking. - #### **dental issues** - An excessively thick labial frenum can cause a gap between the front teeth (diastema) or gum problems such as receding gums. - #### **aesthetic and functional problems** - An abnormal frenum can affect the appearance of a smile or the use of dental prostheses. - #### **pain or discomfort** - A short or stiff frenum may cause discomfort when eating, talking or even brushing your teeth. ### **Methods to prevent frenum problems** #### **early detection** Pediatricians or dentists can diagnose frenum problems at an early age. Regular oral exams are key in children, especially in the early years of life. #### **Speech therapy exercises** In mild cases, speech therapy exercises can help improve tongue movement or reduce speech problems, without the need for frenectomy surgery. #### **Dental care** Regular care of the teeth and gums can prevent problems associated with labial frenum, such as receding gums. #### **Consultation with an expert** Consultation with a dentist or ear, nose, and throat (ENT) specialist before serious problems develop can reduce the need for surgery. ### **Alternative treatments for frenectomy** #### **speech therapy** For people with mild speech problems, speech therapy can help improve pronunciation and tongue movement, without the need for frenectomy surgery. #### **Orthodontics** In cases where the labial frenum has caused a gap between the teeth, orthodontic treatments can close the gap, although surgery may still be necessary. #### **Language strengthening exercises** Specific exercises to strengthen the tongue muscles can be effective in mild cases of tongue tie. #### **non-surgical methods with laser** In some cases, laser therapy can be used instead of traditional surgery, with less pain and bleeding. #### **Conservative Care** In cases where symptoms are mild, regular monitoring and preventive care may be sufficient. ### **methods of frenectomy surgery** #### **1. Traditional surgery** In this method, the surgeon cuts and stitches the frenum using a surgical blade. This method is suitable for more complex cases. #### **2. Laser frenectomy** This modern method cuts the frenum using precise lasers. Benefits include less bleeding, faster recovery, and less pain. #### **3. Post-surgery care** - **Observation of oral hygiene**: rinsing the mouth with disinfectant solutions. - **soft diet**: consumption of soft foods to prevent pressure on the surgical site. - **regular follow-up**: visiting a doctor to check the healing process. ### **possible side effects and how to manage them** Frenectomy surgery is usually safe, but complications such as bleeding, infection, or recurrence of the frenum (tissue formation) may occur. To reduce these risks: - Choosing an experienced surgeon or dentist. - Strict compliance with post-surgery instructions. - Use of prescribed drugs to prevent infection. ### **Proper exercises after frenectomy** - #### **language exercises** - Exercises such as moving the tongue around or up and down can help improve tongue mobility. - #### **surgery site massage** - Gentle massage of the surgical site (according to the doctor's order) can prevent the formation of scar tissue. - #### **speaking exercises** - Working with a speech therapist to strengthen pronunciation and improve speech after surgery. ### **Conclusion** Frenectomy surgery is an effective solution to problems caused by an abnormal frenum that can improve speech, nutrition, and oral health. With early diagnosis, choosing the right method (traditional or laser) and post-surgical care, favorable results can be obtained. Alternative treatments such as speech therapy or orthodontics can also be effective in certain cases. To succeed in this path, it is necessary to cooperate with experienced professionals and follow preventive tips. If you are looking for comprehensive and practical information about frenectomy surgery, this article is the perfect guide for you. ### **