Reviewed by Dr. Jason Fluckiger, DMD

A frenectomy is a surgical procedure that removes or loosens a frenulum, which is a small band of soft tissue that can restrict movement in the mouth. While often associated with infants and children, a frenectomy can also benefit adults.

In this blog, we will explore the reasons why an adult may need a frenectomy, the benefits of the procedure, and what to expect during the recovery process.

Table of Contents

What is a Frenectomy and Why Might an Adult Need It?

A frenectomy involves removing or loosening one of three types of frenula in the mouth to achieve better range of motion:

  • Lingual frenum: Connects the tongue to the floor of the mouth.
  • Labial frenum: Connects the upper lip to the gums.
  • Buccal frenum: Connects the inner cheek to the gums.

Normally, these bands of soft tissue are flexible and do not cause any problems. However, in some cases, they can be overly tight or restrictive, leading to various issues for children and adults alike.

Some common reasons why an adult may need a frenectomy include:

  • Lingual frenectomy (tongue-tie release):
    • Difficulty with speech or pronunciation due to tongue-tie.
    • Gum recession caused by tension from the frenulum.
    • Discomfort or pain with tongue movement.
    • Difficulty eating certain foods.
  • Labial frenectomy (lip-tie release):
    • A gap between front teeth due to a high attachment of the frenulum on the upper lip.
    • Difficulty wearing dental appliances such as dentures.
    • Gum recession caused by tension from the frenulum.
  • Buccal frenectomy:
    • Difficulty chewing or discomfort due to a tight buccal frenulum.
    • Difficulty wearing dental appliances such as dentures.
Type of FrenumDescriptionReasons for Frenectomy
LingualConnects the tongue to the floor of the mouthDifficulty with speech, oral hygiene issues, eating certain foods, discomfort moving the tongue
Labial Connects the upper lip to the gumsGap between front teeth, issues with dental appliances, gum recession
Buccal Connects the inner cheek to the gumsDifficulty chewing, issues with dental appliances, discomfort due to tight frenulum

Benefits of Frenectomy in Adults

There are many benefits to getting a frenectomy as an adult, including:

  • Improved speech and pronunciation: If the lingual frenulum is restricting the movement of the tongue, a frenectomy can greatly improve one’s ability to articulate sounds.
  • Better oral hygiene and dental health: Removing or loosening a tight frenulum can make it easier to clean the mouth, reducing the risk of tooth decay and gum disease.
  • Reduced discomfort or pain: A frenectomy can alleviate any discomfort or pain caused by tension in the frenulum.
  • Correction of cosmetic concerns: In some cases, a frenectomy can improve the appearance of teeth by correcting gaps or excessive tension in the lips or cheeks.

The Frenectomy Procedure for Adults

The procedure is simple and minimally invasive. Here’s an overview of what to expect:

  1. Consultation and assessment: You will meet with one of our surgeons at AZ Max for an initial consultation. They will evaluate your condition and determine if a frenectomy is the best course of action.
  2. Local anesthesia or sedation: Generally, only local anesthesia is necessary for this quick procedure. However, if you are anxious about dental procedures, we can discuss sedation options available.
  3. Removal or loosening of the frenulum: Your surgeon will use a scalpel or electrocautery tool to remove or loosen the frenulum, allowing for better movement in the mouth.

The entire process typically only takes 30 minutes, depending on the frenum being treated.

Recovery and Post-Frenectomy Care for Adults

After the procedure, patients might experience:

  • Mild swelling or bruising in the area.
  • Discomfort or soreness should be minimal. Any pain that you feel can be managed with over-the-counter pain relievers.

Tips for a Smooth Recovery:

  • Maintain good oral hygiene to prevent infections.
  • Focus on soft foods and foods that promote healing to avoid aggravating the surgical site.
  • Avoid strenuous activities for a few days.
  • Keep follow-up appointments with your surgeon to monitor healing.

Trust AZ Max for All Your Oral Surgery Needs

At AZ Max Oral Surgery, we love to educate! We know oral health can be complicated, so we endeavor to provide as much information as possible to existing patients and others.

Check out these articles from our blog:

Tongue and Lip Ties: Myth vs Fact

Healing and Rehab Post-Frenectomy: Exercises and Tips

The Impact of Tongue and Lip Ties on Speech and Eating Habits

Tongue and Lip Tie: Symptoms and Treatment

Still have questions? Give us a call! Our experienced staff and surgeons are here to help. To book an appointment or to inquire about our services, text or call (303) 444-2255 or complete the online booking form.

FAQs

Is a frenectomy worth it as an adult?

Yes, a frenectomy can greatly improve one’s oral health, speech, and overall quality of life. It is a simple and minimally invasive procedure with many benefits for adults. Consult with an oral surgeon to determine if a frenectomy is the right option for you.

How painful is a frenectomy in adults?

The procedure is usually done under local anesthesia and is relatively painless. Some discomfort or soreness may be experienced after the surgery, but it can be managed with over-the-counter pain relievers.

Will I need to take time off work for a frenectomy?

Most adults are able to return to work or their daily activities the day of the procedure However, you should avoid strenuous activities for a few days while you recover. It is best to discuss this with your surgeon during your consultation.

Is there any scarring after a frenectomy in adults?

As the incision made during the procedure is small, scarring is minimal and often not noticeable. Your oral surgeon will provide post-operative care instructions to help with healing and minimize scarring.

What are the risks of frenectomy in adults?

As with any surgical procedure, there is a risk of infection or bleeding. Your oral surgeon will provide you with post-operative care instructions to minimize these risks. It is also essential to follow up with your surgeon for proper monitoring and healing.