Tight frenum attachments and frenectomy
Many people have heard of “tongue-ties”, that can restrict the movement of the tongue. The release of this problem tissue is specifically known as a frenectomy. Tongue tie is a condition where the front of the tongue is tied down to the gum behind the lower front teeth. This tight tissue is referred to as the lingual frenum. It results in a variable degree of restriction in tongue movement, which in turn can interfere with many aspects or oral development and future oral health including jaw growth, breast-feeding, and the development of speech. In a young child learning to talk, such an anatomical restriction can complicate oral movements and result in poor speech development.
In order that speech development can take place unimpeded by restricted tongue movement, a suitably trained dental surgeon, oral surgeon or pediatric surgeon can remove this tight tissue in a procedure called a frenectomy. It can be performed using a conventional scalpel or nowadays, more commonly we use a laser of suitable power and wavelength. Lasers offer advantages over a scalpel that include a lack of bleeding during the procedure and thereafter, no need for stitches, and very little discomfort after the procedure. A return to normal movement and an absence of discomfort takes only a few days.
A second type of frenum attachment problem may exist
This second type of frenum attachment problem is associated with localised gum recession where the frenum attachment connects the inner surface of the cheek or lip to the interdental gum papilla between the teeth. The slight pull of such an attachment in conjunction with inflammation of the gum margin, as seen in gingivitis, can result in a very localised form of gum recession.
By surgically dissecting out the frenum and releasing the tension on the inflamed tissues at the gum margin, further recession can be prevented. In adults where gum recession has resulted from a combination of inflammation and tension applied to the frenum, it is possible later to surgically correct the recession by a second minor surgical procedure.
Contact the friendly team at NQ Surgical Dentistry today on (07) 4725 1656 or call in to see us at 183 Kings Rd, Pimlico QLD 4812
All surgery carries inherent risks and complications and it is especially important that you understand and accept these risks prior to proceeding. This may include seeking a second opinion from an appropriately qualified health practitioner.