Plastic surgery of the frenum of the upper lip, tongue

Plastic surgery of the frenum of the upper lip, tongue

The frenum of the tongue is a vertical fold that connects the bottom of the tongue to the floor of the mouth. It is quite elastic, and its normal length is 5-7 mm. Located strictly in the center of the tongue. Anomalies in the development of the frenum lead to various dental diseases, malocclusion, speech defects, and impaired breast sucking in infants. Dentistry Amel Dental Clinic offers painless cutting of the frenum of the tongue in Dnipro, or frenuloplasty, which will avoid many unpleasant consequences, but first we would like to talk about such violations in more detail, about how the plastic of the frenum of the tongue is performed.

If the plastic of the frenum was not done at an early age and the child did not experience discomfort during feeding, then later, due to the interweaving of the fibers of the frenum into the gum, problems with diction appear.

Anomalies in development are also possible in the frenum of the lip. The reasons for the formation of a short frenum of the lips are not fully understood, and its presence very often becomes the cause of the appearance of diastema, thinning of bone tissue in this area, and in adults it leads to inflammation and periodontal dystrophy.

Violations in the development of the frenum of the tongue and lips

The severity of certain functional disorders depends on the elasticity and length of the ligament, the place of its attachment, the length and flexibility of the edge of the tongue. The etiology of abnormalities in the development of frenum is not fully understood. It is assumed that in the process of morphological differentiation of tissue structures, they are formed in insufficient or too large quantities. This leads to a shortening of the frenum, a decrease in their elasticity, abnormal attachment, etc. A shortened frenum or a frenum that is not attached correctly is the cause of gum injury during meals, the development of inflammation and periodontal dystrophy, the formation of soft plaque and tooth decay.

If the frenum of the upper or lower lip is too short, a gap may appear between the front teeth of the jaw (diastema). Systematic damage to the gingival papilla during eating very often leads to increased bleeding of the gums, and in addition, diastema disrupts the formation of diction in the child.

Specialists identify five types of short bridles that limit the mobility of the child’s tongue:

  • thin, transparent bridle;
  • thin, translucent, the end of which is attached near the tip of the tongue;
  • thick, opaque, attached near the tip of the tongue;
  • dense, spliced with the muscle fibers of the tongue;
  • practically does not stand out, closely intertwined with the muscle fibers of the tongue.

All types of anomalies limit the mobility of the tongue and therefore need correction. Almost a third of children with short bridles have difficulties in feeding, the development of the dentoalveolar system is impaired.

These violations are diagnosed, as a rule, even in infants when the child is examined by a specialist. In older children, it is possible to detect such defects at a dentist’s appointment, or the parents independently pay attention to the fact that the child cannot lick his lips, stick the tip of his tongue out of his mouth, etc. In some cases, the Hazelbaker test is used to assess the functionality of the frenum.

Correction of the frenum of the tongue and lip

An absolute indication for the treatment of a short frenum is a displacement of the dentition and the formation of a malocclusion. If pronunciation disorders are found, in most cases the problem can be solved by stretching the hyoid ligament during speech therapy exercises. In case of malocclusion resulting from a short frenum of the tongue, orthodontic treatment is performed.

In children over nine months of age, dissection of the short frenum is performed with scissors under local application anesthesia. At an older age, plastic surgery of the upper lip frenulum is recommended – excision of the upper lip frenum (decortication) and changing its attachment site with sutures (some users mistakenly call this procedure “removal of the upper lip frenum”). To combat stereotyped speech habits after surgery, classes with a speech therapist may be required.

Undercutting the frenum of the upper lip, lower lip, tongue is performed as follows:

  • 1
    Classical technique. A scalpel is used. After surgery, stitches are applied. The rehabilitation period is several days.
  • 2
    Laser cutting of the frenum of the tongue. The operation is performed using a laser scalpel. The procedure is completely painless and the rehabilitation period is about 2 days. An important advantage of the laser technique is the absence of bleeding (due to coagulation of blood vessels), as well as quick recovery after surgery.

