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Lingual Frenectomy

Lingual Frenectomy

What is a Lingual Frenectomy?

A Lingual Frenectomy is a surgical procedure to remove or modify the lingual frenulum—a small fold of tissue under the tongue. This procedure is often performed to address tongue-tie (ankyloglossia), which restricts tongue movement and impacts speech, feeding, or oral hygiene. Lingual Frenectomy is a safe and effective solution to improve oral functionality and overall quality of life.

When is a Lingual Frenectomy Recommended?

This procedure is recommended for:

    • Tongue-tie (ankyloglossia) causing restricted tongue mobility.
    • Difficulty breastfeeding in infants due to limited tongue movement.
    • Speech impediments related to tongue restriction.
    • Issues with oral hygiene, such as difficulty cleaning teeth properly.
    • Discomfort while eating or swallowing.

How Does a Lingual Frenectomy Work?

Lingual Frenectomy is a minimally invasive outpatient procedure:

  1. Local anaesthesia is administered to numb the area under the tongue.
  2. The surgeon uses a scalpel, laser, or electrosurgical device to release or remove the frenulum.
  3. In laser procedures, bleeding and discomfort are minimised, and stitches are often unnecessary.

The procedure typically improves tongue mobility, making it easier to eat, speak, and maintain oral hygiene.

How Long Does the Procedure Take?

The procedure usually takes 15–30 minutes, depending on the complexity and technique used. Laser treatments are often faster and involve less downtime.

Risks and Benefits of a Lingual Frenectomy

Benefits:

  • Enhanced tongue mobility for better speech and feeding.
  • Improved oral hygiene and dental health.
  • Relief from discomfort caused by tongue-tie.

Risks:

  • Mild bleeding or swelling.
  • Temporary soreness in the treated area.
  • Rare risk of infection or scarring.

Post-Treatment Care

  • Rinse the mouth gently with prescribed antiseptic solutions.
  • Avoid spicy or hard foods for a few days.
  • Perform tongue exercises as recommended by your dentist to ensure proper healing.

What Can I Expect for Recovery?

Recovery from a lingual frenectomy is quick, with most patients resuming normal activities within 1–2 days. Complete healing usually occurs within 1–2 weeks. You may notice significant improvements in speech, feeding, and oral comfort immediately.

When to Consult a Doctor?

Contact your doctor if you experience:

  • Persistent bleeding or swelling.
  • Signs of infection, such as fever or pus.
  • Lingering discomfort or difficulty in tongue movement.

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FAQ

A lingual frenectomy is a minor surgical procedure that removes or modifies the lingual frenulum—a small band of tissue under the tongue. It is often done to treat tongue-tie (ankyloglossia), which restricts tongue movement, affecting speech, feeding, and oral hygiene.

The best age depends on the severity of the condition. For infants, it can be performed as early as the first few weeks of life to improve breastfeeding. For older children and adults, it is typically done when issues like speech impediments or oral discomfort arise.

The procedure is generally safe, but potential downsides include mild pain, slight swelling, or temporary difficulty in speaking or eating during recovery. Rarely, scarring or recurrence of the frenulum may occur.

Yes, it is worth it for individuals who experience difficulty with speech, feeding, or oral hygiene due to tongue-tie. The procedure can significantly enhance quality of life by improving tongue mobility and resolving related issues.

Yes, you can talk immediately after the procedure. While there may be minor discomfort initially, speech often improves post-recovery, especially if the procedure addresses a tongue-tie-related speech impediment.

The benefits include:

  • Improved speech and communication.
  • Easier feeding or swallowing.
  • Enhanced oral hygiene.
  • Reduced discomfort or tension in the tongue

In rare cases, the frenulum may reattach or regenerate partially if proper healing and post-surgical care are not followed.

The procedure itself is performed under local anaesthesia, so it is not painful. Post-procedure, patients may experience mild soreness or discomfort, which subsides in a few days.

While a lingual frenectomy does not alter the face shape, it may improve oral function and harmony, leading to subtle aesthetic changes in speech or tongue posture.

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