Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)
CPT4 code
Name of the Procedure:
Excison of frenum, labial or buccal
Common names: Frenumectomy, Frenulectomy, Frenectomy.
Summary
An excision of the frenum is a surgical procedure that involves removing the frenum. The frenum is a small fold of tissue that connects parts of the mouth, such as the lips to the gums. This procedure is performed to correct issues related to the frenum's position or tension.
Purpose
The procedure addresses problems such as speech impediments, feeding difficulties, gum recession, orthodontic issues, and discomfort caused by an overly tight or prominent frenum. The goal is to improve oral function, dental alignment, and overall comfort.
Indications
- Speech difficulties (e.g., tongue-tie).
- Difficulty breastfeeding in infants.
- Gaps between front teeth.
- Recessed gums due to a taut frenum.
- Discomfort or pain when the lips or cheeks are stretched.
Preparation
- Pre-procedure consultation to discuss medical history and symptoms.
- Instruction to cease eating or drinking for a few hours before the procedure.
- Possibly adjusting medications (only as directed by the healthcare provider).
Procedure Description
- Anesthesia: The area will be numbed with a local anesthetic to ensure the patient feels no pain.
- Incision: A small incision is made to remove the problematic frenum.
- Excision: The frenum is excised using surgical tools such as scalpels or laser.
- Closure: The incision site may be closed with dissolvable stitches if necessary.
Duration
The procedure typically takes around 15 to 30 minutes.
Setting
The procedure is usually performed in an outpatient clinic or a dental office.
Personnel
- Oral surgeon or dentist.
- Dental assistant or nurse.
Risks and Complications
- Bleeding.
- Infection.
- Pain or discomfort.
- Swelling or bruising.
- Rarely, scarring or altered sensation.
Benefits
- Improved speech and feeding.
- Enhanced oral hygiene.
- Better dental alignment.
- Increased comfort and reduced gum recession.
Recovery
- Post-procedure instructions include avoiding strenuous activity and following a soft diet for a few days.
- Pain management with prescribed or over-the-counter pain relievers.
- Keeping the surgical site clean to prevent infection.
- Follow-up appointment to ensure proper healing.
Alternatives
- Observation and monitoring.
- Speech therapy for speech-related issues.
- Orthodontic treatment for dental alignment problems.
- Pros: Less invasive, non-surgical options.
- Cons: May not address the underlying tissue issue.
Patient Experience
During the procedure, the patient will be awake but should feel minimal discomfort due to local anesthesia. Post-procedure, some pain and swelling are expected, which can be managed with prescribed pain relievers and cold compresses. Full recovery typically occurs within a week, with immediate improvements in affected areas noticeable shortly thereafter.