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Philadelphia Office: Philadelphia PA Periodontics Office Phone Number215-985-4337 | 1520 Locust Street, Suite 600
Philadelphia , PA 19102 |
Philadelphia Office: Philadelphia PA Periodontics Office Phone Number215-985-4337| 1520 Locust Street, Suite 600
Philadelphia , PA 19102 |
Frenectomy In Philadelphia
A frenum is a small fold of tissue that connects your lips or tongue to your gums. While these attachments are natural, problems arise when a frenum pulls too tightly on gum tissue or restricts normal movement. An overly prominent labial frenum between your front teeth can cause a persistent gap, while a restrictive lingual frenum limits tongue movement and creates speech difficulties.
Dr. Jay Laudenbach and Dr. Ishita Bhavsar at Laudenbach Periodontics & Dental Implants perform frenectomy procedures to address these concerns. This simple surgical procedure removes problematic frenum tissue, improving oral function and preventing complications like gum recession. Our Philadelphia practice uses advanced techniques to ensure comfortable treatment and optimal results.
Understanding Frenum Problems
Your mouth contains several frenums in different locations. The labial frenum connects your upper lip to the gum tissue between your front teeth. When this attachment sits too close to the teeth or pulls excessively on the gums, it can prevent teeth from touching and create a noticeable gap.
The lingual frenum connects your tongue to the floor of the mouth. A short or tight lingual frenulum restricts tongue movement, a condition commonly called tongue tie. This restriction affects how you eat, speak, and maintain oral hygiene. Buccal frenums connect your cheeks to your gums on the sides of your mouth and can cause similar issues when positioned improperly.
Problems develop when frenums attach too high on the gums or pull with excessive force. The constant tension on gum tissue can lead to recession, exposing tooth roots and increasing sensitivity. Children may struggle with proper speech development, while older children and adults experience difficulty eating certain foods or pronouncing specific sounds.
When You Need a Frenectomy
Not every frenum requires treatment. The procedure becomes necessary when the tissue attachment causes functional problems or threatens your oral health. An abnormally large or tight labial frenum that creates a gap between your front teeth often needs removal, especially before or during orthodontic treatment.
Tongue tie significantly impacts daily activities. Restricted tongue movement makes it difficult to speak clearly, chew food properly, or clean your teeth effectively. Infants with tongue tie may have trouble breastfeeding. Speech therapy alone often cannot overcome the physical limitation created by a tight lingual frenum.
Gum recession caused by frenum pull represents another clear indication for treatment. When the frenum attachment sits too close to your teeth, it constantly pulls on the gum margin. This tension causes the gum tissue to recede, exposing roots and creating pockets where bacteria accumulate.
Your periodontist may recommend a frenectomy before orthodontic treatment begins. Removing a problematic frenum improves the stability of tooth movement and helps ensure successful long-term results. The procedure prevents the frenum from pulling teeth back to their original positions after braces are removed.
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The Frenectomy Procedure
A frenectomy is a minor surgical procedure typically completed in a single office visit. The process begins with a local anesthetic to numb the treatment area, ensuring you feel no discomfort during the surgery. Most patients experience only slight pressure as the periodontist works.
Traditional frenectomy uses a scalpel to carefully remove the frenum tissue. The periodontist makes precise incisions to release the attachment from the gums, then closes the area with small sutures. This approach provides excellent control and predictable healing.
Laser frenectomy offers an alternative approach using a soft tissue laser instead of a scalpel. The laser removes tissue while simultaneously sealing blood vessels, reducing bleeding during the procedure. Many patients prefer laser procedures because they typically cause less post-operative discomfort and require minimal or no sutures.
The entire quick procedure usually takes 15 to 30 minutes, depending on the complexity. For labial frenectomy, your periodontist releases the tissue connecting your lip to your gums. Lingual frenectomy removes or releases the tissue restricting your tongue to the floor of your mouth.
Recovery and Healing
The healing process after frenectomy typically progresses smoothly with proper care. You may experience mild soreness, slight swelling, or minor bleeding in the first 24 hours. Over-the-counter pain medication usually provides adequate relief, though your periodontist may prescribe medication for larger procedures.
