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Surgery and Implants

Frenectomy for a child in Astana: indications, methods, age

A short frenulum restricts the movement of the tongue or lip. The doctor assesses whether it interferes with feeding, speech, hygiene, or bite. The release is performed under local anesthesia, most often with a laser or scalpel. The age and method depend on the clinical picture. The decision is made together with the parents, sometimes with a speech therapist or orthodontist.

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by type of workwarranty period is stated in the contract
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How much does frenulum release for a child cost in Astana

Full price list
TreatmentDuration & warrantyPrice
Pediatric dentist consultation0 ₸Message on WhatsApp
Treatment of caries in a primary toothfrom12 000 ₸Message on WhatsApp
Treatment of pulpitis in a primary toothfrom24 000 ₸Message on WhatsApp
Primary tooth extractionfrom9 000 ₸Message on WhatsApp
Crown on a baby toothfrom29 000 ₸Message on WhatsApp
Pediatric cleaning with fluoride treatmentfrom21 000 ₸Message on WhatsApp
Fissure sealing, one toothfrom12 000 ₸Message on WhatsApp
Plate for correcting a child's bitefrom54 000 ₸Message on WhatsApp
Enamel remineralizationfrom5 000 ₸Message on WhatsApp
Sedation during dental treatmentfrom53 000 ₸Message on WhatsApp

How much does frenulum release for a child cost in Astana

The cost depends on which frenulum is being released — tongue, upper lip, or lower lip — and on the method: cutting with scissors or scalpel, laser, or radiofrequency. We do not publish prices in tenge on the page: the service catalog is empty. The exact amount is given after examination, during consultation. Initial examination and treatment plan — 0 ₸.

By method

What types of frenulum release are there for a child

To understand how the treatment options differ and what determines the choice.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the "Types of Intervention" section

Classic scalpel excision

The classic technique: the frenulum is cut with a scalpel or surgical scissors under local anesthesia. The instrument allows the incision to be precisely controlled, so it is more often chosen for a thick frenulum with a broad base. Unlike the laser and radiofrequency methods, the tissue is divided mechanically, and during the procedure the doctor decides whether sutures are needed.

Chairside appointment: dentist at work, over-the-shoulder shot of the assistant — illustration for the section "What complications and contraindications may occur"

Laser frenectomy

Laser cutting is performed without a scalpel: the tissue is incised by a directed beam, contact with it is minimal, and the edge of the incision remains dried. It differs from the classic method in that the incision is not mechanical and sutures are required less often. The doctor considers this option for a thin, elastic frenulum, when precision in the treatment area is important.

The doctor shows the patient an image on the screen and explains the treatment plan — an illustration for the section "Age-related indications"

Radiofrequency excision

In the radiofrequency method, the tissue is cut with an electrode through which a high-frequency radio wave passes; there is no mechanical pressure on the tissue, and the vessels along the edge of the incision are sealed immediately. It differs from the laser in the type of energy, and from the scalpel in the absence of a mechanical incision. The doctor considers it taking into account the structure of the frenulum, the child's age, and their readiness to undergo the procedure calmly.

Stages of frenulum release in a child

Consultation: doctor and patient at a screen with an X-ray — illustration for the section "How a child's frenectomy procedure is performed"
Step 01

How the frenulum release procedure is performed in a child

First, examination and assessment of the frenulum, then anesthesia. The intervention takes several minutes: the tissue is cut or excised; with the laser method — without a scalpel. After the procedure, the doctor gives care recommendations and schedules a follow-up appointment.

Preparation: the assistant lays out sterile instruments, the dentist puts on gloves — illustration for the "Preparing for your appointment" section
Step 02

Preparation for the appointment

No special preparation is needed. The child should be fed 1–1.5 hours before the visit so that he is calm. If anesthesia or sedation is planned, the doctor informs the preparation rules and list of tests in advance.

The treatment stage itself: the doctor's gloved hands working inside the oral cavity — an illustration for the section "Post-procedure follow-up"
Step 03

Follow-up after the intervention

In the first days, swelling and discomfort are possible; they are relieved as prescribed by the doctor. Parents are explained how to treat the area and what to feed the child. A follow-up examination shows how healing is progressing.

