World-class periodontists deliver skillful frenectomy surgery
Even though the frenectomy — a common surgical practice performed on infants, children, and adults — may be common, it is extremely important to have the surgery performed by the very best dental expert.
Our goal at MD Periodontics is to establish and maintain your oral health through accurate diagnosis and care of your periodontal disease. We use the most effective and scientifically proven surgical procedures available.
During the 20 years of practicing our periodontal specialty in Beverly Hills and Los Angeles, our patients have come to recognize us for our caring, concierge-level service.
What is a frenectomy?
A frenectomy is a surprisingly common procedure that involves removing connective tissue under the lip and tongue that are too tight (which is also called “tongue-tied). This procedure allows for normal movement and range of motion for the lip and tongue.
There are two main frena in the mouth: labial frenum (under the lip) and lingual frenum under the tongue.
Who is a candidate for a frenectomy?
Sometimes people are born with a frenum that grows too short, tough, or tight. In adults, this may make talking and eating problematic. Children may experience difficulty speaking or latching on. A frenectomy can also facilitate the orthodontist’s work to fit braces correctly.
When a frenulum is tight, it may restrict movement and be particularly noticeable and troublesome when eating. Instead of getting help from your tongue to push food down the esophagus, an abnormal frenulum may create difficulty swallowing.
In addition, because chewed food is not effectively moving, it may become stuck in your teeth. Pieces of food stuck to your molars are unable to be removed with your tongue. This can impair your dental health.
Our goal at MD Periodontics is to establish and maintain your oral health through accurate diagnosis and care
Dentures may also require a tongue frenectomy. Sometimes the doctor cannot position the dentures to fit because of the frenum positioning.
A tight frenum may also make it difficult to speak because of impaired movement of the tongue. This can make it difficult for others to understand what you are saying.
Most of the time, frenectomy lingual and frenectomy labial abnormalities are corrected at birth or shortly thereafter. However, it is not uncommon for people to wait until adulthood to correct the problem.
Childhood frenum surgery
Frenectomy labial and frenectomy of the tongue are common procedures with infants and children. If a child has tongue-tie (ankyloglossia), they may have difficulty breastfeeding.
A child may have tongue-tie (ankyloglossia) if they present any of these symptoms:
Trouble breastfeeding
Struggling with speech
Tongue getting caught between the front teeth
Inability to stick tongue out
Diminishing gums that cause dental problems
Though some lactation consultants recommend that newborns undergo correction for an abnormal frenum upon birth, others take a wait-and-see approach and believe the problem may correct itself, or not cause problems at all.
If a child’s tongue is interfering with talking or eating or is unable to reach their molars, a lingual frenectomy may be indicated. This can occur because the child has a large frenum under their tongue that stops it from moving freely.
The frenum can be relocated during a simple frenectomy.
What’s the recovery from a frenectomy?
Recovering from frenectomy surgery is relatively simple. The surgery typically takes about 15 minutes. It’s performed by cutting the frenum or with a laser beam, which reduces the chance of infection.
Steps to follow after a frenectomy:
Use your tongue as soon as possible.
Try to keep food away from the surgical area. Avoid using a straw.
Avoid rinsing your mouth for the first 24 hours.
Brush your teeth carefully. Rinse your mouth with lukewarm saltwater.
Don’t be concerned if your tongue bruises at the site of the surgery. Typically over-the-counter pain relievers will remove discomfort.
Expect some bleeding after the surgery. If bleeding continues, place a sterile gauze pad in the area.
Reduce swelling by putting ice chips on the area.
Recovery time is usually about a week. Most people return to daily activities the next day, while always keeping the area clean.
Why choose MD Periodontics when having a frenectomy?
Both Dr. Moshrefi and Dr. Daneshmand are board-certified periodontists. Their masterful dental skills and state-of-the-art equipment enable them to perform extractions, gum recession, frenectomies, crown lengthening, implant surgery, and other periodontal procedures with exceptional results and marginal discomfort.
Meet Our Skilled PeriodontistsAbout our doctors
Dr. Abdy Moshrefi
Dr. Moshrefi, DDS, is considered one of the leading periodontal artisans in California, known for fearlessly handling the most complicated dental care reconstruction cases. His remarkably real-looking dental implants and restorations set him apart from other periodontic professionals treating gum disease. His warm and confident bedside manner combined with honesty and transparency lead to rave patient reviews.
Dr. Moshrefi graduated from UCLA with Phi Beta Kappa and Magma Cum Laude honors, then graduated from the University of California School of Dentistry with a doctoral and specialty training in periodontology. He also holds a Master of Science degree in craniofacial biology. In addition, Dr. Moshrefi is a board-certified periodontist and dedicated holistic dentist.
