Labial and lingual frenectomy.
Labial or lingual frenectomy is an outpatient surgery, which is performed in modern dental clinics. A baby may require frenectomy right after being born, in the maternity hospital, as a baby may have difficulty latching to the mother's breast. Some time later, when the child begins to speak, a speech therapist or orthodontist may refer a child to a frenectomy. A frenectomy may be performed at quite a mature age, when a patient is undergoing orthodontic, prosthetic and/or periodontal treatment. This does not mean that a frenulum attachment correction is prescribed to all the patients. This decision should be taken considering all the pros and cons. If a frenulum is attached to the upper lip too low or incorrectly, it may provoke a diastema (a gap) between the front upper teeth. Bridle can provoke periodontitis early development and a mandatory frenectomy is performed if it makes a prosthesis slip. Labial and lingual frenectomy is performed under a local anesthesia, and if necessary the wound is sutured with catgut or another material. In this case a doctor prescribes a soft diet and schedules the next visit in 7–10 days to check the patient's state.