What Is a Frenectomy?

Oral frenula must be of a size appropriate for their function. There are three frenula in the mouth: two labial (upper and lower) and one lingual.

They must be of an appropriate length to ensure they function properly; that is, the labial frenula must allow for clear speech and a good lip seal to facilitate swallowing without difficulty. The lingual frenulum provides mobility to the tongue.

If the braces are too short or too thick, they don’t work properly. Frenectomy allows us to increase their length. There are various techniques. The maxillofacial surgeon will recommend the most suitable option for your case.

It is an outpatient procedure, most often indicated for children, and is performed under local anesthesia.

Frequently Asked Questions About Frenectomy

A frenectomy is a minor surgical procedure that corrects a labial or lingual frenulum that is too short or attached in a position that interferes with speech, breastfeeding, oral hygiene, or orthodontic stability. At Clínica Birbe in Barcelona, we evaluate your case following a functional assessment and, when appropriate, in coordination with a speech-language pathologist or orthodontist.

It is a short, outpatient procedure performed under local anesthesia. Postoperative discomfort is mild and usually lasts 2 to 3 days; it can be managed with mild pain relievers. For young children, conscious sedation may be considered for greater comfort. Complete healing occurs in 2–3 weeks, without disrupting daily life.

It leaves no visible scar. It is performed inside the mouth using a precise technique and, in many cases, with a laser or specialized instruments that minimize bleeding and promote rapid healing. The gums and lips regain their natural mobility within a few days, improving function and, when indicated, appearance.

It is performed on infants (tongue-tie causing breastfeeding difficulties), school-age children (speech or dental problems), and adults (periodontal problems, orthodontic issues, or cosmetic concerns). Dr. Joan Birbe, an ABOMS-certified specialist, evaluates each case to determine the optimal timing and the most appropriate technique.

Dr. Joan Birbe: Frenectomies Using the ABOMS Surgical Criteria

A poorly positioned labial or lingual frenulum can affect speech, breastfeeding, or the stability of orthodontic treatment. Dr. Birbe evaluates each case from a comprehensive maxillofacial perspective, endorsed by ABOMS. A frenectomy is performed using a precise technique—either conventional or laser—and always with a specific functional goal in mind, not as an isolated procedure.

Why Have Your Frenectomy at Clínica Birbe?

A frenectomy is a brief but important procedure. At Clínica Birbe, we incorporate it into a comprehensive functional diagnosis.
• Preliminary evaluation by a speech-language pathologist or orthodontist to confirm the need for treatment.
• Conventional or laser-assisted technique, depending on the patient’s needs.
• Care tailored to infants, children, and adults, with experience in lingual frenectomy.
• Simple postoperative protocol and a follow-up visit a few days later.
• Coordination with orthodontics if the frenectomy is part of a broader treatment plan.


→ Schedule your appointment at Clínica Birbe Barcelona, and we’ll assess whether a frenectomy is the right option for you.

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