Frenectomy vs. Frenotomy — What Is the Difference

June 11, 2025

Filed under: Uncategorized — drthomas @ 8:00 am
Mother nursing her baby

Lip and tongue ties are among the most prevalent birth defects in North America and around the world. If your child has either (or both) of these conditions, timely treatment is important! Dr. Thomas will likely recommend immediate intervention to prevent potential complications such as feeding difficulties, colic, and poor oral development. Depending on the details of your child’s case, they might need either a frenectomy or a frenotomy. How do these procedures work, and what is the difference between them? This blog post explains.

Frenectomies vs. Frenotomies: The Basics

A lip tie occurs when the frenulum, located between the upper lip and gums, is too short or thick, thus restricting the lip’s movement. Similarly, a tongue tie involves a frenulum between the tongue and the floor of the mouth, which limits the tongue’s mobility.

In discussions about treatment for lip and tongue ties, people often refer to a frenectomy, though they may be referencing either a frenectomy or frenotomy. Both are minor surgeries, but their details are different.

A frenectomy involves the complete removal of the frenulum, thereby allowing full range of motion of the oral structures. Conversely, a frenotomy modifies the frenulum; it is snipped and slightly relocated rather than removed. Both procedures can provide excellent results, and both can be completed using a soft tissue laser, making them relatively comfortable for infants. Both also come with a short recovery time.

Which Procedure Does Your Child Need?

Deciding which procedure is suitable for your child requires that you consult with a qualified dentist, such as Dr. Thomas. During the appointment, our team will thoroughly examine your baby’s frenulums to determine the most appropriate treatment.

Generally, the severity of the lip or tongue tie determines how invasive the treatment must be. Many mild to moderate cases of tongue tie can be resolved with a frenotomy, whereas more severe conditions might necessitate a frenectomy. You are always free to ask us questions about why we recommend one treatment over another. Generally speaking, we tend to favor more conservative options when possible.

Either a frenectomy or frenotomy might be just what your child needs to enjoy excellent oral health both now and in the future. Our team will be happy to talk to you about these procedures and how they work.

Meet the Practice

Dr. Preetha Thomas is an experienced dentist who has performed hundreds of frenectomy procedures throughout her career. She and our team enjoy working with infants and children, and we are always happy to team up with parents to promote optimum oral health for young ones. To learn more about us and how we may be able to serve you, contact Enclave Dental in Southlake at 817-912-1218.

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