Follow-up visit: the dentist checks the result with a mirror while the assistant holds the saliva ejector — illustration for the section "Is there a warranty on the procedure?"
Step 04

Is there a guarantee for the procedure

Treatment at the clinic is covered by a warranty — its term depends on the type of procedure and is stated in the contract, while the conditions depend on the type of intervention and on following the recommendations. The specific terms and scope of the warranty are set out in the contract during the consultation.

Doctors

Who provides care in this specialty

Clinic doctors who see patients for this service. A treatment plan is drawn up after an examination.

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Mukanov Erasyl Mirasovich, Pediatric General Dentist, Oral Surgeon and Orthodontist — dentist at the Dental-Center dental clinic in AstanaThe estimate is reviewed by the clinic's pediatric therapist, surgeon, and orthodontistTakes 20 seconds — an administrator will reply during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installment plan: Jusan bank — 24 months, Kaspi — 12

Which doctors perform frenectomy in children?

Frenectomy is a minor operation on the oral mucosa. It is performed when a thin band restricts the free movement of the tongue or lips. Most often, the intervention is performed by a surgeon, and the child is referred by a pediatrician, speech therapist, or orthodontist.

Structure and functions of the frenulum

The frenulum is a fold of mucosa that connects the movable parts of the mouth to the fixed ones. Under the tongue, it runs from the floor of the mouth to the lower surface of the tongue. Under the upper lip, it runs from the gum to the inner side of the lip. The frenulum does not simply "pull": it sets the boundaries of movement. The tongue rises to the palate, extends forward, and presses against the upper teeth. The lip moves away from the gum when smiling and speaking. If the fold is short or tight, these movements are limited. The child adapts: repositions the tongue, uses the lips to help, changes the latch on the breast or pacifier. From the outside, it looks like a habit, but the cause is anatomy. The degree of restriction varies: in one child the band is thin and elastic, in another it is tight and woven into the tissues. This determines whether surgery is needed and to what extent. The doctor decides after examination. Sometimes observation is sufficient, sometimes dissection is indicated.

When dissection is truly necessary

  • Feeding difficulties: the baby cannot latch onto the breast or bottle, tires quickly, loses milk, and gains weight more slowly than usual.
  • Limited tongue mobility: the tip cannot lift to the palate, the tongue cannot extend forward, and a groove or cleft forms when it is protruded.
  • Speech problems: sounds that require lifting the tongue are difficult to produce, speech is slurred, and articulation is strained.
  • Orthodontic concerns: a short upper lip frenulum pulls on the gum, a gap remains between the front teeth, and the bite develops incorrectly.
  • Preparation for orthodontic treatment: before fitting braces or aligners, the doctor may recommend a frenectomy so the tongue can move freely.
  • Difficult hygiene: plaque accumulates under the tongue, is hard to remove with a brush, the gum around the frenulum becomes inflamed, and tartar forms earlier.

How to suspect a shortened frenulum in your son or daughter

Parents often notice details earlier than the doctor: how the child eats, speaks, smiles. But not every feature means a problem. Let's look at what to watch for at home and what is checked during an appointment.

Signs visible at home

  • Feeding: the baby nurses for a long time, tires easily, frequently pulls away from the breast or bottle, and weight gain is slower than the pediatrician expects.
  • Speech: by age three to four, the sounds "r," "l," and the sibilants (s, z, sh, ch, zh) are difficult, the tongue seems to stick to the lower palate, and articulation is weak.
  • Smile and tongue: ask the child to lift the tongue toward the upper teeth. If the tip splits or pulls along with the frenulum, and the tongue itself barely lifts off the floor of the mouth, it's a reason to see a doctor.
  • Hygiene: plaque builds up between the lower incisors that is hard to remove with a brush, the gums bleed, and tartar appears earlier than usual.
  • Bite: a gap remains between the front teeth, the teeth grow unevenly, and the lower jaw juts forward when swallowing — this is how an open bite forms.

What the doctor evaluates during the examination

The doctor examines not only the length of the frenulum, but also its width, the point of attachment, and the mobility of the tongue and lips. They ask the child to reach the upper teeth with the tongue, lick the lips, and click the tongue. They assess how the tongue works during swallowing and speech, and whether there is tension in the gums when smiling. Sometimes an X-ray or imaging is needed to see the position of the roots and evaluate the bite. If the frenulum is short but function is not impaired, surgery may not be necessary — the doctor decides based on the clinical picture. Intervention is performed when there are clear signs: impaired sucking, speech, swallowing, or oral hygiene. Before surgery, the doctor explains what will change after healing and whether preparation is needed — for example, a course of myogymnastics or work with a speech therapist. The final decision always rests with the parents and the doctor, not with a single sign from the list.

