A frenectomy, a minor surgical procedure that releases the frenum (a small fold of tissue) under the tongue or upper lip, can be a life-changing procedure for both children and adults. For infants, it can improve breastfeeding success and ease speech development; for children and adults, it can relieve oral restrictions and improve overall mouth function. At the Tongue Tie Laser Institute—part of Upbeat Pediatric Dentistry—we perform frenectomies to help patients experience the benefits of unrestricted oral movement and improved quality of life.

However, as with any surgical procedure, proper post-operative care is essential to ensure optimal healing and results. This guide provides a comprehensive overview of what to expect after a frenectomy and offers tips on how to care for the surgical site to promote a smooth, comfortable recovery. Whether the frenectomy was performed on an infant, child, or adult, following these aftercare steps can support healing and reduce discomfort.

Immediate Post-Operative Care: Setting the Foundation for Recovery

The hours and days following a frenectomy are critical for establishing a smooth healing process. Here’s how to manage this immediate post-operative period:

Manage Pain and Swelling

Some tenderness and swelling are normal after a frenectomy. To alleviate discomfort:

• Use Prescribed Pain Medication: If your healthcare provider has prescribed medication, follow the instructions carefully to manage pain effectively.
• Apply an Ice Pack: For older children and adults, applying an ice pack to the outside of the mouth near the surgical site for short intervals can reduce swelling. Limit ice application to 10-minute sessions and avoid direct contact with the skin.

Stick to a Soft Diet

A soft diet can prevent irritation to the healing area and make eating more comfortable:

• Eat Soft Foods: Yogurt, smoothies, mashed potatoes, applesauce, and scrambled eggs are great options that won’t disturb the surgical site. For infants, continue with breast milk or formula.
• Avoid Hard, Crunchy, or Spicy Foods: Foods that are too tough or abrasive can disrupt healing and cause pain.

Stay Hydrated (But Avoid Straws!)

Hydration is essential for recovery, but drinking through a straw creates suction that can disturb the healing site:

• Drink Plenty of Fluids: Encourage water intake, which helps keep the mouth moist and aids in recovery.
• Skip the Straw: Instead, drink directly from a cup or bottle to avoid putting strain on the surgical site.

Oral Hygiene: Keeping the Mouth Clean Without Disrupting Healing

Maintaining good oral hygiene after a frenectomy is essential to prevent infection and support the healing process. Here’s how to care for your mouth while being gentle on the surgical area:

Brush Carefully Around the Surgical Site

Continuing to brush your teeth is important, but you’ll want to be cautious:

• Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush minimizes discomfort and irritation around the surgery site.
• Be Gentle: Avoid direct brushing over the surgical area, and don’t apply too much pressure.

Rinse with Care

Rinsing helps keep the mouth clean but must be done gently:

• Use a Saline Solution or Prescribed Mouthwash: Rinse with a saline solution (salt water) or a mouthwash prescribed by your healthcare provider.
• Avoid Vigorous Swishing: Instead of swishing aggressively, gently tilt your head to let the rinse cleanse the mouth without causing trauma to the wound.

Steer Clear of Irritating Foods

Certain foods can disrupt the healing process:

Avoid Acidic, Spicy, or Crunchy Foods: Foods like citrus fruits, spicy dishes, and crunchy snacks can irritate the surgical site and prolong recovery.

Post-Operative Stretching Exercises: Preventing Scar Tissue and Maintaining Mobility

Stretching exercises play an important role in ensuring the success of a frenectomy, particularly in infants and children. These exercises help prevent scar tissue from forming, which could restrict movement and reduce the benefits of the procedure.

Follow the Recommended Frequency

Consistency is Key: Most healthcare providers recommend stretching exercises several times a day, typically after each feeding for infants or after meals for older children and adults. Follow the frequency guidelines provided by your healthcare provider.

Ensure Correct Technique

Learn the Right Technique: Your provider will demonstrate the correct way to perform the exercises. For infants, this may involve gently lifting the tongue or lip; for older children and adults, more specific movements may be required.

Don’t Skip Exercises: While the exercises may be uncomfortable, they are essential for preventing the reattachment of the frenum and promoting optimal mobility. 

Consult your provider if you have concerns about performing the stretches.

Follow-Up Appointments: Monitoring Healing and Adjusting Care

Follow-up appointments are vital for tracking recovery and addressing any issues that may arise. Your provider may schedule one or more appointments to ensure that the frenectomy site is healing properly.

Attend Regular Check-Ups

Check Progress: These appointments allow your provider to monitor the healing process and confirm that the frenum is not reattaching.

Adjust Care if Needed: Your provider can offer additional guidance on post-operative care or stretching exercises based on how the healing is progressing.

Consult Additional Specialists if Recommended

Depending on the individual’s needs, your provider may recommend follow-ups with other specialists, such as:

Speech Therapists: For children who need help with speech development after a frenectomy.

Lactation Consultants: For infants and mothers needing support with breastfeeding following a tongue tie release.

Signs to Watch For: Identifying Potential Issues Early

Being aware of potential complications can help you seek prompt treatment if needed. Here are some signs to monitor during the healing process:

• Symptoms of Infection: Look for redness, excessive swelling, or discharge at the surgical site. If these symptoms appear, contact your provider.
• Persistent Bleeding: Some minor bleeding is normal immediately after the procedure, but heavy or prolonged bleeding should be reported to your provider.
• Pain or Slow Healing: Discomfort is expected, but if the pain is severe or does not improve after a few days, reach out to your healthcare provider.

Long-Term Care: Supporting Lasting Oral Health

Proper care doesn’t stop once the initial healing period is over. Long-term oral care practices are essential to maintain the benefits of the frenectomy and promote overall oral health.

• Maintain Consistent Oral Hygiene: Continue to encourage brushing twice a day and flossing to prevent plaque buildup and ensure good oral hygiene habits.
• Follow a Healthy Diet: A diet rich in fruits, vegetables, lean proteins, and dairy products supports dental health and keeps teeth and gums strong.
• Regular Dental Check-Ups: Routine dental appointments allow for early detection of any issues and help maintain a healthy smile. 

Promoting Successful Recovery and Long-Term Benefits After a Frenectomy

Following a frenectomy, proper aftercare is essential for a comfortable recovery and to ensure long-term success. By carefully managing post-operative pain, maintaining a gentle but effective oral hygiene routine, performing recommended stretching exercises, attending follow-up appointments, and watching for potential signs of complications, you can support the healing process and maximize the benefits of the procedure.

At Tongue Tie Laser Institute, we’re dedicated to helping you or your child experience a smooth recovery and achieve lasting improvement in oral function and comfort. If you have any questions or concerns about frenectomy aftercare, our team is here to guide you every step of the way. Don’t hesitate to reach out for additional support and personalized care instructions tailored to your needs.