A frenectomy might sound like a complex medical term, but it’s a common procedure that can significantly improve oral function and health. Whether it’s for speech difficulties, breastfeeding challenges, or orthodontic reasons, many people wonder what to expect. Is it painful? How long does recovery take? And what about the cost—will insurance cover it? Let’s break it all down so you know exactly what to anticipate.
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What is a Frenectomy and Why is it Needed?
A frenectomy is a minor surgical procedure that removes or modifies a frenum—a small fold of tissue connecting the tongue, lips, or cheeks to the gums. When a frenum is too tight or improperly positioned, it can cause a range of issues affecting speech, feeding, and oral health.
Frenectomies are often recommended for infants struggling with breastfeeding, children with speech difficulties, or adults undergoing orthodontic treatment. If left untreated, an abnormal frenum can lead to issues such as speech impairments, difficulty eating, gum recession, and improper tooth alignment, potentially requiring more extensive treatment in the future.
There are two primary types of frenectomies, each addressing different concerns.
- Lingual frenectomy – This procedure is performed when the lingual frenum (the tissue under the tongue) is too tight, restricting tongue movement. Commonly known as being “tongue-tied,” this condition can interfere with speech and feeding, particularly in infants and young children.
- Labial frenectomy – This is done when the upper or lower lip’s frenum is too tight or extends too close to the front teeth. It can contribute to gum recession, difficulty closing the lips properly, or orthodontic problems that affect tooth alignment.
Does a Frenectomy Hurt?
A frenectomy is generally a low-pain procedure, as local anesthesia is used to numb the area, ensuring that patients do not feel pain during the surgery. Discomfort afterward is typically mild and can be managed with over-the-counter pain relievers.
Patients who undergo a laser frenectomy often experience less pain, minimal bleeding, and faster healing compared to traditional scalpel methods. Most people report only minor discomfort, with temporary swelling or soreness that resolves within a few days. Infants tend to experience very little distress, especially when the procedure is performed early.
How Long Does a Frenectomy Take to Heal?
The healing process is generally quick, though it varies depending on the patient’s age and the type of procedure performed. Infants typically heal within a few days to a week, while children and adults may require several weeks for full recovery. Laser frenectomies tend to heal faster due to minimal bleeding and the absence of stitches.
Proper aftercare is essential for a smooth recovery. This may include gentle stretching exercises to prevent reattachment, keeping the area clean, and avoiding excessive tongue movement in the first few days. Following these steps can help promote faster healing and reduce the risk of complications.
How Much Does a Frenectomy Cost and is it Covered by Insurance?
The cost varies depending on factors such as the type of procedure (labial or lingual), provider’s fees, geographic location, use of anesthesia, and whether multiple visits are required. On average, a standard frenectomy costs between $500 and $1,500, but in some cases, costs can reach $8,000 if additional surgical procedures, hospital fees, or specialized care are necessary.
Insurance Coverage for Frenectomy
Many medical and dental insurance plans cover a frenectomy if it is considered medically necessary. This typically includes cases where the procedure is required to address feeding difficulties, speech issues, chewing or swallowing problems, or significant oral health concerns. For infants, coverage is more likely when the procedure is performed by a medical doctor or qualified healthcare provider.
Nevertheless, if a frenectomy is done for orthodontic reasons, such as closing a gap between teeth, some insurance companies may classify it as a dental procedure. In these cases, coverage can be limited, with some dental plans only covering a portion of the cost (up to 50%).
Other Payment Options
If insurance does not fully cover the procedure, patients may consider alternative payment options, including:
- Health Savings Accounts (HSA) & Flexible Spending Accounts (FSA) – These tax-advantaged accounts can be used to pay for a frenectomy.
- Payment Plans – Some dental and medical offices offer installment plans with low or zero interest rates.
- Discounts for Full Payment – Some providers offer reduced rates for patients who pay in full upfront.
Exploring these options can help make a frenectomy more affordable, ensuring access to necessary treatment without financial strain.
Important Considerations of Frenectomy
A frenectomy is a simple yet impactful procedure that can enhance oral function, speech, and overall dental health. Whether performed on infants to aid feeding, children to support speech development, or adults for orthodontic and periodontal benefits, the procedure is safe, quick, and relatively painless. Healing times are short, and with proper aftercare, most patients recover smoothly without complications.
While the cost of a frenectomy varies, insurance may cover the procedure if it is deemed medically necessary. Patients should explore insurance coverage, payment plans, or tax-advantaged accounts (HSA/FSA) to help manage expenses.
If you or your child experience issues related to a restrictive frenum, consulting with a dentist, pediatrician, or oral surgeon can help determine whether a frenectomy is the right solution. This small procedure can provide significant long-term benefits in comfort, function, and oral health.
Sources.
Gujjari, S. K., & Shubhashini, P. V. (2012). Frenectomy: a review with the reports of surgical techniques. Journal of clinical and diagnostic research: JCDR, 6(9), 1587.
Protásio, A. C. R., Galvão, E. L., & Falci, S. G. M. (2019). Laser techniques or scalpel incision for labial frenectomy: a meta-analysis. Journal of maxillofacial and oral surgery, 18, 490-499.Patel, R. M., Varma, S., Suragimath, G., Abbayya, K., Zope, S. A., & Kale, V. (2015). Comparison of labial frenectomy procedure with conventional surgical technique and diode laser.J Dent Lasers, 9(2), 94.