At what age is it best to cut the frenulum?

There is no single timeline for all children. The decision depends on how the frenulum interferes with sucking, chewing, speaking, and tooth growth. Age here is a guideline, not an order.

Infancy and early childhood

In an infant, the frenulum is examined if feeding is difficult: the baby tires quickly, loses the latch, and gains weight poorly. In that case, cutting the frenulum may be suggested in the first weeks or months of life. At this age, the tissue is thin, healing is fast, and the procedure itself takes minutes. But not every shortened frenulum requires intervention. If the baby sucks calmly, weight gain is normal, and the mother feels no pain during feeding, there is no need to rush. They observe. The doctor looks at how the tongue lifts, how it moves during crying and sucking, and whether the tip is retracted. Sometimes the frenulum looks short but does not interfere with function. Then it is left alone, and the question is revisited later, when the child begins to chew solid food or speak. Early intervention is justified when there is a specific obstacle: feeding does not improve, weight stalls, the child is fussy at the breast. It depends on the clinical picture.

The age when the child begins to speak

From two to five years, the frenulum most often comes to the attention of a speech therapist. The child is already speaking, and it is clear which sounds are difficult for them. The upper frenulum can restrict tongue elevation, and then sibilants, "r," and "l" are affected. But a short frenulum is not the only cause of such problems. Sometimes it is a matter of articulation, hearing, or the structure of the dental arch. Therefore, they first look at how the tongue moves, whether the child can raise it to the palate, lick the upper lip, and click the tongue. If movement is limited and speech therapy sessions produce no progress, the doctor may discuss cutting it. At this age, the procedure is also relatively easy, but the child already understands what is happening and needs preparation. The decision is made together: speech therapist, dentist, parents. There is no need to rush if speech is developing normally and the frenulum only appears short on examination. It depends on the clinical picture.

Laser or scalpel: how the methods differ

The instrument changes the course of the intervention, but not its essence: the tissue is cut, and the edge heals. The difference lies in exactly how this happens. The scalpel cuts, the laser vaporizes tissue, and this affects the child's sensations and post-procedure care.

Comparison by key features

FeatureScalpelLaser
How the cut is madeThe blade cuts mechanicallyThe beam vaporizes tissue
StitchesSometimes placedOften not needed
BleedingPresent, blood vessels are cutThe edge is sealed by the beam
DurationShort, a matter of minutesShort, a matter of minutes
After-effectsDepends on the extentDepends on the extent
Who it is offered toThe doctor decides based on the clinical pictureThe doctor decides based on the clinical picture

What influences the choice of instrument

The choice does not come down to one method being better than another. It depends on the clinical picture: how short the frenulum is, whether it is thin or dense, where it attaches, and how close the vessels run. A dense band with a broad base is easier to cut with a scalpel — this makes it easier to control the incision. A thin, transparent film is separated neatly by the beam, and the edge remains dried. In a small patient, speed and how they tolerate the intervention matter, so the instrument is selected taking into account age, behavior, and anxiety. The doctor weighs all of this before starting. The laser does not completely replace the scalpel, and vice versa. Sometimes a classic incision is more reasonable, sometimes the beam. The doctor decides, and this decision is explained to the parents before the procedure, not after.

Is anesthesia needed when cutting a child's frenulum?

Parents almost always ask about pain relief. The answer depends on the child's age, the structure of the frenulum, and how well the young patient tolerates medical procedures.

Local anesthesia: how it works

In most cases, local anesthesia is sufficient. The mucosa is treated with a lidocaine gel — this is preparation so that the injection is not unpleasant. Then an anesthetic solution is injected with a thin needle into the base of the frenulum. Within a few minutes the tissues lose sensation, and the doctor begins the procedure. The child remains conscious, can hear the doctor, and can report discomfort. For older children this is an advantage: they stay in control of the situation and are less afraid. For infants under two or three years of age, topical anesthesia without an injection is sometimes sufficient — if the frenulum is thin and the incision takes only seconds. The decision is made by the doctor after examination. How deeply anesthesia is needed depends on the clinical picture: a thick frenulum with abundant blood supply requires full infiltration, while a thin, membranous one requires minimal intervention. Sometimes cooling the area or applying gel is enough. Parents may stay nearby if the child is calm and this does not interfere with the procedure. If the child is very anxious, crying, or thrashing, local anesthesia may not work as intended, and then another option is discussed.

