What is a frenectomy, and why might it be performed?

Drs. Mircea Mitu and George D’Louhy of Family Dental Center in Manteca, California, are dentists who offer a variety of services in their practice. That includes tongue tie and lip tie surgery known as a “frenectomy.”

What is a frenectomy?

A frenectomy is a surgical procedure that removes the frenulum, the thin piece of tissue that attaches the tongue to the floor of the mouth. Frenectomies are most commonly performed to correct tongue-tie, which is when the frenulum is too tight and restricts tongue movement. A lip tie is a similar condition that affects the frenulum of the lips.

Does a frenectomy hurt?

We use proper sedation and anesthetics to ensure that patients are comfortable during their frenectomy procedure. We also offer frenectomies using lasers which are faster, more precise, and cause less bleeding afterward.

What are the benefits of a frenectomy?

A frenectomy can improve speech and eating function in people with tongue-tie. It can also help relieve pain and discomfort caused by the condition.

Who should consider a frenectomy?

People with tongue-tie who experience difficulty speaking or eating may want to consider a frenectomy. The procedure may also be recommended for people with other medical conditions aggravated by a tight frenulum, such as sleep apnea.

How is a frenectomy performed?

A frenectomy is typically performed using a laser. The laser energy is used to cut the tissue and seal the blood vessels, minimizing bleeding and bruising. The procedure is usually performed under anesthesia and takes about 10 minutes or less to complete. Patients have the entire procedure performed right in the dental office with Drs. Mircea Mitu or George D’Louhy and can go back to their normal activities after their visit.

What are the risks of undergoing a frenectomy procedure?

The risks of a frenectomy include bleeding, infection, and scarring. There is also a small risk of damage to nearby teeth or nerves. In rare cases, tongue-tie may recur after a frenectomy.

Frequently Asked Questions About Frenectomy

Can a frenectomy improve long-term oral development?

Yes, addressing a restrictive frenulum early can support healthier oral development over time. Proper tongue and lip movement play a role in jaw growth, bite alignment, and even breathing patterns. When movement is limited, it may contribute to habits or imbalances that affect development. Correcting the restriction can help promote more natural function as the mouth and facial structures grow.

How does a restricted frenulum affect oral hygiene?

Limited tongue or lip movement can make it harder to clean certain areas of the mouth effectively. The tongue helps clear food debris, while lip flexibility supports proper brushing angles. When movement is restricted, plaque may accumulate more easily in certain spots. Improving mobility can make daily hygiene routines more effective and reduce the risk of future dental concerns.

Can a frenectomy impact orthodontic treatment outcomes?

Yes, in some cases, a tight frenulum can interfere with orthodontic progress or stability. For example, a lip tie may contribute to spacing between teeth, while tongue restrictions can affect how teeth align over time. Addressing these issues may support better long-term results. Dentists sometimes recommend a frenectomy as part of a broader treatment plan to help maintain alignment.

Does a frenectomy help with jaw or muscle tension?

In some individuals, restricted oral tissues can contribute to tension in the jaw, face, or surrounding muscles. This may occur as the body compensates for limited movement. Improving mobility can help reduce strain and allow for more natural function. While not every case involves discomfort, some patients notice improved ease of movement after treatment.

Can a frenectomy affect breathing or sleep patterns?

Oral restrictions can sometimes influence how the tongue rests and functions, which may play a role in breathing patterns. In certain cases, improving tongue mobility can support better positioning during rest. This may contribute to more comfortable breathing, especially during sleep. While results vary, evaluating oral function can be part of a broader approach to airway health.

Are there exercises needed after a frenectomy?

Some patients may be given simple exercises to help maintain the improved range of motion after the procedure. These movements support proper healing and help prevent the tissue from tightening again. The exercises are usually quick and easy to perform at home. Following recommendations helps ensure that the benefits of the procedure are maintained over time.

Can a frenectomy improve comfort when eating different foods?

Yes, improved tongue and lip mobility can make it easier to manage a wider variety of foods. Some individuals with restrictions may avoid certain textures or experience difficulty moving food efficiently while chewing. After treatment, many patients find that eating feels more natural and comfortable. This can support better nutrition and a more enjoyable overall eating experience.

How does a frenectomy relate to overall oral function?

Oral function involves coordinated movement of the tongue, lips, and jaw. When one component is restricted, it can affect how the entire system works together. A frenectomy helps restore balance by improving mobility where it is limited. Thiscan positively influence multiple aspects of daily function, from speaking to swallowing and beyond.

Is there an ideal time to address a restrictive frenulum?

Timing depends on how the restriction is affecting the function. In some cases, early intervention may be beneficial to support development, while in others, treatment may be considered later if symptoms arise. The decision is based on individual needs rather than a fixed age. A professional evaluation helps determine the most appropriate timing.

Who can I speak with about concerns related to tongue or lip ties?

If you have concerns about oral restrictions, scheduling an evaluation is the best first step. At Family Dental Center in Manteca, CA, Dr. Mircea Mitu and the team can assess function and discuss whether treatment may be helpful. Calling (209) 420-1205 allows you to book a consultation and receive guidance tailored to your situation.

How do I learn more about laser frenectomy?

Manteca, CA, area patients who need tongue tie or lip tie surgery are welcome to book a consultation visit with our team of professionals at Family Dental Center. Drs. Mitu and D'Louhy are here to ensure patients have access to general, cosmetic, and restorative dental services as well as the frenectomy procedure. If you are interested in scheduling an appointment at our practice, call (209) 420-1205 today!

Dr. Mircea Mitu

Mircea Mitu DDS, FICOI, AFAAID

Dr. Mircea Mitu has almost three decades of dental experience, including nine years of associateship and managing clinical practices in the East Bay Area and several years of practice and academic positions in prosthodontics. Before setting up his practice, he completed hundreds of hours in postgraduate dentistry. He has attended prestigious organizations like the UCLA Center for Aesthetic Program and Misch International Implant Institute.

Dr. Mitu is a member of the American Dental Association, California Dental Association, and San Joaquin County Dental Association and is a Fellow of the International Congress of Oral Implantologists and Asociate Fellow of American Academy of Implant Dentistry.
Dr. George D’Louhy DDS, MS

George D’Louhy DDS, MS

Dr. George D’Louhy is a respected orthodontist who has been practicing for 30 years. Dr. D’Louhy earned his Doctor of Dental Surgery (DDS) degree from St. Louis University and completed further advanced training to receive his Speciality in Orthodontics MS degree from St. Louis University School of Orthodontics.

As a specialist in Orthodontics, Dr. D’Louhy applies his three decades of experience and his expertise using Full Banded Orthodontics and other treatments to help patients achieve stunning smiles. Dr. D’Louhy is trusted for his technical skills and ability to work with patients and their parents to create beautiful, healthy smiles.