What is a frenectomy, and why should it be performed?

Conditions such as tongue tie and lip tie (frenectomy) can be present at birth. In some instances, these issues can cause difficulty in feeding as infants or, later, speech problems. Thanks to the help of the team at State Street Smiles, Dr. Edward Jackson, our pediatric specialist in Hackensack, New Jersey, can assist patients with this condition with a frenectomy procedure, often performed in our office with a specialized laser device.

What is lip and tongue tie, and what procedure can help?

Lip tie is a condition where the tissue underneath the upper lip (labial frenum) is too tight and limits movement of the upper lip. A tongue tie is when the connective tissue that attaches the tongue to the floor of the mouth (lingual frenum) is too tight and restricts tongue movement. Both issues can be addressed with a frenectomy.

Little Boy's Tongue Tie

What is a frenectomy?

The dentists at State Street Smiles describe the frenectomy as a standard procedure that is used to remove the frenum, which is a band of muscle tissue located between the upper and lower lips. This procedure can be performed for medical reasons or cosmetic reasons. For example, if the frenum is too tight, it can cause difficulty feeding infants or interfere with dental alignment in older children. In adults, a frenectomy may be beneficial to improve speech clarity and facial aesthetics.

What can I expect during a frenectomy?

The procedure involves using local anesthetic and typically takes only a few minutes to complete. After the appointment, there may be some minor discomfort and swelling, but these side effects should subside on their own within a few days after treatment. Recovery time varies depending on the complexity of the procedure, but you should expect little downtime following your frenectomy treatment.

How do I find out more?

If you are interested in learning more about the treatment of tongue tie or lip tie with a frenectomy, connect with our team at State Street Smiles today! Call [phome] to request a visit with Drs. Edward and Dina Jackson at 405 Main Street in Hackensack, NJ. They also accept patients in and around Teaneck, Maywood, and Paramus, NJ communities.

Frequently Asked Questions

Can tongue ties affect speech development in older children or adults?

Tongue tie (ankyloglossia) can affect speech development in older children and adults. If left untreated, the restricted tongue movement may impact the articulation of certain sounds, such as “r,” “l,” and “th,” leading to speech difficulties. While some adapt over time, others may experience ongoing speech challenges or discomfort. Tongue tie release, or frenectomy, can improve tongue mobility, making articulating words more easily. In some cases, speech therapy may be recommended alongside treatment to help improve communication skills.

Can a lip tie contribute to dental issues later in life?

Yes, a lip tie can contribute to dental issues as children grow. A tight upper lip tie can cause a gap (diastema) between the front teeth or lead to problems with proper tooth alignment. Additionally, it can make it difficult to maintain good oral hygiene, as the tight tissue may limit the ability to brush or floss effectively. This can increase the risk of cavities or gum disease. Early diagnosis and treatment of a lip tie can help prevent these dental issues, supporting better long-term oral health and reducing the need for orthodontic care.

Is tongue-tie treatment recommended for breastfeeding mothers experiencing pain?

Yes, tongue tie treatment is often recommended if a baby’s tongue tie is causing breastfeeding difficulties. A tongue tie can restrict the baby’s ability to latch properly, leading to painful breastfeeding, poor milk transfer, and low milk supply. Many mothers report immediate improvement in breastfeeding comfort and efficiency after their baby’s tongue tie is released through a frenectomy. Treating the issue early can help both mother and baby enjoy a more successful breastfeeding experience and prevent additional complications like weight gain issues for the infant.

Can a lip tie cause issues when introducing solid foods?

Yes, a lip tie can make it difficult for babies to transition to solid foods. Restricted lip movement can impact a child’s ability to form a seal around utensils, properly move food within the mouth, and control chewing and swallowing. This may result in food aversions, gagging, or difficulties with self-feeding. A lip tie release procedure can improve lip mobility, allowing a smoother transition to solid foods. If feeding difficulties persist after treatment, feeding therapy may be recommended to help children develop better oral motor skills.

Is there a connection between tongue tie and sleep apnea?

Yes, there may be a connection between tongue ties and sleep apnea, particularly in children. A restricted tongue can cause improper tongue posture, leading to airway obstruction during sleep. When the tongue can’t rest properly against the palate, it may fall back into the throat, increasing the risk of sleep-disordered breathing, including sleep apnea. Treating tongue ties can improve tongue mobility and support proper airway development, potentially reducing or preventing sleep apnea symptoms. In some cases, additional therapies may be needed to address sleep apnea concerns.

What is the recovery like after tongue tie or lip tie treatment?

Recovery from tongue tie or lip tie treatment is typically quick and straightforward. After the frenectomy, which is often performed with a laser or scissors, there may be mild discomfort or swelling for a few days. Parents may need to perform gentle stretching exercises to prevent tissue reattachment. Babies can usually resume breastfeeding immediately, often with noticeable improvements. For older children or adults, speech therapy or oral exercises may be recommended to help them adapt to the increased mobility of the tongue or lip. Full healing usually occurs within 1-2 weeks.

Can untreated tongue tie lead to issues with oral posture?

Untreated tongue ties can negatively impact oral posture, leading to various issues. Proper oral posture involves the tongue resting against the roof of the mouth with lips closed and teeth slightly apart. A tongue tie can restrict this natural resting position, causing the tongue to rest lower in the mouth or between teeth. This improper positioning can contribute to breathing issues, narrow dental arches, and misaligned teeth over time. Early tongue tie treatment can support healthy oral posture, promoting better airway function and proper jaw development.