When general anesthesia is considered

General anesthesia for frenulum release is not routine practice. It is used rarely. The reasons include: severe anxiety in the child, inability to perform the procedure while the child is conscious, concomitant conditions in which local anesthesia is undesirable, and also the extent of the intervention exceeding a simple incision. Age alone is not an indication: infants often undergo the procedure without anesthesia, while a teenager with a panic reaction to the dental chair may need it. The decision is made jointly — by the doctor and the parents, sometimes with the participation of an anesthesiologist. Before general anesthesia, tests, an examination, and airway assessment are required. This adds time and preparation. Parents should understand: general anesthesia is a separate medical procedure with its own risks, and it is chosen not for the doctor's convenience but based on the child's condition. If the case allows local anesthesia, it is more reasonable to opt for it. What suits a particular child is decided by the doctor after examination and discussion with the parents.

How long does the frenulum take to heal after release, and how to care for it

Healing times depend on the clinical picture: the depth of the frenulum, tissue density, the child's age, and the method used. Care in the first days affects how recovery proceeds.

What happens in the first days

Immediately after the procedure, a thin film is visible at the incision site — this is fibrin, the wound's natural protection. During the first day, slight swelling and sensitivity may persist. The child sometimes refuses hot food but tolerates cold water and soft food without issue. On the second or third day, the film thickens and the swelling subsides. If a whitish or yellowish coating appears, this is not a sign of suppuration but a normal stage of cleansing. The warning signs are different: increasing pain, throbbing, fever, bad breath. In such cases, a doctor's examination is needed, not attempts to treat the wound at home. Complete healing takes varying amounts of time: in an infant the mucosa recovers faster, in a school-age child more slowly, because the tissues are denser. The doctor provides guidance at the appointment based on how the procedure went and how the wound looks over time.

Care recommendations

  • Oral hygiene: brush the teeth with a soft brush twice a day, avoiding the incision area. Use only a small amount of toothpaste, with gentle movements and no pressure. If the child is small, an adult should help.
  • Diet: for the first few days, give soft, warm or cool food — yogurt, puree, porridge. Avoid hot, spicy, sour and hard foods until the mucosa settles down.
  • Rinsing: aggressive solutions are not needed. Warm boiled water after meals is enough. Alcohol-based and concentrated products can irritate the healing tissues.
  • Habits: make sure the child does not touch the wound with the tongue or fingers, does not bite their nails, and does not pull on a pacifier. Such irritation interferes with recovery.
  • Activity: quiet games instead of running and jumping. A fall or a blow to the mouth area in the first few days can damage the fresh wound, and then a follow-up examination will be needed.
  • Medications: any ointments, gels or antiseptics — only as prescribed by the doctor. Do not apply them to the wound on your own: this can disrupt natural cleansing.
  • Examination: if after a few days the swelling does not go down, the pain worsens or the temperature rises, book an appointment. This is not necessarily a complication, but it needs to be checked.

Does frenulum release affect speech and bite?

The lingual and labial frenula are connected to articulation and tooth position, but this connection is not direct. Let's look at where surgery helps and where something else is the solution.

The connection to sound pronunciation

A short lingual frenulum limits tongue mobility. It is hard for the child to lift the tip to the upper alveoli, and that is exactly where the sounds "r", "l", and the sibilants are formed. Speech becomes slurred, and sometimes the tongue lies between the teeth during swallowing. But anatomy alone does not determine the sound. Sometimes the frenulum is short, yet the child speaks clearly — compensating with jaw or lip movement. And vice versa: the frenulum is normal, but pronunciation suffers for another reason. That is why the speech therapist first looks at what exactly the limitation is. If the cause is tension, surgery removes the mechanical obstacle. After that, therapy sessions are needed: the muscle has already gotten used to working in the old pattern, and freedom of movement by itself does not create the correct placement. Sometimes stretching and articulation exercises without intervention are enough. The specialist decides based on the examination and tests. Age also matters: in older children the speech pattern is more established. It depends on the clinical picture.

