Please note we may not provide this treatment at our office. Call (940) 566-4888 to learn more.
A Comprehensive Surgical Solution for Tethered Oral Tissues
Frenuloplasty is a specialized surgical procedure used to treat tongue-tie (ankyloglossia) when a simple frenotomy isn’t sufficient. This relatively minor surgical procedure is typically recommended for severe cases of tongue tie or when the lingual frenulum is too thick or tight to be effectively treated with a frenotomy alone.
Frenuloplasty involves precision releasing the appropriate extent of tissues and, in some cases, reconstructing the tissue to improve the mobility of the tongue. This approach provides a comprehensive solution for patients suffering from tethered oral tissues in Denton, TX, and surrounding communities. To learn more about this tongue-tie treatment, contact our Denton dental practice today by calling (940) 566-4888 to schedule your appointment.
What is a Functional Frenuloplasty?
Functional frenuloplasty is a surgical procedure that involves making an incision in the lingual frenulum and, if necessary, reconstructing the connective tissue to allow greater movement of the tongue. Unlike a basic tongue tie release procedure (frenotomy), which is quick and minimally invasive, frenuloplasty is more comprehensive and may require local anesthesia or general anesthesia, especially for older children or adults.
The functional frenuloplasty approach honors the critical role that the tongue plays in multiple aspects of oral function. By incorporating a multidisciplinary protocol that integrates myofunctional therapy before and after surgery, we ensure optimal outcomes and long-term success.
When is a Frenuloplasty Recommended?
Frenuloplasty is recommended in cases where:
- The lingual frenulum is too thick or tight for a simple frenotomy
- The patient has a severe tongue tie that significantly impacts the function
- Previous treatments, such as frenotomy, have not been effective
- The patient experiences speech impediments and difficulties with chewing and swallowing
- Tethered oral tissues cause discomfort, and pain, and lead to mouth breathing
- The patient has lip and buccal ties that affect the oral function and the shape of the orofacial structure
- The patient is an older child or adult with long-standing issues related to tongue-tie
At Garden Oaks Family & Cosmetic Dentistry, Dr. Patrick Ruehle and Dr. Erika Eide evaluate each patient’s unique needs to determine if a frenuloplasty is the best course of action. Call (940) 566-4888 to schedule a consultation.
The Frenuloplasty Procedure
Pre-Operative Preparation
During the consultation, a thorough evaluation is conducted to determine if frenuloplasty is necessary. Patients will receive preoperative instructions, which may include fasting for a certain period before the surgery. Additionally, pre-operative myofunctional therapy, sometimes involving physical therapy exercises, is recommended to prepare the oral tissues for the procedure.
During the Procedure
Anesthesia is administered to ensure minimal discomfort during the procedure. Adults and children typically receive local anesthesia, while very young patients may require general anesthesia.
The dentist or oral surgeon performs precision releasing the appropriate extent of tissues in the lingual frenulum to release tethered oral tissues for maximal relief. In some cases, the tissue may be reconstructed to improve oral function. The procedure usually takes about 30 minutes to an hour, depending on the complexity.
Post-Operative Care
Proper tongue-tie treatment aftercare is essential to ensure optimal healing post-treatment and prevent complications:
- Immediate Care: Follow post-operative care instructions provided by your dentist
- Pain Management: Over-the-counter pain relievers or prescribed medications as needed
- Wound Care and Bleeding: It’s important to actively manage the wound post-procedure
- We recommend rinsing with salt water or alcohol-free mouthwash several times daily to keep the wound clean
- Please refrain from consuming caffeine and spicy foods during initial healing
- Granulation healing tissue will gradually fill the open wounds
- Follow-up Appointments: Regular check-ups to monitor healing progress
Benefits of Functional Frenuloplasty
Our comprehensive approach offers several benefits:
- Complete and Effective Release: Addresses severe cases of tethered oral tissues that cannot be treated with a simple frenotomy
- Improved Function: Enhances mobility of the tongue, which can resolve issues related to speech, eating, and oral hygiene
- Long-Term Results: Provides a permanent solution to tongue-tie, reducing the likelihood of recurrence
- Comprehensive Care: Our protocol includes post-operative myofunctional therapy to ensure optimal outcomes
Recovery Timeline and Expectations
For Infants and Young Children
Breastfeeding or bottle-feeding can usually resume shortly after the procedure. Gentle tongue exercises may be recommended to prevent reattachment of the frenulum. It’s important to monitor for signs of infection, such as unusual redness or swelling.
For Older Children and Adults
Older children and adults should follow a soft diet for a few days to avoid irritation to the lip, cheeks, or floor of the mouth. It’s important to practice myofunctional therapy exercises to improve strength and mobility. Attending follow-up appointments is crucial to monitor progress and address any concerns that may arise.
Frequently Asked Questions
The frenuloplasty procedure itself is performed under anesthesia, so patients experience minimal discomfort during the surgery. Post-operative discomfort can be managed with pain relievers.
Improvements in tongue mobility can often be seen immediately after the procedure. However, full recovery and functional improvements may take a few weeks, especially if post-operative myofunctional therapy or other interventions are needed.
As with any surgical procedure, there are potential risks, such as bleeding, infection, or injury to adjacent structures. However, these risks are minimal and can be managed with proper aftercare.
In some cases, antibiotics may be prescribed to prevent infection, but this depends on individual circumstances and will be discussed during your consultation.
Take the First Step Toward Improved Oral Function
Experiencing challenges due to tongue-tie? A functional frenuloplasty might be the answer. At Garden Oaks Family & Cosmetic Dentistry, Dr. Patrick Ruehle and Dr. Erika Eide specialize in comprehensive tongue tie release procedures, ensuring effective care for tethered oral tissues.
Our multidisciplinary approach prioritizes the function of your tongue, one of the most critical organs for oral health. We serve patients from Denton and nearby areas like Robson Ranch, Corinth, Argyle, and Krum, TX. Call (940) 566-4888 to schedule a tongue-tie consultation at our Denton dental office and enhance your oral function and well-being!