The mouth is very good at healing after a surgery, which is why caring for the wound is an integral part of the process. If the wound is not managed properly, it’s possible the tongue will reattach the way it was before the frenectomy.
The tongue and oral muscles will need to be retrained and strengthened after the frenum is released.
We perform laser frenectomies using the LightScalpel™ CO2 laser. We perform them on children of all ages – infants to adolescents – as well as adults. Because of the preciseness of the laser, we are able to gently remove the tissue causing restrictions without bleeding and with minimal post-op discomfort.
The area to be released is much better defined when muscles are toned. Therefore, myofunctional therapy is a must before release of the frenum. Once restriction is removed, post-frenectomy oromyofunctional therapy is also necessary in order to reestablish the swallowing, chewing, speaking, and breathing patterns acquired as a result of the tongue-tie. Repetition of the pattern entrains behavior that helps to establish jaw stability. Length of time of therapy before and after the release is established by the myofunctional therapist depending on the overall goals of the patient. Without such therapy, the incorrect swallow, speech impediments, and compensatory posture and breathing habits remain, which can eventually lead to the relapse of obstructive sleep apnea and a return of pre-operative sleep-disordered breathing and other disorders. Understanding the continuous interaction between muscle activity of the tongue and other oral-facial muscles, as well as the development of normal anatomic structures supporting the upper airway, may lead to expansion of myofunctional reeducation as a therapeutic tool.
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