Avoid strenuous activities for the first few days to prevent bleeding. Stick to soft foods that require minimal chewing and avoid hot, spicy, or acidic items that might irritate the surgical site. Gentle rinsing with warm salt water helps keep the area clean and promotes proper healing.
Most patients return to normal activities within two to three days. The surgical site heals completely in about two weeks, though you’ll notice improvement much sooner. Maintaining excellent oral hygiene remains important, but be gentle around the treatment area while it heals.
Follow all post-operative instructions provided by your healthcare provider. Contact your periodontist if you experience severe pain, excessive bleeding, or signs of infection. These situations are rare, but prompt attention ensures the best outcome.
Benefits Beyond Immediate Relief
Frenectomy benefits extend well beyond solving the immediate problem. Children with tongue tie often show dramatic improvement in speech after the restriction is removed. The increased tongue movement allows clearer pronunciation and more natural speech development.
Closing gaps between front teeth creates a more attractive smile and makes orthodontic treatment more effective. When combined with braces or aligners, frenectomy helps ensure teeth stay in their corrected positions rather than drifting back apart.
Preventing gum recession protects your long-term oral health. By removing the source of constant tension on your gums, frenectomy stops progressive tissue loss that could otherwise lead to root exposure, sensitivity, and increased risk of decay or periodontal disease.
Improved oral function makes everyday activities easier. Eating becomes more comfortable when your tongue moves freely. Speaking feels natural without tissue restrictions. Even basic oral hygiene improves when you can properly position your tongue and lips.
Experience Expert Frenectomy Treatment at Laudenbach Periodontics & Dental Implants
Dr. Jay Laudenbach and Dr. Ishita Bhavsar bring specialized training in periodontal surgery to every frenectomy procedure. With over 25 years of experience, our team understands the nuances of frenum problems and uses proven techniques to achieve the best results. We offer both traditional and laser approaches, selecting the method that best suits your specific needs.
Our Philadelphia practice provides comprehensive care in a comfortable environment. Whether you need treatment for yourself or your child, we take time to explain the procedure and answer your questions. Schedule your consultation at Laudenbach Periodontics & Dental Implants by contacting our office today.
Frequently Asked Questions About Frenectomy
Is a frenectomy painful?
The frenectomy procedure itself is not painful because your periodontist uses local anesthetic to completely numb the treatment area. You may feel slight pressure during the surgery, but no sharp or uncomfortable sensations. After the anesthetic wears off, most patients experience only mild soreness similar to minor mouth irritation. Over-the-counter pain medication effectively manages any discomfort during the first day or two. Laser frenectomy typically causes even less post-operative discomfort than traditional methods.
How long does frenectomy recovery take?
Initial healing takes about three to five days, during which you may experience minor swelling and soreness. Most patients return to work, school, and normal activities within two to three days after the procedure. Complete healing of the surgical site occurs over approximately two weeks as new tissue forms. You’ll need to avoid hard, crunchy, or spicy foods for the first few days and maintain gentle oral hygiene around the area. Your periodontist will schedule a follow-up visit to ensure proper healing.
Can a frenectomy fix the gap between my front teeth?
A frenectomy removes the tissue causing the gap, but it does not automatically close the space between teeth. The procedure is often performed before or during orthodontic treatment to prevent the frenum from pulling teeth apart. After frenectomy, braces or clear aligners can move the teeth together, and without the restrictive frenum, they’re more likely to stay in position. For best results, your periodontist and orthodontist work together to coordinate the timing of frenectomy with your overall treatment plan.
Do children need frenectomy more than adults?
Children and adults both benefit from frenectomy when a problematic frenum affects oral function or health. Infants with severe tongue tie may need early intervention to help with feeding. Children often undergo the procedure before orthodontic treatment to improve outcomes. Adults commonly seek frenectomy to address gum recession, speech difficulties, or gaps between teeth. The procedure works effectively at any age, though addressing issues earlier can prevent complications like progressive gum recession or long-term speech problems that become harder to correct.
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1520 Locust Street, Suite 600
Philadelphia, PA 19102
215-985-4337
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