Infant Tongue & Lip Tie Release/ FrenectomyMassapequa Park, NY

Adelberg Montalvan provides frenectomies for infants, children, and adults on Long Island. Contact one of our Long Island locations to learn more or schedule your appointment.

About Our Frenectomy Procedures

We use the most advanced CO2 lasers to correct tongue and lip ties (Tethered Oral Tissue, also known as TOTS) in a quick, easy procedure that can be used in patients of all ages, from infants to adults. Our doctors have been using lasers to remove frenums for many years and continue to receive advanced training. We have helped numerous families continue to breastfeed successfully and with no pain. 

A lip or tongue tie is an abnormal attachment of the upper lip or tongue that reduces mobility and function. While the frenum (the tissue under the tongue or upper lip) is meant to be present, it may be too tight, thick, or attached. Sometimes a frenulum looks abnormal but is fine with a child functioning normally. Other times a small amount of tissue or “hidden tie” can cause problems. Come in and speak with one of our doctors to learn more.

Many people can get around this tight tissue and speak and eat normally but others need help. As an infant gets older this tissue may affect tooth position, eating and even sleeping.

Babies may have trouble latching, have trouble gaining weight, often make clicking or popping noises while feeding, have milk leaking out, or be very gassy.

Tongue and lip ties may cause longer feedings, pain for the mother due to incomplete draining of the breast, irritation, and pain on the nipples, and create frustration with feedings. Too often a nursing mother gives up and says that breastfeeding is just not for her when a simple procedure can resolve many of the problems.

Contact us to learn more and schedule an appointment.


A frenectomy is a simple surgical procedure performed to release the connection of the “frenum,” a connective muscle between two tissues.

A lingual frenectomy may also be referred to as the release of tongue-ties (ankyloglossia). This procedure is performed on the connective tissue under the tongue. The procedure is often performed on neonatal patients to assist with nursing or on toddlers or older patients who need the surgery to help correct speech issues caused by limited movement due to the frenum.

A labial frenectomy is performed on the tissue that connects the lip to the gums. This may be performed on children or adults to aid with orthodontic treatment or even help with the proper fitting for a denture or appliance.

