Laser Frenectomy


Tongue & Lip Revisions

Between 4% and 10% of children are born with some degree of frenulum restriction, also known as tongue-tie or lip-tie. This means that their tongues and lips are attached to the mouth with excessive connective tissue webbing. This excess tissue impedes the movement of the tongue or lips to various degrees, and can cause anything from moderate inconveniences (e.g. inability to lick your ice cream cone), to more severe impairments (such as inability to nurse during infancy, or significant speech impediments later in life). When this restricted mobility interferes with nursing, bottle feeding, or causes discomfort to mother or child, a laser frenectomy may be recommended for infants.

For children, adolescents and adults who do not undergo frenectomy in infancy, later complications may include: impaired oral hygiene, cavities, difficulty brushing and flossing, orthodontic maladjustments (gapping and tipping of teeth), as well as significant speech impediments and resultant issues with self-esteem.

Better Dental is proud to be the only dentist in the Triangle (and one of only a few in North Carolina) who offers laser frenectomy in infants (some as young as 24 hours old) as well as adults, all with high levels of satisfaction.

“Highly recommended! He is a wonderful dentist especially for children. He also corrected the tongue-tie and lip-tie of my five year old boy and my only one week old baby. I trust Dr. David Draper 100%. Also the whole team is very friendly and professional. They were so lovely with my boys (7 and 5 years old) and let them watch cartoons during the treatment. I’m very happy that I found this place.” Sonja E. Apex, NC

Common clues to look for

Symptoms and Indications

Infant Symptoms: Weight loss or slow weight gain, frequent feedings (2 hours apart or less), shallow latch on the breast or bottle, clicking & popping sounds during nursing, significant reflux or gassy tummy, the presence of a sucking callus on the lip, or becoming fatigued quickly during feedings.

Mommy Symptoms: Painful breastfeeding, breast still full of milk at conclusion of feeding, mastitis or thrush infection, or nipple trauma (such as cracking, bleeding, bruising, creasing or flattening).

Child/Adult Symptoms: Limited ability to extend tongue, gap between front teeth, painful catching of the frenulum between teeth, delayed speech, difficulty making certain sounds (such as T, R, and L sounds), difficulty swallowing solid food, or a very strong gag reflex.

If any of these symptoms are present, a laser frenectomy may be recommended for you. Please schedule your consultation today.

Laser surgery to remove excess tissue in the mouth

What is Laser Frenectomy?

for infants, children, teens or adults

Simply put, a laser frenectomy is the use of a soft-tissue, hand-held laser to detach the frenulum (connective tissue webbing) from the upper lip or tongue by a trained dentist. This may be done with the aid of local anesthesia and often takes only 1-2 minutes to complete.

Conventional frenectomies consist of cutting the frenulum with a scalpel or a pair of surgical scissors. The problem, or limitation, with the conventional frenectomy is that these older instruments can cause a great deal of bleeding, and consequently these treatments tend to not be as thorough, leaving the connective tissue still partially intact for fear of causing a scary bleeding episode. Sometimes it’s not enough to solve the problem.

Benefits of a modern approach

Why Should I Choose Laser?

The results of modern laser frenectomy are excellent. Lasers provide various benefits over steel instruments, including the following:

Cauterization: Virtually no bleeding, even in cases with thick tissue ties.

Sterilization: The laser kills bacteria and other microbes making infection virtually impossible.

Precise: The laser tip is small and easily guided where needed and nowhere else, unlike clunky scissors.

Thorough: With bleeding under control, the laser can go as far as needed to eliminate 100% of the restriction.

Healing quick, healing well

Laser Frenectomy Aftercare

Most adults and children report only minimal discomfort during the first 24-72 hours after the procedure. In infants, the recovery time is similarly quick, but it should be advised that infants, who have limited ability to express their displeasure over their sore lips and tongues, may cry and fuss more than usual during the first few days. With the help of frequent breastfeeding and skin-to-skin contact, you can make it through just fine and enjoy the benefits of improved feeding with your baby.

Analgesics to the rescue

If your baby seems uncomfortable, Children’s Tylenol (acetaminophen) can be administered every 4-6 hour as needed. It is a common practice for our parents to dose regularly within the first 72 hours. Ibuprofen (Motrin or Advil) is especially effective but has not been approved for children younger than 6 months. Remember that proper infant dosage depends on their weight. Consult your physician if you are unsure about which medications are safe for your baby.

Children’s Tylenol dosage chart

Infant over 6 lbs = 1.25 ml

Infant over 12 lbs = 2.5 ml

Infant over 18 lbs = 3.75 ml

Infant over 24 lbs = 5.0 ml

Best Pediatric Dentist In Apex
“We met with Jessica the Lactation consultant and intensively discussed the ins and out of procedure and recovery! We went over why we felt our son needed his tongue tie released and if he had a lip tie.
After a thorough exam Dr. David Draper came in and also assessed our son. We spent a good hour and fifteen minutes discussing all aspects of what would occur from procedure to immediately after and recovery as well as proper stretches and sweeps. Dr. Draper did our tongue and lip tie with the laser. Immediatley after we nursed and Jessica could already see more range of motion when nursing compared to when he nursed before surgery. We did have a fussy 2.5hr ride home, but he was happy and nursing on demand better than before operation. I was highly impressed with attention to detail and true kindness shown by all staff at Better Dental. From walking in up until the moment we left we were cared for as a family emotionally and physically. As parents we were comforted in knowing they truly wanted to help make this as calm and soothing experience as possible. My husband and I both observed procedure and it was literally minutes and they did a very safe and thorough job. Day one post recovery our son is happy and let me do proper stretches and sweeps and is eating regularly. I am very ecstatic to have been put in touch with Better Dental and would happily make the 5 hour round trip again if any future children need the same procedure.” Mary M. Apex, NC

Took my son in to get checked for a lip tie and tongue tie. The doctor was amazing, was able to fix both in a procedure that took less than 2 minutes, and hours later i am already seeing improvement in how my son is eating and talking. Every single person we encountered there was pleasant and accommodating. Can’t recommend enough! Lacey A. Apex, NC