Does My Child Need a Frenectomy?
Posted on 5/15/2026 by NC Pediatric Dentistry |
 Is your little one having trouble breastfeeding? Maybe you've noticed a gap between their front teeth? These issues, and others, might be related to a small piece of tissue called a frenum. Let's explore what a frenum is, what problems it can cause, and when a frenectomy – a procedure to release it – might be recommended.
What is a Frenum?
Everyone has frenums! They are small folds of tissue that connect different parts of your mouth. You have one under your tongue (lingual frenum) and one connecting your upper lip to your gums (labial frenum). These frenums help stabilize and control movement.
When a Frenum Causes Problems
Sometimes, a frenum can be too tight, too short, or attached in the wrong place. This can restrict movement and cause a variety of problems, depending on which frenum is affected.
Tongue-Tie (Ankyloglossia)
A tight lingual frenum can restrict the tongue's range of motion. This is commonly known as tongue-tie. In infants, tongue-tie can interfere with breastfeeding, making it difficult for them to latch properly and get enough milk. This can lead to frustration for both baby and mother. As children grow, tongue-tie can cause difficulties with speech, particularly with sounds like "t," "d," "n," "l," "s," "z," and "th." It can also make it difficult to lick an ice cream cone or play a wind instrument. In some cases, it can even contribute to problems with swallowing.
Lip-Tie
A tight labial frenum can sometimes cause a gap between the upper front teeth (diastema). It can also contribute to gum recession, making the gums more susceptible to inflammation and periodontal issues. In some cases, it might make it difficult to properly clean the upper front teeth, increasing the risk of cavities.
Diagnosing Frenum Issues
A dentist or other healthcare professional can diagnose frenum issues through a simple examination. They'll assess the frenum's appearance and evaluate the range of motion of the tongue or lip. If feeding difficulties are suspected in infants, a lactation consultant may also be involved.
What is a Frenectomy?
A frenectomy is a simple procedure to release the frenum. It can be performed using a surgical scalpel or a laser. The procedure is relatively quick and can often be done in the dental office.
When is a Frenectomy Recommended?
The decision to perform a frenectomy is made on a case-by-case basis. It's typically recommended when a tight frenum is causing significant problems with feeding, speech, or oral hygiene. For infants with breastfeeding difficulties, early intervention can be very beneficial. For older children, a frenectomy may be recommended if it's interfering with speech or causing dental problems.
What to Expect After a Frenectomy
After a frenectomy, there is typically some mild discomfort. Pain medication can help manage any discomfort. Specific exercises may be recommended to prevent the frenum from reattaching and to improve tongue or lip movement. The healing process is usually quick, and most people experience significant improvement in their symptoms.
Talking to Your Dentist
If you are concerned about your child's frenum, the best thing to do is talk to your dentist. They can assess the situation, answer your questions, and recommend the best course of action. Remember, every child is different, and what works for one child may not work for another. The goal is to ensure your child has the best possible oral health and function.
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