A frenum is the piece of tissue that connects the lip or tongue to the jaw.  A frenectomy is a procedure that cuts this piece of tissue with a scalpel, scissors, or laser.
Some people need a frenectomy when the piece of skin connecting the lip or tongue to the jaw is too short, too tight, or attached in a poor place. Poor placement may cause problems with dental health, feeding, speech, or even sleep.
A frenectomy may be needed when the abnormal attachment of the lip or tongue prevents proper latch while breast or bottle feeding.
Our doctors are specially trained in using soft tissue lasers for frenectomies and have years of experience performing the procedure. Our doctors have completed very specific training and meet frequently with pediatricians and lactation consultants. We offer a supportive nonjudgmental atmosphere for honest and open communication and guidance. Importantly, we view the entire child and often don’t recommend a frenectomy or suggest other solutions to resolve issues. The choice is the parents along with their support network including lactation consultants, pediatricians, and other providers. There is no pressure to perform any procedure in our office
Typically, in our office, we do not place stitches for infant frenectomies but may at times for older children and young adults.
Many older children need a frenectomy when the tissue connecting the lip or tongue pulls improperly on the gums. This may result in gingival (gum) recession and difficulty brushing. Some children need a frenectomy in conjunction with orthodontic treatment to allow adult teeth to come together for better esthetics. Other children need a frenectomy to aid in proper speech and swallowing.
Sometimes due to a tight frenulum (the piece of tissue under the tongue), children can’t move their tongue to the correct posture to make certain sounds. Often removing this tissue can aid in speech therapy.
A lingual frenectomy should be done when the tissue under the tongue causes problems with feeding, speech, or swallowing. A frenectomy should not be done just because one may see the frenum. Often our doctors suggest not doing the procedure, waiting, or following up with a lactation specialist or speech therapist.
Frenectomies can be performed in many ways: scalpel, scissors, diode laser, or CO2 laser. When we perform a frenectomy with the CO2 laser at Adelberg Montalvan Pediatric Dental, it is virtually painless and very quick. For some older children, we may numb the area first.
Because a laser frenectomy can be done very quickly, children are not typically put to sleep in our office.
With the use of a CO2 laser, a frenectomy is almost painless and has very little bleeding.
Many providers can perform a frenectomy and it is a common procedure for a dentist. Our pediatric dental office has been performing laser frenectomies for over 20 years.
While some patients can overcome the physical limitations of tethered oral tissues, a simple procedure may make it much easier to resolve speech and feeding issues. Frenectomies can also be an important part of orthodontic treatment as the dentist moves teeth closer together. An unusual tissue attachment may impact gingival health and oral hygiene too.
Most children heal in a few days and all children can go back to normal activities in a few hours. Some babies may be fussy for a few days. You will also see a wet scab for a week or more. Complete healing may take a few weeks.
Typically the procedure is covered under your insurance, so individual costs can vary. Our laser frenectomies are very affordable and we offer payment plans if needed. Call our office so we can confirm coverage and benefits.
Babies are actually encouraged to breastfeed immediately after a frenectomy, which can promote healing and comfort the baby. Many families breastfeed immediately after the procedure. Older children who are numb may have to wait to eat for about one hour. When you do give your child food again, steer clear of rough foods like chips, pretzels and hot, spicy foods. For older children, ice pops are a good post-procedure treat that also feels great!
Frenectomies remove tissue that may be in the wrong place, pushing teeth apart or not allowing proper tongue movement for eating and speech.
While many dentists can perform a frenectomy, we believe that a pediatric specialist with years of extra training working with children is best. Our team is trained and experienced in lasers and knowledgeable about breastfeeding.
After a laser frenectomy procedure, patients report less postoperative pain and better function. Since patients generally don’t need anesthesia, there’s also less downtime after the frenectomy with a laser. And, the laser itself encourages healing of the tissues in the mouth.
Two to three days following surgery, hard white tissue may be seen in the surgical site. This is a sign that the tissue is healing normally. Complete healing of the extraction site may take several weeks.
Infants typically do very well after this short, easy procedure. It is best to breastfeed immediately after; we can provide a comfortable private room to do so. Sometimes we ask the family to do some stretching exercises after the procedure. We also suggest the use of Tylenol as needed and as appropriate for the child’s weight. Some children are fussy for a few days, but usually, it’s short-lived. For older children, we recommend myofunctional therapy for the best outcomes.
There may be many reasons for having trouble achieving a good latch. One reason may be due to tethered oral tissues (TOTS). This means that your baby’s lip or tongue may be attached too tightly to the jaw. This can interfere with the proper tongue position required for a good seal for feeding.
Tongue-tied is a common way to refer to ankyloglossia, or when the tongue is abnormally attached with a thicker or tighter band of tissue that does not allow for normal tongue movement.
Babies are tongue- tied from the time they are born. There is no known cause, but it is a variation from normal. Some children can do well with a tie and for others it makes feeding difficult.
While some ties are obvious and clear to see, some can be difficult to diagnose and less visible. These may still cause feeding issues and should be treated.
If your baby is having feeding issues, they may benefit from a frenectomy. Lip and tongue tie can interfere with both breast and bottle feeding by preventing a baby from being able to latch properly.
We use soft tissue lasers for frenectomies instead of scalpels because laser frenectomies involve less bleeding, little to no scar tissue, and heal faster.
If your child’s pediatrician or lactation consultant believes tongue or lip tie is causing problems with breastfeeding, then a laser frenectomy can help. Some signs of lip or tongue tie in breastfeeding babies include fussiness, gassiness, and falling asleep during feeding.

Reviews From Our Patients

"My husband and I met with Dr. Bennett today. Our 5- day-old infant had an upper lip tie and it was making nursing and weight gain quite tricky. Dr. Bennett sat with us and thoroughly explained the procedure and even offered us additional advice and help if we needed it. He performed the advanced laser procedure in mere minutes; it was truly amazing. We were then able to use their private nursing room to make sure our baby could eat comfortably. My little girl did fantastic. Dr. Bennett and his team were truly amazing. We are so grateful and glad to have been referred to such a wonderful practice. We highly recommend!"​
Danielle M.
"I’m a hygienist already in the dental field so I really search for high quality when looking for a new practice to go to, especially for my daughter. I was looking for a pediatric dentist who had a laser for my daughter to get her tongue tie removed. She is 10 days old. We landed upon the Nesconset office, which was very clean and they offered coffee and water. The procedure was explained to us thoroughly with great bedside manor by Dr. Adam. They exceeded my expectations and then some—from the front desk team to the team member who brought us to the room and made sure we were comfortable with the procedure. It only took about 3 minutes and they were done. My daughter of course was crying but that was to be expected. Dr. Adam brought us to a cozy room so that I could nurse and they checked in on us twice. Afterwards Dr. Adam came in and explained how everything went and what exercises we should be doing at home. Everyone was very accommodating and professional during our entire visit and there was no pressure on us to do anything. I haven’t been this impressed with an office in a very long time. Thank you all for what you do and how you do it ; it doesn’t go unnoticed."
Leah D.
Call our office for a consultation. If needed and desired, the procedure can often be completed the same day. Infant ties are released in our Massapequa Park and Nesconset office locations only.
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