Frenectomy

Tongue tie (also called ankyloglossia) occurs when the tissue connecting the underside of the tongue to the floor of the mouth—the lingual frenum—is too short, thick, or tight. This restricts normal tongue movement and can lead to nursing, eating, and speaking issues.

A lip-tie refers to the labial frenum, which connects the upper lip to the gum tissue above the front teeth. When this tissue is tight or overextended, it can interfere with a baby’s ability to form a good seal when feeding. It may contribute to spacing between the front teeth or gum irritation later in life.

Both conditions are more common than many people realize, and when treated early, they can significantly impact function and development.

At Family Smile Centers in St. Charles County, we use the DEKA CO₂ laser for frenectomy procedures. Unlike traditional surgical methods that may involve a scalpel or scissors, the laser allows us to perform the release with exceptional accuracy and control. The laser cauterizes as it works, which significantly reduces bleeding, eliminates the need for sutures, and speeds healing. Many patients report minimal discomfort and return to normal activity the same day.

Benefits of Laser Frenectomy

Laser treatment offers several distinct advantages over conventional methods:

• Less discomfort during and after the procedure
• Minimal to no bleeding
• No need for sutures or surgical dressings
• Faster healing and reduced inflammation
• Shorter procedure time
• Greater precision in targeting only the restrictive tissue

This technology is especially helpful for infants and young children, who benefit from a fast, gentle experience with fewer side effects.

Every patient’s experience is slightly different, but the frenectomy process is generally quick and straightforward. The procedure takes only a few minutes, and most patients recover comfortably at home with minimal care.

During your consultation, we will:

• Examine the area visually and functionally
• Review symptoms and history
• Explain the recommended treatment and answer questions
• Discuss post-treatment care instructions
• Schedule the laser release procedure, which may be done the same day

We may recommend feeding infants immediately after the procedure to help comfort and stimulate function. Children and adults can typically return to their normal routine within a day.

Proper aftercare is essential to healing and preventing tissue reattachment. We’ll provide age-appropriate guidance and show you any necessary exercises to support healing.

For infants, this may include:

• Gentle stretches or massage of the release site
• Feeding support and coordination with a lactation consultant if needed

For older children and adults:

• Oral stretching exercises to promote tissue mobility
• Mild over-the-counter pain relief if recommended
• Avoiding spicy or crunchy foods for a day or two

Most patients experience only minor discomfort; complete healing typically occurs within one to two weeks.

Frenectomy treatment is often part of a broader care plan. We collaborate with referring pediatricians, lactation consultants, speech-language pathologists, and orthodontists to provide comprehensive support before and after treatment—addressing feeding, speech development, airway function, and oral hygiene. If you or your child are struggling with feeding, speech, or oral movement, a gentle laser frenectomy may offer a safe, effective solution. Schedule a frenectomy evaluation; we’ll answer your questions, help you decide if this treatment is right for your family, and guide you through every step with compassion and expertise.