The main advantages of laser cutting of the bridle:

  • no need for traditional anesthesia;
  • coagulation of small vessels when using a laser eliminates bleeding;
  • no risk of infection;
  • completed in a few minutes;
  • tissue regeneration occurs very quickly, there is no swelling, the scar is almost invisible.

Actions after cutting the bridle

After surgery, you should adhere to the following doctor’s recommendations:

  • at first, you should follow a diet, refusing too hot, solid and spicy foods, drink only chilled drinks;
  • strictly adhere to the rules of oral hygiene;
  • 1-2 days after the intervention, it is necessary to go through a doctor’s control;
  • if necessary, a special course of restorative gymnastics is prescribed.

Correction of the frenum of the upper lip and tongue at the Amel Dental Clinic in Dnipro

Low attachment of the frenum of the lip, too short a frenum – in our clinic, all types of corrections are carried out to avoid various complications, including diction disorders, inflammation, periodontal dystrophy. All manipulations (excision, incision, transfer of the attachment site) are performed without pain and in one visit.

You can make an appointment with a doctor by filling out an application on the website of the dental clinic Amel Dental Clinic, Dnipro (Dnipropetrovsk). On the site you can get a free consultation using contact numbers or one of the communication channels: Telegram, Facebook, WhatsApp, by e-mail. You can find out the prices in the price list on the website or from our managers by phone.

Price: Plastic surgery of the frenum of the upper lip, tongue

Upper lip frenum plasty, laser2 000 UAH
Tongue frenum plasty, laser2 000 UAH
Tongue frenum plasty, laser
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Has over 10 years of practical experience in the field of dental surgery. He is an adherent of the use of innovative ultrasound surgery in the daily practice of a dental surgeon, since it is she who makes it possible to carry out surgical interventions quickly and without unpleasant painful sensations. Such techniques allow you to maximize the preservation of bone tissue and reduce the risk of complications to zero. He attended over 15 practical courses and seminars abroad. Full member of the ITI Association and the Ukrainian Implantology Association. Since 2009, he attended courses in implantology, since that time he began to place dental implants. More than 1000 implants installed in 2018-2019.For Denis, professional growth and development is of great importance, so he regularly attends courses and master classes not only in Ukraine, but also abroad.This gives him the opportunity to study the most progressive treatment methods that then he applies it in practice.
  • Education
    DSMA, dentist
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While still a student, Evgeny got an internship at the maxillofacial department of an emergency hospital in Kharkov and decided to become a surgeon, despite the fact that the work is difficult, but very interesting. Evgeny is constantly improving his skills at numerous master classes and seminars of the world's leading specialists in the field of implantation, guided bone regeneration, surgical navigation, periodontal surgery and aesthetic dentistry. Thanks to his skills and experience of more than 10 years, he has the ability to carry out “cowless” (less traumatic) operations of implantation and tooth extraction. Thanks to his mastery of the “all on 4” and “all on 6” implant placement technique, Evgeniy helps to restore chewing function even to patients with complete loss of teeth. Fluency in English helps to easily establish communication with foreign patients. Evgeny has more than 150 successful operations to increase the volume of bone tissue and more than 1000 installed implants in 2018-2019. In his opinion, the pursuit of continuous improvement, constant study of the world's best practices in dentistry and hard work are the keys to success.
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    KНNMU, dentist
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    Surgery, orthopedics
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Stanislav wanted to be a neurosurgeon, but fate brought him to dentistry, and for 10 years he has been working in this field. In his daily work, thinking, conceptual vision, accuracy and self-criticism are very important for him. Doesn't represent a dentist without an emphasis on nuances, care and accuracy. Thanks to perfectionism, exactingness and introspection, Stanislav manages to achieve excellent results. In addition to his favorite profession, he is interested in self-development, scientific literature, quest rooms.
  • Education
    KНNMU, dentist
  • Specialization
    Orthopedics, surgery
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