Treatment & Procedure

A frenectomy is a procedure that releases the restrictive tissue under the tongue or lip, allowing for improved range of motion and function. At Family Dental Guelph, we use advanced laser technology to perform precise, effective releases with minimal discomfort and optimal healing.

CO2 laser frenectomy offers significant advantages:

Precision: Allows for complete release of all restrictive tissue layers, including deeper posterior ties that scissors may miss

Minimal bleeding: The laser instantly cauterizes blood vessels, providing a virtually bloodless procedure

Reduced discomfort: Seals nerve endings, resulting in less post-procedure discomfort than cutting with scissors

Lower infection risk: The laser sterilizes as it cuts

Better healing: Creates more controlled healing with less scar tissue formation

No stitches required: The laser creates a clean release without the need for sutures

Complete release: Allows visualization and removal of all layers of restriction, not just a “snip” at the surface

The procedure itself is very quick (typically 1-2 minutes for tongue tie, less than a minute for lip tie). We use appropriate numbing techniques, and most babies cry briefly during the procedure—more from being held still than from pain. Many babies nurse immediately afterward and comfort quickly. Older children and adults receive local anesthesia and typically report minimal discomfort.

Recovery varies by age:

Infants (0-6 months):

• May be fussy for 24-48 hours
• Can typically nurse immediately after the procedure
• Acetaminophen can be used for comfort if needed
• Stretching exercises required 4-6 times daily for 2-3 weeks

Older children and adults:

• Mild discomfort for several days
• Soft diet recommended for 3-5 days
• Over-the-counter pain relief usually sufficient
• Stretching and exercises are crucial for optimal results

Stretching exercises prevent the tissue from reattaching or healing with restrictions. The mouth heals very quickly, and without proper stretching, the tissue can reattach or form scar tissue bands that recreate the restriction. These exercises involve gently lifting the tongue or lip to keep the release site open during healing. While they may seem uncomfortable to perform, they are essential for achieving lasting results.

Results vary by individual and the issues being addressed:

Breastfeeding: Many mothers notice immediate improvement in latch and comfort. Full improvement typically occurs over 2-4 weeks as baby learns to use their newly mobile tongue and any oral motor dysfunction resolves.

Bottle feeding: Improvements in feeding efficiency often occur within the first week.

Speech: May take weeks to months, especially if speech therapy is needed to retrain muscle patterns. Younger children often see faster improvement.

Sleep and breathing: Often improves within weeks as the tongue can better position itself in the mouth.

Dental and jaw issues: Long-term improvements as facial and dental development proceeds more favorably.