Functional Laser Frenectomies Resolve Tongue-Ties In Children And Adults

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A functional frenectomy is a surgical procedure that uses laser energy to release a “tongue-tie” (ankyloglossia), a condition where the small band of tissue under the tongue is too short or thick. By using a specialized dental laser instead of a scalpel, we can restore the full range of motion to the tongue with virtually no bleeding or pain. This procedure is vital for correcting issues with speech, breastfeeding, and proper airway development in patients of all ages.

The tongue is one of the most important muscles in the body for functional health. When its movement is restricted, it cannot rest against the roof of the mouth, which is essential for widening the upper jaw and ensuring the airway develops correctly. In infants, a tongue-tie can make nursing painful and inefficient. In adults, it can contribute to neck pain, speech impediments, and even sleep apnea. At E Dental, we perform “functional” releases, meaning we assess how the tongue moves in relation to the entire craniofacial structure, rather than just cutting tissue.

Using the WaterLase iPlus®, the procedure takes only a few minutes. The laser cauterizes the tissue as it cuts, meaning there are usually no stitches required and the risk of infection is nearly zero. Because the laser is so precise, we can preserve the surrounding delicate tissues and nerves. For our Scottsdale and Sun City patients, we provide a series of post-operative “active wound management” exercises to ensure the tissue does not re-attach and the tongue learns its new, healthy posture.

FAQ: Understanding Tongue-Ties

  • How do I know if I have a tongue-tie? Common signs include a “heart-shaped” tongue tip, difficulty lifting the tongue to the roof of the mouth, or chronic tension in the jaw and neck.
  • Does the laser hurt? We use a mild topical numbing gel; the laser itself is very gentle, and most patients feel very little during the release.
  • Is there a long recovery? No. Most patients can eat and speak immediately. The “exercises” are the most important part of the first two weeks of recovery.
  • Can it help with my sleep apnea? Yes. Proper tongue posture is a prerequisite for a healthy airway.