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2440 N. Josey Ln, Suite 202
Carrollton, TX 75006
(972) 242-7603

1601 N. Elm St, Suite B
Denton, TX 76201
(940) 566-7021

651 Cross Timbers Rd, Suite 102
Flower Mound, TX 75028
(972) 434-8050

6340 Preston Rd, Suite 100
Frisco, TX 75034
(469) 489-ROOT


ROOT™ Periodontal & Implant Centers


Serving the Greater Dallas Fort Worth Metro

Frenectomy Serving the Greater Dallas Fort Worth Metro


Frenectomy Dallas Fort Worth

A frenectomy (frenulectomy) is a procedure that addresses and corrects issues related to a frenum. This procedure is most typically performed in children. The two most common type of frenulum’s that are treated are the lingual frenum and the maxiliary labial frenum. The lingual frenum connects the tongue to the floor of the mouth. When this frenum runs all the way to the tongue’s tip, a patient is said to be tongue-tied. The maxillary labial frenum is responsible for attaching the gums and upper lip above your top front teeth.

Patients who have a tight frenulum can occasionally be misdiagnosed with TMJ, due to similarity in symptoms (chronic pain, clicking sensation, jaw soreness). If you have been diagnosed with TMJ and treatment is not improving your condition, your issue may be related to your frenulum.

At ROOT™ Periodontal and Implant Center, we are committed to ensuring you maintain your bright and healthy smile. We are also proud to provide you with the latest dental technology to ensure that you achieve the long-lasting results that you deserve. If you are interested in learning more about the quality services we offer, or if you have any questions concerning whether or not a frenectomy is right for you or your child, contact us today. We are committed to helping you achieve and maintain that bright, healthy smile that you deserve!

Frenulectomy For Children

Children with over-sized frenums can experience a range of issues, including the following:

  • Can cause gum recession
  • Difficulty speaking
  • Difficulty breastfeeding
  • Frenulum gets stuck between teeth
  • Difficulty sticking tongue out
  • Increased risk of developing periodontal disease, due to receding gums

Frenulectomy For Adults

Adults with frenulums that are over-sized can experience a range of issues, including the following:

  • Can cause gum recession
  • Jaw pain
  • Difficulty swallowing
  • Increased risk of developing dental issues
  • Issues communicating
  • Difficulty playing particular types of instruments
  • Difficulty kissing

At ROOT™ Periodontal and Implant Center, your bright, healthy smile is our top priority. Our experienced team of specialists is invested in meeting all of your dental needs: from calming anxieties to teaching good habits, from periodontal check-ups to dental surgery.

Dr. Patel

The Frenectomy Process

In order to determine if a frenectomy is right for you or your child, you will need to schedule an initial consultation, during which we will examine the overall health of your teeth, review your medical history, and determine what treatment options are best suited to your unique needs.

If a frenectomy is determined to be the optimal treatment option for you or your child, the procedure will begin with administration of a local anesthetic for older children or adults. Next, your periodontist will use a laser or scalpel to separate the frenulum. The procedure is relatively painless and can typically be completed with 15-30 minutes.

Potential Consequences of Not Having a Frenectomy

A range of issues can develop for patients who do not pursue treatment, including:

  • Airway constriction/nasal sinus congestion
  • Chronic mouth breathing
  • Crowded teeth
  • Improper swallowing and/or messy eating
  • Inadequate lip seal
  • Limited jaw growth
  • Limited or altered dental arch development
  • Limited movement of oro-facial muscle
  • Periodontal disease


Scheduling regular visits to maintain your teeth and gums will actively improve your overall health, and maintaining a bright and strong healthy smile will do wonders for your self-confidence.

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Aftercare for Frenectomy

Following the procedure, it is critical to stretch the tongue and lip area within four hours. First, wash and dry your hands and then begin to playfully rub the gums, palate, and inner cheeks. Doing so will encourage tongue movement and relax your baby. Next, place your finger beneath the tongue and lift up, holding it in place for three seconds before releasing. Do this one or two times. Next, lift your child’s upper lift until it covers the nostrils. Hold this position for approximately three seconds and repeat this process one or two times. Finally, massage the area of the lip directly beneath the nose. Ideally these exercises will be repeated before feedings for the first two weeks, but it is most important to perform them during the first 48 following the procedure.

Performing these stretching exercises will have the following benefits:

  • Optimal healing and tongue functionality and mobility
  • Prevents oral aversion
  • Prevents scar formation and re-attachment
  • Improves your child’s feeding skills

In addition to providing this aftercare for your child, you will need to schedule a follow up appointment to ensure you are healing properly and that the treatment has been successful.