The orthodontist's role in the decision to intervene

The bite forms under the pressure of the tongue, lips, and cheeks. When the upper lip frenulum attaches too low, a gap remains between the central incisors — a diastema. With a short frenulum, the tongue presses on the teeth from below or from the side, and this can shift their position. The orthodontist assesses not only the frenulum itself, but also how forces are distributed in the mouth. They look at the bite, the position of the tongue at rest and during swallowing, and the symmetry of the dental arches. Sometimes the diastema will close on its own after the bite changes, and sometimes without surgery there is little point in using braces or aligners: the pull will bring the teeth back. In that case, the intervention is done before or during orthodontic treatment. The decision is made together — orthodontist, surgeon, sometimes speech therapist. It happens that the frenulum is not the problem, and the cause of the displacement is something else: a bad habit, early tooth loss, mouth breathing. Surgery will not change anything here. So first diagnosis, then conclusion.

Where is frenectomy performed in children?

The procedure is performed in pediatric dentistry and in surgical offices. The choice comes down to who will continue managing the child and how the appointment is organized.

What to look for when choosing a clinic

  • Credentials and profile: ask whether the surgeon or dentist has training in treating children, since this affects how the examination and conversation with your child will go.
  • Office equipment: ask how the incision is made and how bleeding is controlled, because this affects how the procedure is performed.
  • Follow-up care: find out who checks the suture a few days later and whom to contact with any questions — this is part of the treatment, not a formality.
  • Appointment logistics: opening hours, scheduling, and whether you can bring two adults — small details that determine how easy it is for you to bring your child.
  • Transparency of the plan: during the appointment they should explain what is being done and why, outline the stages, and discuss them with you without rushing.

How the initial appointment goes

First the doctor talks with the parent: takes the history, clarifies the complaints, and observes how the child eats, speaks, and moves the tongue. Then an examination of the oral cavity. The frenulum is assessed visually and by palpation; sometimes the child is asked to lift the tongue, stretch it toward the palate, and lick the lips. Next are functional tests: their result shows whether the band restricts movement and to what extent. Based on all the data, the doctor decides whether intervention is needed now, whether it can wait, or whether observation and therapy sessions will suffice. The parent is told the options, shown exactly where the band runs, and the discussion covers how the child tolerates manipulations. If intervention is indicated, the day and method are discussed. If not, recommendations are given and a follow-up date is set. They also go over what to do before and after, what to feed, and how to brush the teeth in the first days. It is better to ask questions right away: at home some of them are forgotten. The decision is made together with the doctor, and it depends on the clinical picture.

Myths and facts about cutting the frenulum in children

Many fears and inaccuracies have accumulated around this small operation. Let us sort out what is fiction and what is clinical reality, and what doctors base their decisions on.

Common misconceptions

MythReality
Frenectomy is always painfulThe procedure is performed with anesthesia, usually local
After surgery, the child won't eat for a weekThe diet is soft, but no one goes hungry
Speech will improve immediatelyArticulation depends on speech therapy sessions
The frenulum is cut for everyoneThe doctor determines the indications after examination
The procedure leaves a scarThe mucosa heals without a rough scar
The earlier, the betterTiming depends on the clinical picture

What the research says

Scientific studies do not confirm that cutting the frenulum by itself speeds up the development of speech sounds or changes the bite without orthodontic treatment. The data indicate otherwise: surgery removes a mechanical restriction if one exists. After that, the outcome depends on the clinical picture and the work of specialists. In some children, a short frenulum causes no problems at all — in that case, intervention is not needed. In others, tissue tension is noticeable during feeding, swallowing, or tongue movement. The decision is made by the doctor, not by parental fears or advice from the internet. Research also does not provide grounds to believe that the procedure necessarily prevents future speech problems. The connection between anatomy and speech is not direct. Speech therapy remains the primary method for correcting sound pronunciation. Surgery is only one of the stages when it is indicated. The myth that cutting the frenulum eliminates the need for braces is also not supported. The bite is formed under the influence of many factors, and the frenulum is not the only cause of problems. Parents should be concerned if the procedure is offered without examination and diagnostics.

What to remember

Key Points

The decision to cut the frenulum is not made based on a single sign, but on a combination of factors: the structure of the frenulum, tongue mobility, tooth position, age, and complaints. A short frenulum does not always cause problems. Sometimes it shows no symptoms at all, and then intervention is not needed. Observation is a legitimate option. If the doctor suggests waiting, it does not mean the problem is being ignored. The timing is chosen based on the clinical picture. In an infant, the reason may be feeding difficulties; in a school-age child, it may be speech or an orthodontic issue. The method — laser or scalpel — is selected based on anatomy and age. Anesthesia is also discussed in advance. Healing follows its own timeline, and it varies from child to child. After the procedure, hygiene and a follow-up examination are needed. Speech and bite depend not only on the frenulum: a speech therapist and an orthodontist are involved. No one can give guarantees. The outcome depends on the clinical picture and on how well the recommendations are followed. It is useful for parents to ask questions and understand why each manipulation is needed. Then the decision will be calm and well-founded.

