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Debunking Misconceptions about Frenectomy in Children


A picture of two children smiling

A frenectomy is a medical procedure that involves removing a band of tissue called the frenulum, which connects various parts of the mouth. In children, frenectomy can be a crucial solution for specific oral issues. However, there are several misconceptions surrounding this procedure.


Read on to debunk these misconceptions to help parents and caregivers understand the reality of frenectomy in children.


Why Do Children Need a Frenectomy?

A frenectomy is helpful to correct a condition known as ankyloglossia, more commonly referred to as "tongue-tie." This condition occurs when the strip of tissue (frenulum) beneath the tongue is shorter or tighter than usual, restricting the tongue's range of motion.


In infants and young children, tongue-tie can interfere with breastfeeding, making it difficult for the baby to latch onto the breast and feed effectively. It may also affect speech development as the child grows. Frenectomy cuts this excessive tissue, allowing for improved tongue mobility.


Frenectomies in children are typically safe and minimally invasive, offering potential benefits for feeding and speech development in early childhood. However, it's essential to consult with a healthcare provider or pediatric specialist to determine whether this procedure is necessary for an individual child.


Busting Common Myths about Frenectomy

Here are some misconceptions and the truth about frenectomy in children.


Misconception 1: Frenectomy Is Always Unnecessary

One common misconception is that frenectomies are performed unnecessarily in children. However, it's essential to recognize that dentists suggest frenectomies when the frenulum's tightness restricts proper oral function. Conditions like ankyloglossia (tongue tie) and lip tie can significantly impact a child's ability to breastfeed, speak, and maintain good oral hygiene.


Misconception 2: Frenectomy Is a Procedure Solely for Infants

Another prevalent misconception is that frenectomies are only necessary for babies. While it's true that frenectomies are often performed in infancy to address feeding issues, older children may also need them in some cases. As children grow, frenula-related matters can persist, affecting speech development, dental health, and overall well-being.


Misconception 3: Frenectomy Always Requires Traditional Surgery

A common misconception is that frenectomy involves traditional surgical methods with incisions and sutures. While this may be the case in some instances, technological advancements have introduced non-surgical options, such as laser frenectomy. Laser procedures are less invasive, involve minimal bleeding, and often result in quicker recovery times for children.


Misconception 4: Frenectomy Is Cosmetic in Nature

Some parents believe that frenectomy is solely a cosmetic procedure. However, it's essential to understand that the primary goal of frenectomy in children is to improve oral function and overall health. While it can have cosmetic benefits by addressing issues like a "lip tie" that affects smile aesthetics, the procedure primarily aims to resolve functional problems.


Misconception 5: Frenectomy Leads to Speech Problems

A prevalent misconception is that frenectomy can lead to speech problems in children. When a child has a restrictive frenulum (tongue tie or lip tie), it can impede proper speech development. Frenectomy, when indicated, enhances speech capabilities by allowing usual tongue and lip movement, thereby aiding speech development.


Misconception 6: Frenectomy Has No Scientific Evidence

Some parents may question the scientific basis for frenectomy. However, substantial scientific evidence supports frenectomy's efficacy for specific conditions. Research shows that the procedure can significantly improve breastfeeding, speech, and oral health for children with diagnosed frenulum issues.


Misconception 7: Frenectomy Is a Risky Procedure

In the hands of qualified healthcare professionals, frenectomy is a low-risk procedure for children. Serious complications are rare, and the benefits of improved oral function and overall well-being generally outweigh the minimal risks associated with the procedure.


Misconception 8: Frenectomy Will Have Complications

It's a misconception that frenectomy inevitably results in complications for children. While complications are possible, they are uncommon if your child gets proper post-operative care.


Misconception 9: Frenectomy Is a One-Size-Fits-All Solution

Dentist looking into a child’s mouth

Some parents believe that frenectomy is a universal solution for all oral issues in children. However, the decision to perform a frenectomy is based on a thorough evaluation by a healthcare professional, considering the child's specific condition and needs. It is not a one-size-fits-all solution but a tailored approach to address individual concerns.


Misconception 10: Frenectomy Is a Permanent Solution

Some believe that frenectomy is a one-time, permanent fix for oral issues in children. While it often provides immediate relief and improved oral function, follow-up care and exercises may be necessary to ensure the problem doesn't recur. Proper post-operative care and guidance from healthcare professionals are crucial for the best long-term results.


Misconception 11: Frenectomy Is a Quick Fix

There's a misconception that frenectomy is a quick and easy solution. While the procedure is relatively fast, identifying the need for a frenectomy, consulting with healthcare professionals, and providing post-operative care require time and commitment. It's essential to approach the procedure with realistic expectations and dedication to the child's well-being.


Misconception 12: Frenectomy Is Only About Breastfeeding

Another misconception is that frenectomy is solely related to breastfeeding issues. While it can significantly impact breastfeeding, frenectomy goes beyond this aspect. It can also address problems related to speech development, dental health, and overall oral comfort and function.


Misconception 13: Frenectomy Is a "Last Resort"

Some parents may believe that dentists suggest frenectomy when all other options have been exhausted. However, healthcare professionals often recommend frenectomy when it is the most appropriate and effective solution for the child's condition. Waiting until it's a "last resort" may delay necessary intervention and worsen the child's oral health.


Misconception 14: Frenectomy Leads to Negative Emotional Effects

There's a misconception that undergoing a frenectomy can have adverse emotional effects on children, such as anxiety or trauma. In reality, the professionals perform this procedure in a caring and supportive environment, and children often experience relief from the issues that led to the frenectomy. Proper communication with the child, age-appropriate explanations, and comforting measures can help alleviate anxiety.


Misconception 15: Post-Frenectomy Needs Speech Therapy

Some parents believe that all children undergoing a frenectomy need speech therapy afterward. Although some circumstances may call for speech therapy, not all children need it. An individual child's needs and the procedure's impact on speech development determine the need for speech therapy.




At The Children's Dental Center, we understand the unique dental needs of children, and we're dedicated to providing top-quality care that ensures their oral health and comfort. In a child-friendly environment, we offer comprehensive dental services tailored to children, including preventive care, orthodontics, and specialized treatments. Schedule an appointment with us today to ensure your child's bright smile and optimal oral health for a lifetime.


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