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Smiles Family DentalFort Worth · Hulen St.
Lip and tongue tie release

Frenectomy in Fort Worth

A tight band of tissue under the lip or tongue can pull on the gums, spread the front teeth apart, or limit movement. A frenectomy releases that band in a short, gentle visit.

Frenectomy at Smiles Family Dental in Fort Worth
Common types
Lip tie and tongue tie
Procedure time
Often under 30 minutes
Method
Laser or scalpel
Ages treated
Children and adults

What a frenum is

Everyone has several frenums in the mouth. One connects the inside of the upper lip to the gum above the front teeth. Another runs from the lower lip to the gum below. A third attaches the underside of the tongue to the floor of the mouth. Most of the time they cause no trouble at all.

Problems start when a frenum is unusually short, thick, or attached too close to the teeth. Then it can tug on the gums, restrict movement, or get in the way of other dental care.

Lip ties and gum health

A tight lip frenum can pull on the gum tissue each time the lip moves. Over years, that steady tug may lead to recession on the front teeth. It can also make brushing that area uncomfortable, so plaque builds up.

In children, an upper lip frenum that runs between the front teeth can help keep a gap open. That gap may close on its own as permanent teeth come in. If it does not, a frenectomy is often timed with orthodontic treatment so the space can close and stay closed.

Lower lip frenums can cause problems too. When the band attaches high on the gum below the lower front teeth, each pull of the lip can stretch thin tissue and expose roots. People with naturally thin gums in that area tend to notice it first. Releasing the band early can help keep the gum where it belongs.

A quick, gentle procedure for kids, teens and adults.
A quick, gentle procedure for kids, teens and adults.

Tongue ties and daily function

When the band under the tongue is tight, the tongue may not lift or stick out fully. Some people notice trouble with certain speech sounds, a hard time licking their lips, or a tongue tip that looks heart-shaped when they stick it out. Others have no symptoms at all.

Not every tongue tie needs treatment. We look at how the tongue moves and whether it is causing real problems before suggesting a release. For speech concerns, working with a speech therapist alongside treatment often gives the best results. Newborns with feeding trouble are usually best seen by a provider who focuses on infant care, and we are happy to point you in the right direction.

Frenectomy in Fort Worth with a laser option

Smiles Family Dental uses dental lasers for many soft tissue procedures. For a frenectomy in Fort Worth, a laser can release the tissue with little bleeding and often no stitches. Many patients find healing quicker and more comfortable than with a traditional scalpel approach.

Some cases still do better with a scalpel and a few small stitches, especially when the frenum is very thick. We will explain which method fits your situation and why.

Healing at home

Most patients feel mild soreness for a few days. Soft foods and over-the-counter pain relief usually do the trick. The area may look white or yellow while it heals, which is normal. For tongue releases, gentle stretching exercises may be recommended to keep the tissue from tightening again as it heals.

Families in Fairmount, Wedgwood, and nearby neighborhoods can usually schedule a frenectomy and be back to school or work the next day.

Frenectomy for denture wearers and adults with recession

Adults sometimes discover a frenum problem later in life. A lower lip frenum that sits high can make a lower denture lift or rock when you talk. A tight band near a front tooth can keep gum recession going even after grafting. In these cases, a release can make other treatments work better and last longer.

We often pair a frenectomy with a gum graft when both problems sit in the same spot. Treating them together can mean one healing period instead of two. If you wear dentures, releasing a frenum that interferes with the edge of the denture may help it sit more securely.

Every case starts with a simple look at how the tissue moves when you smile, talk, and lift your tongue. If the frenum is not causing trouble, we will tell you so and leave it alone. There is no reason to treat something that is working fine.

A frenectomy may help if you notice

  • A gap between the upper front teeth that is not closing
  • Gum recession near a lip attachment
  • Trouble lifting the tongue to the roof of the mouth
  • Pain or tugging when moving the lip
  • Difficulty with certain speech sounds
  • Orthodontic plans where a frenum could reopen a gap
At our Hulen St. office

What to expect, step by step

  1. Evaluate the frenum

    We check how the tissue attaches and how it affects gums, teeth, or movement.

  2. Choose the method

    We explain laser and scalpel options and give you a written plan.

  3. Numb and release

    After numbing, the frenum is released, usually in well under an hour.

  4. Stretch and check

    You get simple aftercare and, for tongue releases, exercises that support healing.

Patient questions

Frenectomy: common questions

Straight answers from our Fort Worth team. If your question is not here, call and ask. We are happy to talk it through.

At what age can a child get a frenectomy?

A frenectomy can be done at almost any age, but timing depends on the reason. For a gap between the front teeth, many dentists wait until the permanent canines come in, often around age 11 or 12, since gaps sometimes close on their own. Tongue ties that affect function may be treated earlier. Newborns with feeding issues are often seen by an infant specialist.

Does a frenectomy hurt?

A frenectomy is done with numbing, so most patients feel little during the procedure. Mild soreness for two to four days afterward is common and usually managed with over-the-counter pain relief and soft foods. Laser frenectomies often cause less bleeding and swelling. Most children and adults return to normal routines by the next day.

How much does a frenectomy cost?

The cost of a frenectomy depends on whether it is a lip or tongue release, whether a laser or scalpel is used, and whether it is part of a larger treatment plan. Some insurance plans cover a frenectomy when it is medically or dentally necessary. For other costs, Smiles Family Dental offers payment plans, a dental savings plan, and FSA or HSA use.

Will a frenectomy close the gap between my front teeth?

A frenectomy alone may not close a gap between the front teeth, though it removes tissue that can hold the teeth apart. Closing the space usually takes orthodontic treatment such as Invisalign or braces. Doing the frenectomy around the time of orthodontic care can help the gap stay closed once the teeth are moved together.

Can adults get a frenectomy?

Adults can get a frenectomy, and many do. Adults often need one when a tight frenum is causing gum recession, making it hard to clean the front teeth, interfering with dentures, or limiting tongue movement. The procedure and healing are similar to those for children. Our Fort Worth office treats adults who have lived with a lip or tongue tie for years.

Can a tongue tie come back after release?

A tongue tie can partly reattach if the healing tissue tightens, which is why gentle stretching exercises are often recommended for a few weeks after a release. Following those instructions lowers the chance of the tissue tightening again. If movement still seems limited after healing, a follow-up visit can check whether more treatment would help.

Paying for frenectomy

We file insurance for you, accept FSA and HSA cards, offer monthly financing and have an in-house savings plan for patients without dental insurance.

See payment options
Fort Worth · Hulen St.

Ready when you are.

Call our Hulen Street office or request a time online. We will review your insurance, explain every option in plain language and give you a written plan before anything starts.