Dr. Nazy Daneshmand
Dr. Daneshmand, DDS, is a board-certified periodontist. After studying biology at UCLA, she also graduated from USC’s Dental School with a doctoral and specialty training in periodontics.
Dr. Daneshmand also specializes in the practice of “holistic dentistry,” which uses metal-free and toxin-free dental options. She offers patients solutions to dental problems that are beneficial to her patient’s overall health. Dr. Daneshmand also excels in the field of antimicrobial therapy. Her articles have been published and syndicated in numerous publications, including the Journal of Periodontal Research.
We are conveniently located to patients throughout Southern California and the Los Angeles area. Our Beverly Hills office is conveniently located near Santa Monica, West Los Angeles, Culver City, West Hollywood, Downtown Los Angeles, Marina del Rey, Pacific Palisades, Malibu, Manhattan Beach, Sherman Oaks, and Encino.
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Frenectomy recovery involves minimal discomfort, with most patients able to resume normal activities the next day. It's essential to follow post-op instructions, maintain good oral hygiene, and attend follow-up appointments for optimal healing. Swelling and mild discomfort are common but can be managed with prescribed pain medication and a soft diet.
How effective is frenectomy in adults?
Frenectomy in adults is highly effective in addressing issues caused by tight frenulums, such as restricted movement during eating, speech difficulties, and food getting stuck between the teeth. The surgery, either through cutting or laser, can resolve these problems with minimal discomfort and reduce the chance of infection.
What post-operative care is needed?
Post-operative care following a frenectomy typically includes keeping the area clean, gently rinsing the mouth with warm salt water, avoiding hard or spicy foods, and following any additional instructions provided by the periodontist. It's essential to attend follow-up appointments for proper healing and monitoring.
Are frenectomy results immediate?
Frenectomy results can vary. While some people may notice immediate improvements in movement and function after the procedure, others may experience gradual changes over time as the tissues heal and adapt. It's essential to follow post-operative care instructions for optimal outcomes.
How to manage post-frenectomy discomfort?
In managing post-frenectomy discomfort, it's essential to follow the provided aftercare instructions diligently. This includes maintaining oral hygiene, avoiding hard foods, and taking prescribed pain medication as needed. Applying ice packs to the area can also help reduce swelling and discomfort. If pain persists or worsens, contact your periodontist for further guidance.
What anesthesia options are available?
Various anesthesia options are available at our clinic, ensuring patient comfort during frenectomy procedures. These options include local anesthesia, sedation dentistry, and holistic approaches that prioritize patient well-being and comfort throughout the surgery.
What complications might arise post-surgery?
Complications post-frenectomy surgery include infection, bleeding, pain, swelling, and the possibility of regrowth of the frenum tissue. It's important to follow post-operative care instructions provided by the periodontist to minimize these risks and promote proper healing. Regular follow-up visits are crucial for monitoring progress.
How to choose a skilled frenectomy provider?
When choosing a skilled frenectomy provider, look for experience, expertise, and advanced equipment. Opt for a periodontist with a proven track record in performing frenectomies with minimal discomfort and exceptional results. Consider seeking recommendations and reviewing before-and-after photos to gauge their capabilities.
How common is frenectomy in toddlers?
A frenectomy is a common surgical procedure in toddlers with issues like tongue-tie. It can address problems with breastfeeding, speech, and oral development. Consulting with a specialist is crucial for proper diagnosis and treatment.
Is frenectomy beneficial for oral health?
Frenectomy is beneficial for oral health as it can help correct issues such as restricted movement due to a tight frenulum, difficulty eating, speech problems, and breastfeeding challenges in infants. Skilled periodontists perform the surgery with precision, improving overall oral function and health.
What pre-surgery assessments are required?
Before undergoing a frenectomy surgery, patients typically require a consultation with the periodontist to assess the condition of the frenum, evaluate any associated symptoms, and discuss the surgical procedure. Imaging tests or visual examinations may also be necessary to determine the extent of the issue.
How does frenectomy facilitate orthodontic treatment?
Frenectomy facilitates orthodontic treatment by removing or modifying the frenum, allowing for increased movement of the lips, tongue, and other oral structures. This can lead to improved tooth alignment, bite correction, and overall orthodontic outcomes.
What post-surgery symptoms should prompt a call?
Persistent bleeding, severe pain, excessive swelling, high fever, or signs of infection post frenectomy surgery should prompt a call to your dentist immediately for further evaluation and guidance.