Questions worth asking the doctor

It is best to keep a list of questions at hand. Ask whether the frenulum is actually short and whether it is causing problems now. Clarify whether the intervention can be postponed and what will happen if it is left alone. Ask what method is being proposed and why that one specifically. What anesthesia is planned and how the child will tolerate the procedure. What to do in the first days: food, hygiene, restrictions. When to come for a follow-up examination. Whether a speech therapist or orthodontist is needed after healing. What signs should be concerning and where to seek help. If the answers are vague, that is a reason to pause. The doctor explains the risks and alternatives. A parent has the right to receive a clear plan. Write down the answers so you do not forget. A second opinion is also acceptable. A calm conversation with the doctor relieves unnecessary anxiety and helps in making a decision.

Questions about frenulum release in a child

The cost of a child's tongue-tie release depends on the type of anesthesia, the method of the procedure (laser or classic scalpel), the complexity of the frenulum attachment, and the need for follow-up monitoring. The exact amount is given by the doctor during the examination after assessing the clinical picture, because the price cannot be the same for an infant and a teenager. The pricing section on this page lists the current rates for pediatric surgical procedures. The initial examination and treatment plan at our clinic are 0 ₸, so you pay nothing for the consultation itself.

Yes, frenulum release is performed in pediatric dentistry, and at our clinic it is done by pediatric therapist-surgeon-orthodontist Yerasyl Mukanov, as well as maxillofacial surgeon Yerzhan Amangeldi in complex cases. Appointments are available at 11/1 Abay Avenue, daily from 9:00 to 20:00. Before the procedure, the doctor performs an examination and, if necessary, refers the patient for additional diagnostics. You can book by phone at +7 777 911 07 83.

The frenulum release procedure itself is painless for the child, because local anesthesia is used beforehand — most often a gel or spray with lidocaine, and for older children infiltration anesthesia is possible. In the first hours after the procedure, moderate discomfort is possible, which is relieved with standard children's painkillers as prescribed by the doctor. If the child is very young or highly anxious, the doctor may recommend sedation or short general anesthesia — this is decided during the examination. At our clinic, pediatric therapist-surgeon-orthodontist Yerasyl Mukanov provides care and selects the anesthesia method individually.

Yes, tongue-tie release in an infant is performed for pronounced feeding problems: the baby cannot latch tightly onto the nipple, tires quickly, gains weight poorly, and feeding becomes painful for the mother. At an early age, the procedure takes a few minutes, is performed under local topical anesthesia, and does not require hospitalization. If the child has signs of hypoxia, anemia, or other acute conditions, the procedure is postponed until stabilization. The decision is made by the doctor after examining the oral cavity and assessing sucking function.

You can book a consultation by phone at +7 777 911 07 83 or through the form on the website, and the first appointment includes an oral examination, assessment of the frenulum attachment, medical history taking, and drawing up a treatment plan. The doctor will explain whether there are indications for release, which method is suitable for the child, and how recovery will proceed. The initial examination and treatment plan at our clinic are 0 ₸, so parents can calmly discuss all questions without financial pressure. If there are no indications, the doctor will honestly say so and suggest monitoring.

Yes, our clinic has free parking, and it is open daily from 9:00 to 20:00, which makes it possible to come with a child after kindergarten or school. We are located at 11/1 Abay Avenue in Astana, and we see patients both by appointment and for urgent visits if there is an available slot. If you are planning a visit on a weekend, it is better to confirm the time in advance by phone at +7 777 911 07 83 so you do not have to wait in line. For young patients, we try to choose a time when the child is less tired.

Laser frenectomy is usually less traumatic: there is no scalpel incision, less bleeding, and sutures are rarely needed, and recovery is faster. The classic method using a scalpel or scissors is also used, especially for thick frenula or specific anatomical features, and the doctor may choose it as more reliable in a particular case. Both methods are performed under anesthesia and take a few minutes. The decision is made during the examination, taking into account the child's age and the structure of the frenulum.

