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Treating Tongue Tie
Treatment for tongue-tie typically involves a simple procedure called a frenectomy or frenuloplasty. Dentists can perform a frenectomy, a surgical procedure that involves the removal or modification of the frenulum, a small fold of tissue that prevents the tongue from moving too far. It is most commonly associated with the mouth. There are two main types of frenectomy in the oral cavity:
1. Lingual Frenectomy:
This procedure is performed on the lingual frenulum, which connects the underside of the tongue to the floor of the mouth. A lingual frenectomy is often recommended if a person has a tongue tie (ankyloglossia) that restricts tongue movement causing issues with speech, eating, and swallowing.
2. Labial Frenectomy:
This type involves the frenulum that attaches the center of the upper or lower lip to the gums. A labial frenectomy might be necessary if the frenulum is causing gum recession, spacing between the front teeth, or interference with denture fitting.
Frenectomies are typically quick and can be done using scissors, a scalpel, or more modern techniques like laser surgery, which can reduce bleeding and shorten healing time. Local anesthesia is usually sufficient for pain management during the procedure. Post-operative care involves mild pain management and exercises to prevent the reattachment of the frenulum at the surgical site. The procedure aims to improve oral function and, in the case of children, ensure proper growth and alignment of the teeth.
After the procedure, some babies may experience slight discomfort and may need some time to adjust to the newfound freedom of movement in their tongue. It is important to follow any post-operative care instructions provided by the healthcare provider to help with healing and prevent complications.
When Should I Get a Frenectomy
The decision to undergo a frenectomy typically depends on the presence of symptoms or functional issues related to the frenulum. Here are some scenarios where a frenectomy might be recommended:
1. Tongue Tie (Ankyloglossia):
If a tongue tie is causing significant problems such as difficulty breastfeeding in infants, speech impediments, or challenges with eating in older children and adults, a lingual frenectomy may be necessary.
2. Labial Tie:
A labial frenectomy might be advised if the labial frenulum is contributing to dental issues such as a gap between the front teeth (diastema) that doesn’t close naturally, or if it's causing gum recession or interfering with the proper fit of dentures or orthodontic appliances.
3. Speech Difficulties:
If a restricted tongue or lip movement due to a tight frenulum is affecting speech clarity, a frenectomy might be recommended to aid speech therapy.
4. Orthodontic Reasons:
Sometimes, a frenectomy is performed to support orthodontic treatment, ensuring that the results, such as the closure of a gap between teeth, are stable and long-lasting.
5. Dental Hygiene:
In cases where the frenulum makes it difficult to maintain good oral hygiene, leading to recurrent dental issues, a frenectomy might be considered.
Before proceeding with a frenectomy, it's important to consult with a specialist—such as a pediatric dentist, orthodontist, or oral surgeon—who can evaluate the necessity and timing of the procedure based on individual needs and conditions. They may also recommend trying other interventions or therapies first, especially in young children, to see if the issue can be resolved without surgery.
If you suspect that you or your child has tongue tie, contact Forest Park Dental today, at (850) 788-8634 to set up your consultation and assessment.
