As a parent, you have many decisions to make for your child’s welfare. Since we are talking about your baby, it is important to make an informed choice. Understanding the differences between procedures can help.

Frenectomy procedures at our practice are provided by Dr Hany Aziz (DEN0000989492), Registered Dentist.

We encourage you to explore all options, including practices that offer scissor release. You should also check if the practitioner is experienced and whether they offer pre-procedure, during-procedure, and aftercare support. Making an informed decision is important, as understanding within the medical and dental professions continues to evolve.

The choice of approach may be influenced by the age of the child, whether general anaesthetic is needed, and whether post-surgery sutures are required.

The two main approaches are to cut with scissors/scalpel or to ablate with a laser.

Laser

Ablation (removal) by laser is a process of vaporising the tissue by heating it so that the water evaporates and the remainder undergoes combustion in seconds. The heating effect may help reduce bleeding. By controlling the laser, we aim to reduce bleeding while removing the restrictive tissue. Sutures are often not required.

Using a laser may reduce the risk of infection and may have an analgesic effect or support wound healing. Results vary between patients.

Snipping

Snipping is usually undertaken with surgical scissors. There are no cauterising or coagulating effects, and the area under the tongue is vascular. To manage bleeding, sutures or electrosurgery may be used.

In some cases, it may be more difficult to fully release the tie underneath the membrane lining the mouth. For older children, sutures are more likely to be required, and the procedure is often done under general anaesthetic.

Comparing the Approaches

When comparing lasers with scissors, lasers may cause less tissue trauma and the treatment area may show less inflammation. Some evidence suggests laser treatment may reduce the risk of tissue reattachment, though results vary between patients.

Your clinician will discuss which approach may be appropriate for your child during your consultation.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.