In the lower part of the tongue, between the lip and the gingiva, there are connective tissues called the frenulum. Although this is the most known location of the frenulum, it can be in different places in each person. These ligaments can also be found in the upper teeth between the posterior teeth and the cheek. Ligaments that are shorter, longer or thicker than normal cause different problems. Frenectomy operation is performed to eliminate these problems.
Structural disorders in the tongue tie can cause serious problems in some patients, while in others it manifests itself with much simpler problems. Speech and eating disorders are one of the most serious problems caused by frenulums. In addition, gum diseases, interdental spaces and different problems that cause aesthetic concerns may also occur. In all these cases, frenectomy can be performed with laser or other techniques.
Reasons for a frenectomy
The dentist may decide to perform frenectomy in cases other than the reasons listed above. The upper lip is stuck to the gingiva due to the lip tie; It facilitates the formation of bacteria, tartar and caries. A healthier structure in the mouth is obtained with frenektonmi operation, which is performed to prevent these, to make orthodontic treatment easier or to facilitate tooth brushing.
How is Laser Frenectomy Procedure Performed?
Laser frenectomy is a procedure that does not take much time and takes a few minutes. Bleeding does not occur during this procedure. After the procedure, which is performed under local anesthesia, recovery occurs very quickly and there is almost no pain.
Advantages of Laser Frenectomy
Laser procedures are also advantageous in terms of pain formation. Pain is very little. Edema formation is also at a very low level when compared to surgical intervention. Since the incision is made with a laser during the intervention, the wound is sealed and the possibility of post-operative infection decreases.
How is Surgical Frenectomy Performed?
If the connective tissue is too thick or large, it may not be suitable for laser frenectomy. In such cases, surgical intervention is required. Local anesthesia is applied during the surgical intervention. The incision area marked with the help of a clamp is removed with scissors. Stitches are placed in the area where the tongue or lip tie is located. The stitches are removed one week later.
At What Age Is Frenectomy Procedure Performed?
The appropriate time for frenectomy operation in infants is decided by the physician. The ideal age of operation differs in tongue tie and lip tie. Generally, 4-5 years of age are considered ideal for tongue-tie operations, but frenectomy can also be performed in infancy if the physician deems it necessary. When it is necessary to remove the lip tie, it should be checked whether the gaps between the teeth will close over time. If there is still a gap even after the upper canines have erupted, frenectomy operation should be performed. The upper canines usually erupt by the age of 10. In patients who will receive orthodontic treatment, if there is a gap between the anterior incisors due to the frenulum, frenectomy is performed when the orthodontist deems it appropriate.
Frenectomy Recovery Process
The first thing to consider after frenectomy is to follow the doctor’s recommendations. Your doctor will inform you about what to do in this process. After the lip tie operation, it may be necessary to get support from a speech therapist for a certain period of time. Avoid consuming extremely hard foods after lip and tongue tie operations; You should not eat very bitter and salty foods. In case of pain, you should use painkillers recommended by your doctor.
