Labial Frenectomy

The labial frenectomy procedure involves removal of the frenum that is located between the front teeth and lips and can be performed on patients of any age. The most common reasons a labial frenectomy needs to be performed are to:

  • Correct issues associated with lip tie, which can include difficulty eating, difficulty speaking, gum recession, and general pain
  • Correct lip tie, which occurs when the frenum between the front teeth and lip is abnormally sized
  • Improve bite function
  • Improve newborns ability to latch while breastfeeding
  • Improve cosmetic appearance
  • Preparatory procedure to improve fit of orthodontic devices
  • Improve comfort and/or provide greater stability for dentures

Procedural Steps of a Labial Frenectomy

The labial frenectomy procedure can be performed a number of different ways, but the most common approach is to remove the frenulum tissue with a surgical knife, then suture the incision site, although more modern techniques use a CO2 or YAG laser to precisely target a laser beam onto the site that vaporizes the excess tissue. Another method is electrocautery, which uses a heated electrode to burn away the excess or abnormal tissue. Which approach is used will depend largely on the preference of your periodontist, as each of these methods can be equally effective in providing positive results.

Prior to performing this procedure, a local anesthetic will be administered to ensure that you are comfortable while the procedure is taking place.

Aftercare Instructions

While the labial frenectomy is a relatively painless and low risk procedure, it is still important to closely follow aftercare instructions provided to you after your procedure to reduce your risk of developing complications and have a fast recovery. Common recommendations following the labial frenectomy procedure include:

  • Ice packs for controlling swelling and relieving discomfort
  • Over the counter or prescribed medication for pain relief
  • If prescribed antibiotic treatment, take as directed until the prescription runs out
  • Gauze can be used to clean the surgical area
  • Saltwater gargle or rinse three times daily for two to three days
  • Stick to a clear liquid diet initially and slowly reintroduce harder foods as discomfort subsides. Avoid
  • foods that are spicy, hot, crunchy or hard until you have completely recovered.
  • Continue practicing good oral hygiene habits

Indications of Complications

A follow up appointment should be scheduled within two weeks to remove any sutures and monitor the progress of your healing. If any of the following symptoms develop following your labial frenectomy, it is important to contact your clinic as soon as possible, as they may indicate an infection or other underlying issue:

  • Swelling and pain increase and do not lessen after taking pain-relieving medication
  • Nausea
  • Vomiting
  • Swollen gums or lips
  • Fluid drainage from surgical wound
  • Dizziness
  • Headache

It is not common for complications to develop following a labial frenectomy, but as with any surgical procedure, there are some small risks involved. If you are concerned that you are experiencing any signs of complications, contact your periodontist as soon as possible.

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