What Is a Frenectomy?
Dr. Anderson’s 10-year-old patient (pictured above) presented to Anderson Periodontal Wellness for a same-day consultation and laser frenectomy of the upper lip. The before and immediate post-procedure images show how quickly and precisely this treatment can be performed. This 20-second laser procedure typically does not require traditional anesthetic injections, often referred to as “numbing shots,” but instead uses a topical anesthetic gel prior to laser use. “CC” tolerated the frenectomy exceptionally well, and her parents reported no bleeding, pain, or change in activity after the procedure.
At Anderson Periodontal Wellness in Bloomfield Hills, MI, Dr. Lauren Anderson performs laser frenectomies using advanced biologic and minimally invasive principles. As a board-certified periodontist and Diplomate of the American Board of Periodontology, she integrates precision laser technology to enhance comfort, healing, and functional outcomes for patients of all ages.
What Is a Frenum and Why Might It Need Treatment?
A frenum is a small band of muscle and connective tissue found in three primary areas of the mouth: beneath the upper lip, beneath the lower lip, and under the tongue. In many individuals, these attachments function normally and cause no issues. However, when a frenum attaches too tightly, too thickly, or in a non-ideal anatomical position, it can create developmental or functional concerns.
In children and adults, restrictive frenum attachments may contribute to speech challenges, orthodontic spacing issues, gum recession, or difficulty maintaining oral hygiene. In infants, a tight frenum under the tongue or upper lip can interfere with breastfeeding and proper latch. Early identification allows for timely correction and can prevent long-term complications.
A frenectomy is a simple, precise procedure that repositions or releases the restrictive tissue. At Anderson Periodontal Wellness, Dr. Anderson uses the ER:YSGG Waterlase laser, which eliminates the need for scalpels or sutures and significantly improves patient comfort and healing.
Laser Frenectomy: A Quick and Comfortable Solution
A laser frenectomy at our practice typically takes only 20 to 40 seconds. Using the Waterlase laser, Dr. Anderson gently releases or repositions the frenum to a more anatomical location without traditional cutting or bleeding. The laser simultaneously seals small blood vessels, resulting in minimal bleeding and swelling.
Unlike conventional blade-based techniques, laser frenectomies are often performed using only topical anesthetic gel rather than injectable anesthesia. This makes the procedure especially appealing for pediatric patients and individuals who are anxious about needles. Healing is typically rapid, with little to no downtime and minimal disruption to daily activities.
Because the laser energy is precise and controlled, surrounding tissues are preserved. This biologic approach supports faster recovery and reduces post-operative discomfort.
Tongue Tie (Lingual Frenectomy)
When the frenum under the tongue is overly tight or short, it can restrict tongue mobility. This condition, known as ankyloglossia or “tongue tie,” may affect multiple stages of development.
In newborns, tongue tie can interfere with breastfeeding and proper latch. In toddlers and older children, it may impact speech articulation, swallowing patterns, and airway development. Limited tongue mobility can also influence jaw growth and oral function over time.
An early oral examination can identify tongue tie and determine whether treatment is indicated. With a laser lingual frenectomy, Dr. Anderson can safely release the restriction in a matter of seconds. This minimally invasive approach supports improved tongue mobility and may contribute to better feeding, speech, and overall oral development.
Upper Lip Tie (Maxillary Frenum)
When the frenum connecting the upper lip to the gum is positioned too low or is excessively thick, it may create a visible space between the upper front teeth, known as a diastema. In some cases, this tissue can prevent orthodontic closure of the gap or cause relapse after braces.
By performing a laser frenectomy, Dr. Anderson removes the restrictive tissue that is pulling between the teeth. This allows orthodontic treatment to be more stable and reduces the likelihood of spacing returning after braces are removed. In certain cases, frenectomy is strategically timed alongside orthodontic care to support long-term alignment.
Correcting a maxillary frenum can also improve lip mobility and overall soft tissue balance.
Lower Lip Frenum and Gum Recession
A high or tight lower lip frenum can exert constant pulling forces on the gum tissue. Over time, this tension may contribute to gum recession, tissue detachment, or mucogingival defects.
If addressed early, a laser frenectomy can relieve the tension and prevent further tissue breakdown. In some cases, releasing the frenum may reduce the need for future gum grafting procedures. This preventive approach aligns with modern biologic periodontics, which prioritizes preserving natural tissue and maintaining long-term stability.
By eliminating the mechanical pull on delicate gum tissue, patients can experience improved gum health and reduced risk of progressive recession.
Real Patient Story: Same-Day Laser Frenectomy
Dr. Anderson’s 10-year-old patient “CC” came to Anderson Periodontal Wellness for a same-day consultation and upper lip frenectomy. Using only topical anesthetic, Dr. Anderson completed the entire procedure in approximately 20 seconds with the Waterlase laser. There was no bleeding, no need for sutures, and no disruption to normal activities.
Immediately after treatment, the patient’s lip demonstrated improved mobility. Her parents reported that she experienced no pain and resumed her usual routine without difficulty. This case highlights how gentle, efficient, and child-friendly laser frenectomy can be when performed by a highly trained periodontist.
For pediatric patients, this approach is particularly valuable in preventing long-term orthodontic, speech, or developmental challenges.
Experience Modern Frenectomy Care in Bloomfield Hills
Whether for your child or yourself, a laser frenectomy can resolve concerns ranging from speech restriction and breastfeeding difficulty to orthodontic relapse or gum health issues. Dr. Lauren Anderson combines advanced laser technology with compassionate, patient-centered care to deliver precise, comfortable results.
At Anderson Periodontal Wellness in Bloomfield Hills, MI, every frenectomy is performed with attention to anatomical detail, healing biology, and long-term function. If you are concerned about a lip tie, tongue tie, or tension affecting your gums, a professional evaluation can provide clarity and guidance.
To schedule your consultation, call (248) 480-4910. Anderson Periodontal Wellness proudly serves Bloomfield Hills, Birmingham, Troy, West Bloomfield, Royal Oak, Ferndale, and surrounding Oakland County communities.
