Frenectomy Ruined My Smile

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A frenectomy is a surgical procedure performed to remove a frenulum, a small fold of tissue, usually found under the tongue (lingual frenulum) or between the upper front teeth and upper lip (labial frenulum). The procedure is commonly done to correct conditions like ankyloglossia (tongue-tie) or to address orthodontic issues. While frenectomies are generally safe and routine, there are cases where patients report dissatisfaction with the results, claiming that the procedure ruined their smile. In this article, we will explore the potential reasons behind these negative outcomes and discuss the importance of informed consent and post-operative care.

Understanding the Frenectomy Procedure

A frenectomy is a relatively simple surgical procedure performed by dentists, oral surgeons, or periodontists. It involves cutting and removing the frenulum to increase the range of motion of the tongue or improve the positioning of the teeth. The procedure is often done with a scalpel, laser, or electrosurgery, and the healing process is usually quick, with minimal discomfort.

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Potential Reasons for Unfavorable Results

  1. Inadequate Pre-Procedure Assessment: One of the main reasons for unfavorable outcomes is an insufficient assessment before the procedure. Proper evaluation of the frenulum’s location, thickness, and impact on speech and dental alignment is essential to determine if a frenectomy is necessary and what type of frenectomy is most suitable.
  2. Over-Removal or Under-Removal: Skill and precision are crucial during the frenectomy procedure. Over-removal of the frenulum can lead to issues like increased mobility of the tongue, while under-removal might not achieve the intended improvement in movement or alignment.
  3. Healing Complications: Like any surgical procedure, a frenectomy can have healing complications such as infection, excessive bleeding, or the formation of scar tissue, which can impact the final outcome.
  4. Speech Impairment: In some cases, a frenectomy may lead to unexpected changes in speech patterns, particularly if the tongue-tie was not significantly affecting speech before the procedure.
  5. Dental Misalignment: If the frenectomy is performed to address dental alignment issues, improper healing or inadequate follow-up care could result in unintended dental misalignment.
  6. Patient Expectations: Unrealistic expectations or miscommunication between the patient and the healthcare provider about the potential results of the frenectomy can lead to dissatisfaction with the outcome.
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Importance of Informed Consent and Post-Operative Care

To minimize the risk of dissatisfaction with the results of a frenectomy, it is crucial for patients to be well-informed about the procedure, its potential risks, and the expected outcomes. This is achieved through a process known as informed consent, where the healthcare provider thoroughly discusses the procedure, its benefits, potential complications, and other available treatment options with the patient.

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Additionally, post-operative care plays a vital role in ensuring a successful outcome. Patients must follow their healthcare provider’s instructions regarding wound care, oral hygiene, and any necessary follow-up appointments. Any concerns or issues that arise during the healing process should be promptly communicated to the healthcare provider.

Addressing Unfavorable Results

If a patient is unhappy with the results of their frenectomy and feels that their smile has been negatively impacted, it is essential to communicate openly with their healthcare provider. Honest and respectful dialogue can help identify the specific concerns and potential solutions.

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In some cases, revision surgery or other corrective procedures may be possible to address the issues and achieve a more satisfactory outcome. However, it is essential to approach additional interventions with careful consideration, as they also carry risks and should be undertaken after thorough evaluation and consultation with the healthcare provider.


While frenectomies are generally safe and routine procedures, there are instances where patients report feeling that their smile has been ruined after the surgery. These negative outcomes can be attributed to a variety of factors, including inadequate pre-procedure assessment, improper surgical techniques, healing complications, and patient expectations. To minimize the risk of dissatisfaction, informed consent, and post-operative care are crucial. Patients should communicate openly with their healthcare provider about their concerns, and together, they can explore potential solutions to address any issues that arise after the frenectomy.

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