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Laser Frenectomy for Lower Lingual Frenum (Tongue-Tie Release)

Surgical Procedure

Chief Complaint

Patient was referred by a speech therapist for tongue-tie release due to functional limitations.

Clinical Findings

  • Lower lingual frenum noted to be very short and tight

  • Functional limitations observed:

    • Restricted tongue mobility affecting speech

  • Difficulty with food clearance from the buccal sulcus

Treatment Plan

Frenectomy and tongue-tie release of the lower lingual frenum using a combined surgical and laser-assisted approach

Pre-operative Assessment

  • Referral from speech therapist reviewed

  • Indications, risks, benefits, and procedural steps explained

  • Patient and patient’s father understood and agreed to proceed

  • Informed consent obtained for lower lingual frenectomy

Anesthesia

Local anesthesia via infiltration

Surgical Procedure

  • Patient cleaned and draped

  • Lower lingual frenum placed under tension

  • Frenum released using a 15C surgical blade

  • Alveolar gingival tissue dissected away using sharp dissection to partial thickness

  • Laser used for final contouring and hemostasis

  • Post-operative instructions provided

Post-operative Assessment

  • Tongue mobility improved immediately post-procedure

  • Hemostasis satisfactory

  • Patient tolerated procedure well

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