You’ve been to the dentist enough to know the basics — you’re in and out after a quick cleaning, flossing and X-ray scan. But this time there was something different. Your dentist took a quick look at your gums, frowned and recommended that you get a surgery called a frenectomy sooner than later.

If you’re like most people, you probably haven’t ever heard of a frenectomy, and you’re understandably a little frightened and confused by the recommendation. But frenectomies are actually minor surgeries that can go a long way towards preserving your teeth for decades to come.

Whether your dentist referred you to a gum specialist or has the know-how to perform a small frenectomy in-house, keep reading. We’ll tell you what you can expect from this minor procedure.

What Is a Frenectomy?

If you lift up your upper gum, you’ll see a small stretch of muscle connecting your lip to the gums just above your front teeth. You should see something similar if you pull your bottom lip down and away from your teeth. This small flap of skin and muscle is called the frenulum. A frenectomy is a minor surgery that removes this small bit of connective tissue.

Why Do I Need a Frenectomy?

Your dentist might recommend a frenectomy for several reasons:

• If your gums have receded, the frenulum can pull the recessed gums back further, increasing the risk of infection, gum disease and tooth loss.
• The frenulum can get in the way of dentures, precluding a comfortable fit.
• The frenulum can strain the gums and start to pull your two front or bottom teeth apart, creating an unsightly gap.

Your dentist should give you a clear explanation of why you need a frenectomy and answer any questions you have about the procedure.

What Will the Process Look Like?

Usually, your gum surgeon or dentist will numb the area with a local anaesthetic, then snip and remove the frenulum. You’ll be sent home with stitches or a bandage that keeps the frenulum from re-growing. Your dentist will likely also prescribe you an antibiotic or antiseptic mouthwash to prevent infection.

Over-the-counter medications can keep the swelling down for the next day or so, but after those first few days of tenderness, you shouldn’t have much pain. Severe persistent pain is abnormal, so if you experience it, get in touch with your dentist immediately.

How Long Will Recovery Take?

Your dentist or gum surgeon will probably ask you to come back in for stitch removal after about a week. They might also have you come back in a few weeks after your stitches out to check that everything is healing normally.

What Is Tongue-Tie Surgery?

Tongue-tie surgery is a specific type of frenectomy for babies that refers to clipping the frenulum that attaches your tongue to the bottom of your mouth (look in a mirror, open your mouth and touch the tip of your tongue to the roof of your mouth to see the lingual frenulum).

Sometimes the frenulum prevents the baby’s mouth from latching properly, which makes breastfeeding challenging for mother and baby alike. If the frenulum is particularly short, it can also restrict tongue movement, which makes both speech and eating difficult.

If your dentist or doctor recommends tongue-tie surgery for your baby, feel free to ask as many questions as possible. You deserve to feel comfortable with the minor surgery and know as much about it as necessary for you to make an informed decision about your baby.

Frequently Asked Questions

What is a frenectomy?

A frenectomy is a minor dental surgery that removes or reshapes the frenulum, which is the small band of tissue connecting the lips, cheeks or tongue to the gums or mouth floor. Dentists commonly perform frenectomies to improve oral function, gum health and tooth alignment.

Why would a dentist recommend a frenectomy?

A dentist may recommend a frenectomy if the frenulum is causing gum recession, pulling teeth apart, interfering with dentures or restricting tongue movement. Early treatment can help prevent further dental complications and improve comfort.

Is a frenectomy painful?

Most patients experience minimal discomfort during a frenectomy because the area is numbed with local anaesthetic. Mild swelling or tenderness after the procedure is normal and usually manageable with over-the-counter pain relief.

How long does a frenectomy take?

A frenectomy is typically a quick procedure that takes around 15 to 30 minutes, depending on the complexity and whether laser or traditional surgical techniques are used.

How long does it take to recover from a frenectomy?

Most patients recover from a frenectomy within one to two weeks. Mild soreness and swelling are common during the first few days, but normal activities can usually resume quickly.

What can I eat after a frenectomy?

After a frenectomy, patients are usually advised to eat soft foods such as yoghurt, soup, mashed potatoes and smoothies for the first few days. Avoid spicy, crunchy or very hot foods while the area heals.

Can a frenectomy close a gap between front teeth?

A frenectomy may help prevent a gap between the front teeth from worsening if the frenulum is pulling the teeth apart. In some cases, orthodontic treatment may still be needed to fully close the gap.

What is tongue-tie surgery?

Tongue-tie surgery is a type of frenectomy that removes or releases the lingual frenulum under the tongue. It is commonly performed on babies, children or adults when tongue movement is restricted.

Why do babies need tongue-tie surgery?

Babies may need tongue-tie surgery if the tight frenulum affects breastfeeding, latching or feeding. Releasing the tongue-tie can improve tongue mobility and feeding function.

Can adults get a frenectomy?

Yes, adults can benefit from a frenectomy if the frenulum contributes to gum recession, speech issues, denture discomfort or gaps between teeth.

Are stitches required after a frenectomy?

Some frenectomy procedures require stitches, while others—especially laser frenectomies—may not. Your dentist or gum specialist will explain the healing process and aftercare instructions.

What are the benefits of a frenectomy?

A frenectomy can help reduce gum tension, improve oral hygiene access, prevent further gum recession, improve speech or feeding issues and support better long-term dental health.

Is a laser frenectomy better than traditional surgery?

Laser frenectomies are often associated with less bleeding, faster healing and reduced discomfort compared to traditional surgical methods. However, the best option depends on the patient’s needs and the dentist’s recommendation.

When should you see a dentist about a frenectomy?

You should see a dentist if you notice gum recession, a gap forming between front teeth, tongue movement restrictions or discomfort from dentures. Early evaluation can help prevent more serious oral health issues.

Whether you have further questions about frenectomies or you’re looking for dentistry for the whole family, visit Dental Smile Clinic today. We make it easy to schedule an appointment online, and once you get in touch, we’re happy to answer any of your dental questions about anything from frenectomies to implants and beyond.