Infant Frenectomy

An infant frenectomy is a safe procedure that is commonly performed on infants who are born with their lingual frenum still attached to the bottom of their tongue. In most cases, this frenum naturally separates, but when it does not, there are a range of mild to moderate issues that can develop, one of the biggest among newborns being difficulty nursing. If left untreated, this issue may result in additional issues developing, such as tongue-tie, difficulty eating, increased risk of developing other oral issues and more. Fortunately, there is a safe and simple procedure that can be performed to prevent these issues from developing.

Signs an Infant Frenectomy is Necessary

Obviously no new parent wants their child to undergo an unnecessary procedure, but on the other hand, every parent wants their child to avoid running in to future problems and to enjoy good oral and physical health their whole lives long.

While the sustained oral and physical health of your child is important, one of the primary reasons a frenectomy is performed on an infant is to help ensure they are able to nurse. Infants with frenum related issues have limited movement, which inhibits their ability to nurse. If you notice any of the following, this may be an indication that your child needs a frenectomy.

• Latching difficulty
• Latch slides off while feeding
• Heart-shaped tongue, with a divot or dent on tongue tip
• Sucks in cheeks while nursing
• Fails to gain weight
• Makes clicking sounds while nursing

Other signs that your child may have a frenum issue is if the mother is experiencing severe nipple pain or has a low milk supply.

Does my Child Need a Frenectomy?

Whether your child needs a frenectomy or not is ultimately a personal decision. The procedure is not technically essential, however having this procedure performed has many benefits which are important to be aware of when weighing your decision whether or not to have the procedure performed. One of the biggest things to keep in mind is that a frenectomy may improve or restore your child’s ability to nurse. Your child will also have a reduced risk of developing issues in the future related to unusually sized frenums, such as being tongue-tied. Additional issues that may develop if the frenum is not addressed included the following:

• Poor oral hygiene. Because the tongue’s movement is limited, it is more likely that food debris will not be swept away, which can cause inflammation and decay.
• A gap may develop between their front teeth
• Inability to fully enjoy activities, such as playing a wind instrument, licking an ice cream cone, or kissing
• Speech difficulties: Adults who have what is commonly referred to as “tongue tie” can often trace this issue to an abnormally sized frenum, which can restrict tongue movement

Although an infant frenectomy is a safe procedure, it is normal for parents to have concerns for the wellbeing of their children, so if you have any additional questions or concerns, share them with your periodontist.

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