Adults recovering from a frenectomy procedure can expect some mild pain or discomfort, which can typically be addressed through administration of ice packs and pain relieving medication, such as Tylenol or Ibuprofen. It is also important to follow a soft food diet following surgery, sticking to foods like mashed potatoes pasta, soups, scrambled eggs, etc. Finally, you should maintain your normal oral hygiene care, though it is important to avoid rinsing vigorously. You should also brush lightly in the areas where the dressing is placed.

Babies who have a frenectomy will typically demonstrate or experience mild fussiness or discomfort following the procedure, but this can usually be relieved through breast feeding. If your baby continues to be uncomfortable, Tylenol can help relieve discomfort. Be certain to carefully follow the recommended dosage based on your baby’s weight.

Frenectomy Cost

There are a range of factors that can impact the final cost of having a frenectomy, such as the severity of your case, any associated procedures that will need to be performed prior to or along with treatment, as well as your insurance plan.

Our team is committed to helping you complete necessary paperwork, schedule appointments, and answer any questions you have concerning billing. For patients who have insurance plans, we do request you submit medical/dental insurance information with your New Patient Paperwork to expedite this process.

Please note: to reduce costs to our patients while still ensuring that we can provide the highest level of care, we have the following financial polices:

  • We accept Discover, Visa, MasterCard, and American Express
  • Full payment is due after services rendered
  • Payment plan options are available via


To determine if you have gum disease, your periodontist will measure the space between your teeth and gums. Patients who have pockets that are deeper than the average depth of three millimeters or less will be considered candidates for treating gum disease. Depending upon how severe your case is, your periodontist will suggest a follow up appointment, during which several different treatment options may be recommended.

Pinhole Surgical Treatment

Patients who are suffering from periodontal disease may experience gum recession. If this issue is not treated at an early stage, more complicated and serious problems can develop, as gum recession creates greater exposure of your natural teeth, which creates opportunities for bacteria to build. To address this issue, patients have historically had gum grafting, which involves removing tissue from unaffected areas and then grafting this tissue to the areas that have been affected. This is an effective method for addressing the issue of receding gums, however there is a newer and increasingly popular approach to treating receding gums, which is the Chao Pinhole Surgical Technique (PST).

Learn More About Pinhole Surgical Technique >

Laser Gum Surgery

Laser gum surgery is an advanced treatment option that efficiently and painlessly treats gum disease through the use of a laser. One of the unique aspects of laser gum surgery is that the laser pinpoints and kills bacteria without damaging surrounding gum tissue. Unlike other treatment options, which involve cutting and suturing, patients who have laser gum surgery and treatment performed will have a much quicker healing process.

Learn More About Laser Gum Surgery >

Gum Grafting

Patients who have gum recession may consider having a gum graft, a common oral surgical procedure that thickens existing gums and/or covers a tooth root surface in order to prevent further recession from occurring. Gum recession can occur for a variety of reasons, but the most common reason is due to periodontal disease. A gum graft will not only improve the aesthetic appearance of your smile, but will also reduce your risk of developing additional issues.

More About Gum Grafting >

Gingival Contouring

Patients who have an imbalanced ratio between their visible gums and teeth have what is commonly referred to as a gummy smile. Gummy smiles can be caused by a range of factors, including bone deterioration, periodontal disease, or genetic predisposition. Regardless of the reason, patients often feel self-conscious about their appearance and will seek to improve this issue by having a gum contouring procedure performed.

More on Gum Contouring >

Scaling & Root Planing

Scaling and Root Planing (also known as deep teeth cleaning and deep gum cleaning) is a common method used to address periodontal disease. Scaling refers to the process of removing tartar that has accumulated, either on your teeth or below your gumline. Planing refers to the removal of tartar below the root line. When bacteria is allowed to settle on your teeth for too long, it will eventually mineralize and turn into tartar. The primary difference between plaque and tartar is that plaque can be removed by conventional brushing methods, whereas tartar will need to be removed through the efforts of your periodontist. It is important to schedule regular deep teeth cleaning and deep gum cleaning appointments to prevent periodontal disease from developing.

More on Scaling & Root Planing >


Schedule Your Visit Today

At ROOT™ Periodontal and Implant Center, we take your health, confidence, and teeth seriously. Scheduling regular visits to maintain your teeth and gums will actively improve your overall health, and maintaining a bright and strong healthy smile will do wonders for your self-confidence. In addition to recognizing the importance of your oral health, we also understand the importance of your time, which is why we are committed to making every visit to our clinic as efficient as possible.

If you would like to learn more about the frenectomy procedure and/or see if a frenectomy is right for you or your child, schedule an appointment or consultation today with our friendly, helpful staff, who can be reached at the following locations: Carrollton: (972) 242-7603; Flower Mound: (972) 434-8050; Denton: (940) 566-7021, or Frisco: (469) 489-ROOT.

We look forward to serving you and your smile and having you on your way as soon as possible!