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what is a frenectomy

What is a Frenectomy?

The frenectomy is a rapid in office procedure that is completed with a co2 laser.  For children, recovery  is quite rapid but must be accompanied by myofunctional exercises before and after the treatment in order for the tissue not to scar down to its presurgical position.


 Infants and nursing babies need only to nurse and the normal suckling action of the tongue on the roof of the mouth will promote proper healing. 

 All patients who undergo a frenectomy are required to do stretching exercises  following the procedure. 

what is a frenum

What is a Frenum?

Additionally, the freni can act as bridles and prevent the jaws from following their normal course of growth downward and forward.  A frenectomy may be indicated during the course of myofunctional therapy, breathing therapy and alf treatment.


The frenum is the piece of weblike tissue located under the base of the tongue  (the lingual frenum) and at the midline of the upper lip (the labial frenum).  Some individuals have additional freni at the base of the midline of the lower lip and in the posterior region of the mouth where the cheek meets the jaw.  These attachments are usually not as significant as the lingual and upper labial freni.  It is believed that with adverse environmental changes (environmental pollutants, nutrition, etc.) that these attachments are becoming heavier and thicker with successive generations. 



These attachments can prevent a proper latch for the nursing baby and then in turn prevent the growing child from maintaining his tongue on the roof of his mouth for proper oral posture, balance and breathing. 



Signs your child needs a frenectomy

Signs Your Child May Need A Laser Frenectomy

Breastfeeding Difficulty:

There can be a number of factoring issues that can be occurring if you are experiencing difficulty breastfeeding, but a problematic frenum is certainly a potential cause.

Some of the specific behaviors you may notice when you attempt  breast feeding include the following:

  • Gumming rather than sucking nipple

  • Failure to latch onto breast consistently

  • Tendency to fall asleep quickly during feeding

Your Child Has Trouble Gaining Weight​:

Because of the problems with breastfeeding that a problematic frenum can cause, you may notice that your child is not gaining weight. If they are not gaining the appropriate amount of weight for their age, it can be an overall detriment to their health, and it is time to see a dentist.

A Gap Appears in Your Child’s Smile:

Sometimes a child’s need for a frenectomy is not noticed until they are older. In such cases, the physical effects may become apparent. The most common manifestation of the problem is a pronounced gap in a child’s front teeth. Even if this occurs, Dr. Hillel has options to provide treatment and minimize the effects on your child’s smile.

What is a laser frenectomy is

What is a laser frenectomy?

A laser frenectomy (also known as laser frenulectomy or laser frenotomy) is the laser excision of a frenulum, a small fold of tissue that prevents part of the body from moving too far. A laser frenectomy can be performed with a soft-tissue laser, such as: CO2, Diode (hot tip), Nd:YAG, and Er:YAG. The CO2 laser is the ideal laser for both cutting and coagulating soft tissue during a frenectomy.

laser infant frenectomy is the laser ablation of the labial or lingual frenum for infants with a laser. The procedure for infants is the same as it for adults. Infants that have problems nursing may have ankyloglossia (tongue tie) and be a candidate for a laser frenectomy.


Patient Recovery

Patient Recovery 

For laser infant frenectomies, the patient is typically able to feed immediately after the surgery with improved latch and noticeable relief in the mother’s breast pain.

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