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Dentistry/Double Cut for Infant Frenectomy?

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Question
Two incisions
Two incisions  
Hi,

Our four week old son had a frenectomy performed at the recommendation of the lactation specialist. We noticed that he had two incisions under his tongue where the laser cut. One was at the frenulum under the tongue, but there was also another below that under the salivary ducts. He now has a "mini tongue" so to speak. Is it normal to make a second incision below the salivary ducts for a frenectomy? It sort of look like it was an accident. Not sure if this is normal and if his "second tongue" will go away.

Thanks!

John

Answer
John -  Usually a single lingual frenectomy incision is appropriate.  In  the use of the laser for incision, unlike a scalpel incision, the cut may not be as exacting, but they are usually adequate.  Not being there for the incision, I have to agree with you, but the healing appears normal, so everything should be fine.  

Just so you know, when a lingual frenectomy is performed, the tongue often shrinks back and gives the appearance of the tongue being smaller, but when the child begin to use it more, it will regain normal appearance and function.  The redundant area of the incision should shrink during the healing and make the area look and function normally.

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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