Frenectomies
Thoughtful, Conservative Care for Tongue & Lip Ties
At Little Dental Studio, frenectomies are never routine or rushed.
We take a careful, function-based approach to evaluating tongue and lip ties, always considering the whole child before recommending treatment.
Not every frenum requires intervention. Our goal is to understand how your child’s oral function, feeding, speech, comfort, and development are being affected — and to guide families thoughtfully and conservatively.
What Is a Frenum?
A frenum (also called a frenulum) is a small band of tissue that connects the tongue, lip, or cheek to the surrounding tissues. In some children, this tissue may be tight, thick, or restrictive.
When restriction is present, it can sometimes contribute to:
• feeding difficulties in infants
• speech challenges in older children
• gum recession or irritation
• dental crowding or spacing concerns
• grinding or clenching
• oral discomfort or tension
• mouth breathing and airway-related concerns
In many children, however, a frenum causes no problems at all.
That is why evaluation...not assumption...is essential.
Our Philosophy
Function First. Always.
We do not diagnose or recommend frenectomy based on appearance alone.
We consider:
• tongue mobility
• feeding history
• speech development
• oral posture
• growth patterns
• comfort and tension
• and collaboration with therapists when appropriate
Many children are simply monitored over time.
When treatment is recommended, it is because function clearly supports it.
Dr. Angela's Experience & Expertise
Dr. Angela Austin is highly experienced in the evaluation and treatment of tongue and lip ties and is known for her advanced, conservative approach to laser frenectomy care.
She was one of the first pediatric dentists in Northern Virginia to introduce the Solea CO₂ laser into her practice : a technology recognized for its precision, comfort, and excellent healing response.
This advanced laser allows for:
• minimal discomfort
• reduced bleeding
• greater precision
• and faster healing
Families and referring providers trust Dr. Austin for her careful assessment, meticulous technique, and individualized treatment planning.
Infants, Children & Individualized Timing
We evaluate infants as young as 10 days old when feeding concerns are present, as well as toddlers and older children with speech, oral function, or developmental considerations.
Timing matters.
Readiness matters.
And every child is different.
We take all of this into account before recommending any intervention.
Collaboration & Whole-Child Care
We believe strongly in team-based care and frequently collaborate with:
• myofunctional therapists
• speech-language pathologists
• feeding specialists
• lactation consultants
• pediatric providers
This collaboration helps ensure that when treatment is needed, it is part of a thoughtful, comprehensive plan. Not an isolated procedure.
Before & After Care
When a frenectomy is performed, we guide families through gentle post-procedure care and, when appropriate, exercises to support healing and function. We also work closely with therapists to encourage optimal outcomes.
Our team provides clear guidance, education, and support every step of the way.
What Parents Can Expect
• Honest, thoughtful recommendations
• Clear explanations
• No pressure
• Respect for your questions and concerns
• A calm, supportive experience for your child
Our goal is never to “sell” a procedure — it is to support your child’s long-term comfort, development, and wellbeing.
A Thoughtful Next Step
If you have concerns about your child’s tongue or lip tie, or have been referred for an evaluation, we would be happy to talk through your child’s unique situation.
Every child is different. Every recommendation is individualized.