Upper lip frenectomy is performed for a pronounced diastema — a gap between the upper incisors — as well as for problems with bite, speech, or future denture fixation. Most often the procedure is postponed until the permanent canines have erupted, to assess whether the gap will close on its own. If the frenulum interferes with feeding in an infant or causes gum recession, intervention may be possible earlier. At our clinic, orthodontist and surgeon Alexey Neupokoev provides consultations and assesses whether surgery is necessary.

Recovery after a child's frenectomy usually takes from a few days to two weeks, depending on the method and age. In the first 24 hours, slight swelling and discomfort are possible, so soft food, cool drinks, and limiting active play are recommended. The doctor may prescribe treating the wound with an antiseptic and therapeutic tongue exercises to prevent scar formation. If severe pain, bleeding, or fever occurs, you should immediately contact the clinic at +7 777 911 07 83.

A tongue-tie can be cut at any age: for infants — with feeding problems, for preschoolers — with speech disorders, and for adolescents — during orthodontic treatment. Early intervention is often easier to tolerate and heals faster, but the procedure is also effective in adulthood. The specific timing is determined by the doctor after examination, because sometimes observation and myogymnastics are sufficient. At our clinic, pediatric therapist-surgeon-orthodontist Erasyl Mukanov sees patients.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Astana, 11/1 Abay Avenue. Phone for appointments — +7 777 911 07 83. Initial examination and treatment plan — 0 ₸.

Address: Astana, 11/1 Abay Avenue. Parking for patients is free. Phone for appointments — +7 777 911 07 83. Appointments are available daily from 9:00 to 20:00.

The warranty period depends on the type of work and is stated in the contract. The initial examination and treatment plan are 0 ₸. Appointments are available daily from 9:00 to 20:00.

Installment plan for 24 months with Jusan bank or 12 months with Kaspi. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

The initial examination and treatment plan are 0 ₸. There is no separate fee for the first visit. The warranty period for the work depends on the type of work and is stated in the contract. Installment plans are available from Jusan bank for 24 months and from Kaspi for 12 months.

Parking is free. The clinic is in Astana, 11/1 Abay Avenue. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.

Reviews about frenectomy in a child

4,9
37 reviews on the site
37 ratings
ММаксим О.2 September 2026
★ 5,0

Before this, I had only come in for promotional offers and never really got proper treatment. They put a filling in for my child and got it done in one visit. We were seen right on time, no waiting. Now my child comes here without any coaxing. There are cartoons in the treatment room, but my son never even got distracted by them.

ММадина В.31 August 2026
★ 5,0

Before this, I'd only ever gone for promotional offers and never really got proper treatment. I came here on a colleague's recommendation. Assem explained why it wasn't worth putting it off. My daughter and I come in for check-ups every six months, and they gave us a toothbrush after the appointment. They told us the prices upfront, and nothing was added at the end. All in all, no regrets. There's parking in the courtyard, I found a spot — the way it should be)

ТТатьяна Е.11 August 2026
★ 5,0

My child now comes here without any coaxing, and it feels like a place of our own. They filled my child's tooth, got it done in a single visit, and gave us a toothbrush afterward. That's what won us over. My previous experience was worse, so I have something to compare it to.

ББекзат У.12 July 2026
★ 5,0

I needed a second opinion (I asked again twice). They treated two of my daughter's baby teeth...

ААрман М.22 June 2026
★ 5,0

My tooth hurt for several months. We searched for a clinic for a long time. Saule is a good specialist. She treated my daughter's baby tooth and showed the image on the screen. She kept to the schedule exactly. I am grateful. During the consultation she wrote everything down on paper for me. She opened the instruments in front of me. Booking was easy.

ДДинара О.21 June 2026
★ 5,0

My son complained about a tooth for a week, but only admitted it on the weekend — that's a whole other story. I put it off for about a year and a half. That's exactly how it was. We had two of my daughter's baby teeth treated, and my son was a real trooper. Honestly, I was expecting worse.

Clinic administrators check the appointment schedule on the screen at the front desk
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Still have questions about "Frenectomy in children"?

Message us on WhatsApp or call — the clinic is open daily from 9:00 to 20:00. The initial consultation and treatment plan are free (0 ₸), and parking is free.

free parking11/1 Abay Avenuedaily, no days off9:00 — 20:00Jusan bank — 24 months, Kaspi — 120% installment plan
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