How does frenectomy aid in dental alignment?
By correcting issues such as tongue-tie or a short frenum through frenectomy surgery, dental alignment can be improved. This procedure can alleviate restrictions that impact chewing, swallowing, speech, and oral development, leading to better overall dental health and alignment.
How to assess frenectomy success?
Assessing frenectomy success involves monitoring for improved movement, reduced feeding or speech difficulties, and decreased food impaction. Follow-up evaluations by a dental professional can confirm proper healing and function post-surgery. Adjustments may be needed based on individual responses.
What causes a frenectomy to fail?
A frenectomy may fail due to improper technique, inadequate tissue removal, or poor healing. Infections, incomplete removal, or not addressing underlying issues can also contribute to failure. Close monitoring and follow-up care are crucial for successful outcomes.
How to ensure frenectomy site heals?
Maintain good oral hygiene post-surgery, keep the area clean, avoid touching the surgical site, follow post-op instructions, rinse gently with saltwater, and avoid foods that could irritate the area. Follow up with your periodontist for proper healing monitoring.
How does frenectomy affect dental hygiene?
A frenectomy can improve dental hygiene by correcting issues like tongue-tie that may hinder proper oral function, such as talking and eating. Addressing these concerns can help prevent food trapping, speech difficulties, and other oral health challenges.
When to resume normal diet post-frenectomy?
After a frenectomy, resume your normal diet as soon as comfortable. Stick to soft, cool, or warm foods for the initial day, avoiding spicy or hard foods. Transition back to a regular diet gradually based on your comfort level and healing progress.
How long to wait before resuming exercise?
It is advisable to wait for at least a few days before resuming exercise after a frenectomy surgery. This allows the surgical site to heal properly and reduces the risk of complications or discomfort during physical activity. Consult your periodontist for personalized advice based on your specific case.
What signs indicate frenectomy necessity?
Signs indicating frenectomy necessity include difficulty breastfeeding, speech struggles, tongue-catching between teeth, inability to extend the tongue, and gum recession leading to dental issues. Adults may require surgery for tight frenulum causing eating challenges or food trapping between teeth.
How to soothe children post-frenectomy?
After a frenectomy procedure for children, offer soft, cold foods to soothe the area. Use children's pain relief as directed by a dentist. Encourage gentle mouth rinses with warm saltwater to promote healing. Avoid spicy foods or hard/chewy items that may irritate the surgical site.
How long is frenectomy outpatient recovery?
Recovery from a frenectomy typically involves minimal downtime for outpatient procedures, with most patients being able to resume normal activities within a few days. Post-surgery discomfort can be managed with pain medication, and following the aftercare instructions provided by the periodontist is essential for optimal healing.
What to expect during initial consultation?
During the initial consultation for a frenectomy, expect a comprehensive evaluation of the frenulum with discussions on the procedure, potential benefits, risks, and post-operative care. The periodontist will address any concerns and create a personalized treatment plan.
Should antibiotics be taken post-frenectomy?
Some patients may be prescribed antibiotics following a frenectomy procedure to prevent infections. It is important to follow your periodontist's recommendations regarding antibiotic usage post-surgery.
How frequent are follow-up visits post-frenectomy?
Follow-up visits post-frenectomy are typically scheduled based on individual healing progress. Your periodontist will determine the frequency of these visits, usually spaced out to monitor proper healing and ensure optimal results. It is essential to adhere to the recommended follow-up schedule for successful recovery after the procedure.
Are dissolvable stitches used in frenectomy?
Dissolvable stitches are commonly used in frenectomy surgeries to aid in the healing process. They are designed to dissolve on their own over time, eliminating the need for removal during follow-up appointments and reducing patient discomfort.
How to prepare children for frenectomy?
Preparing children for frenectomy involves explaining the procedure in a child-friendly manner, discussing the benefits, answering their questions, and addressing any fears or concerns they may have. Parents should provide reassurance and support, emphasizing the positive outcomes of the surgery to help ease the child's anxiety.
Can frenectomy affect future dental work?
Yes, a frenectomy can impact future dental work by improving speech, eating, and oral hygiene. It may prevent issues like food impaction or gummy smiles, enhancing overall dental health and function.
What oral hygiene tips post-frenectomy?
Following a frenectomy, maintain oral hygiene by gently brushing the surgical area and surrounding teeth after meals. Rinsing with warm salt water can promote healing. Avoid hard, crunchy, or spicy foods, and refrain from strenuous physical activity to aid in smooth recovery.
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