40806 Incision of labial frenum (frenotomy)

Name of the Procedure:

Incision of Labial Frenum (Frenotomy)
Common name(s): Frenotomy, Labial Frenectomy

Summary

An incision of the labial frenum, known as a frenotomy, is a minor surgical procedure in which a small cut is made in the tissue connecting the inside of the upper lip to the gums. This tissue is called the labial frenum. The procedure aims to resolve issues caused by a tight or abnormal frenum.

Purpose

The procedure addresses conditions like a restrictive labial frenum, which can cause problems such as speech difficulties, dental issues, or discomfort. The primary goals are to improve oral function, facilitate proper dental development, and alleviate any pain or discomfort.

Indications

• Difficulty closing the mouth fully.
• Speech impediments related to labial frenum restriction.
• Gum recession or gaps between the front teeth related to the frenum.
• Discomfort or pain caused by a tight labial frenum.
• Recurrent ulcers or irritation at the frenal attachment.

Preparation

• Patients may need to undergo a dental examination and consultation with a specialist.
• Fasting is usually not required.
• No specific medication adjustments are typically needed unless otherwise advised by a healthcare provider.
• Routine blood tests or imaging might be required to ensure no underlying conditions complicate the procedure.

Procedure Description

1. The patient is seated or lying in a comfortable position.
2. Local anesthesia is administered to numb the targeted area.
3. The surgeon uses a sterile scalpel or laser to make a precise incision in the labial frenum.
4. The frenum is then carefully detached from the upper gum and lip.
5. The area is checked for bleeding, and minor bleeding control is performed if necessary.
6. Sutures may be applied, although some methods, especially laser surgery, typically do not require them.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

The procedure is usually performed in an outpatient clinic or dental office.

Personnel

• A dental surgeon or oral surgeon performs the procedure.
• An assistant or nurse may be present to help with patient preparation and support.

Risks and Complications

• Mild pain or discomfort post-operatively.
• Minor bleeding or swelling.
• Infection at the incision site.
• Very rare risk of damage to surrounding tissues.
• Possible recurrence of frenum attachment over time.

Benefits

• Improved oral function and ease of speech.
• Better dental alignment and potentially closing gaps between front teeth.
• Relief from pain and discomfort caused by a tight frenum.
• Enhanced ability to clean the teeth and gums, promoting better oral hygiene.

Recovery

• The patient may experience minor swelling and discomfort for a few days.
• Over-the-counter pain relievers may be recommended.
• Soft foods are advisable initially, transitioning to regular diet as comfort allows.
• Follow-up appointments may be scheduled to ensure proper healing and assess outcomes.
• Normal activities can typically be resumed within a few days.

Alternatives

• Observation and no immediate treatment, if symptoms are mild.
• Physical therapy exercises targeting oral muscles.
• Speech therapy if frenum affects speech but surgery is not an option.
• Laser frenectomy as a less invasive alternative.

Patient Experience

During the procedure, the patient will be awake but numbed to prevent pain. Post-procedure, there might be some discomfort and swelling controlled with pain medications and cold compresses. Soreness in the mouth is expected but usually resolves within a week.