From the Research
The percentage of lingual frenotomies that readhere and require re-excision is approximately 5.2-12.7%. This relatively low to moderate rate of reattachment occurs when the cut edges of the frenum heal back together during the recovery process. Reattachment is more common when proper post-procedure stretching exercises are not performed consistently. To prevent reattachment, patients or caregivers should perform gentle tongue stretches 4-6 times daily for at least 2-3 weeks following the procedure. These exercises involve lifting the tongue up toward the roof of the mouth and stretching it outward. Additionally, breastfeeding infants or active tongue movement in older patients can help maintain the released area. Factors that may increase the risk of reattachment include insufficient initial release, inadequate post-operative care, individual healing characteristics, and the presence of excessive scar tissue. If reattachment occurs, symptoms of restricted tongue movement will typically return, necessitating a second procedure to release the tissue again. According to a study published in 2021 1, the revision rate of frenotomy was significantly lower in the 1-week follow-up group compared to the 2-week follow-up group, highlighting the importance of early follow-up and post-operative care.
Some key points to consider in preventing reattachment and promoting successful outcomes after lingual frenectomy include:
- Proper post-operative care and follow-up
- Consistent performance of tongue stretching exercises
- Early identification and management of complications
- Individualized treatment plans based on patient characteristics and needs
- Consideration of myofunctional therapy to improve tongue mobility and function, as shown in a study published in 2022 2.
It is essential to note that the quality of the evidence varies, and the most recent and highest-quality study should be prioritized when making clinical decisions. In this case, the study published in 2021 1 provides valuable insights into the importance of early follow-up and post-operative care in preventing reattachment and promoting successful outcomes after lingual frenectomy.