
Indications for a frenectomy
The procedure is recommended for difficulty sucking in infants, speech impairment, tooth displacement, and bite problems. The decision is made by the doctor after an examination.
Take a 20-second quiz — we'll send a preliminary plan and price estimate.
Frenectomy in a child is a minor procedure that helps the tongue or lip move freely. It is needed when the frenulum interferes with feeding, speech, or bite. The doctor decides whether the procedure is necessary after an examination. The laser method is less traumatic. Postoperative care is important.
Answer a few questions in the calculator below — and our administrator will send you an estimate for your case before your visit.
Tongue-tie release
The price depends on the child's age, the type of frenulum, and the chosen method. The exact cost will be given by the doctor after an examination. The initial examination and treatment plan are free. Book a consultation to find out the price.
Helps you understand what the doctor's decision is based on and what to expect.

The procedure is recommended for difficulty sucking in infants, speech impairment, tooth displacement, and bite problems. The decision is made by the doctor after an examination.

There are a classic surgical method using a scalpel and a laser method. The laser is less traumatic and shortens recovery time.

Complications are rare. Swelling, minor bleeding, and discomfort in the first days are possible. If the doctor's recommendations are followed, the risk is minimal. The doctor performing the procedure is a pediatric dentist or surgeon.
The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.
Leave your contact details and we'll send the estimate and suggest a convenient time.
Our coordinator will contact you during clinic hours, daily 9:00 — 20:00.

The frenulum is a thin fold of mucosa that connects the lip or tongue to the jaw. When it is short or attached incorrectly, the movement of the organ is limited. In a child, this can affect speech, bite, and even feeding in infancy.
A short lingual frenulum occurs in children of various ages. Sometimes it is detected in the maternity hospital, when the infant cannot latch onto the breast. In other cases, the problem is noticed later — when the child begins to speak and pronounces some sounds incorrectly. The upper lip frenulum can also be short: it prevents the lips from closing and may affect the growth of the front teeth.
| Age | Indication | Intervention |
|---|---|---|
| Infants | Difficulty breastfeeding | Frenotomy (tongue-tie release) |
| Children 3–6 years | Speech impairment | Frenotomy (tongue-tie release) |
| Children 7–10 years | Tooth displacement | Frenectomy (lip-tie release) |
The timing of the intervention is determined by the doctor after an examination. But there are guidelines that dentists and surgeons rely on. They are related to the stages of growth and speech development.
In infants, the lingual frenulum is cut if it interferes with sucking. This is detected in the first weeks of life: the baby cannot latch onto the breast, tires quickly, and cries during feeding. In such cases, surgery is performed early, sometimes while still in the maternity hospital. The tissues at this age are delicate and elastic, the intervention is minimal, and recovery takes several hours. The decision on early cutting is made by a neonatologist or pediatrician, and the procedure is performed by a surgeon. It is important that the intervention be justified: if sucking is not affected, there is no need to rush. At an older age, when speech problems appear, removal of the lingual frenulum may be required, but that is a different situation. In infants, the operation is quick and the risk of complications is low. After the procedure, the baby is put to the breast immediately so that he calms down and stimulates healing. The doctor monitors the condition during the first hour and gives recommendations on feeding.
At 2–3 years of age, the frenulum is assessed by a speech therapist and a dentist. If it is short but does not interfere with feeding, doctors often take a wait-and-see approach: as the jaws grow, the frenulum may stretch. However, by 4–5 years, when active speech formation begins, it becomes clear whether correction is needed. If the child cannot pronounce sounds due to limited tongue mobility, surgery is performed before school. At this age, children tolerate the intervention more easily than teenagers and adapt more quickly. At school age, the frenulum is cut less often, but it is still possible then. The indications are determined individually: the length of the frenulum, its elasticity, and its effect on the bite and diction are assessed. Sometimes surgery is postponed until adolescence if there are no functional impairments. The optimal timing is always set by the doctor after an examination.
Parents often ask how a laser is better than a scalpel. There is no clear answer: the method is selected based on age, anatomy, and tissue condition. Let's look at the differences.
| Criterion | Scalpel | Laser |
|---|---|---|
| Trauma | Blade incision | Minimal |
| Bleeding | Possible | Virtually none |
| Procedure time | 10–15 minutes | 10–15 minutes |
| Sutures | Often needed | Usually not needed |
| Healing | Standard | Faster |
| Cost | Lower | Higher |
The decision on the method is made by the dentist after an examination. A laser is not suitable for everyone: it is not used for certain blood diseases or cancer. The scalpel remains a reliable instrument, especially with complex anatomy. The doctor assesses how much the frenulum restricts tongue movement and suggests the option that is safer in the specific case. Parents should ask about the method during the consultation and clarify why a particular instrument was chosen. The final choice always rests with the specialist, who is responsible for the result. When choosing the method, the doctor takes into account the patient's age, the thickness and density of the frenulum, and the presence of concomitant diseases. Laser surgery is usually less traumatic but requires special equipment and preparation. The scalpel allows more precise control of the incision in complex anatomical features. In any case, the intervention is performed under local anesthesia and takes little time.
After the intervention, it is important to strictly follow the doctor's recommendations. This determines how quickly the wound heals and whether complications arise. Below are the main rules that usually apply in the first days.
Frenuloplasty in Almaty is performed in many dental clinics. The choice of clinic determines the child's comfort and the outcome of the intervention. Let's look at the criteria for choosing one.
When choosing a clinic, pay attention to the equipment. A microscope with 25x magnification allows the doctor to see the smallest structures of the frenulum and act with precision. A laser reduces bleeding and speeds up recovery. A cone-beam CT scan helps assess the anatomy of the jaw if other procedures are planned. An intraoral scanner creates digital models without unpleasant impressions. The attitude of the staff also matters: the doctor should explain the stages of the surgery and aftercare to the parents, and create a calm atmosphere for the child. A clinic that works with children should have a play area or cartoons to distract them. Ask how appointments are scheduled and whether you can ask the doctor questions after the procedure. If the clinic is open daily from 9:00 to 20:00, that is convenient for busy parents. Having parking will save you unnecessary hassle on the day of the visit. The initial consultation and treatment plan may be free — this is normal practice. The decision is made by the doctor after the examination, but parents have the right to ask all their questions and receive clear answers.
A short lingual or labial frenulum can affect jaw growth and tooth position. Let's look at when it becomes a cause of malocclusion and when it does not.
The lingual frenulum is the band of tissue connecting the tongue to the floor of the mouth. If it is short, the tongue's movement is restricted. During swallowing and speech, the tongue should press against the palate, stimulating the growth of the upper jaw. When mobility is limited, the tongue rests low, and the upper jaw does not develop sufficiently. This leads to a narrowed dental arch and crowded teeth. The upper labial frenulum, if attached low, creates a diastema — a gap between the central incisors. The band prevents the teeth from closing together, and the gap remains. The lower labial frenulum, when short, can pull on the gum, provoking recession and shifting the lower teeth. The effect on the bite depends on age and the type of frenulum. In young children, correcting the frenulum can prevent the development of malocclusion. In adults, once the bite is already formed, cutting the frenulum alone will not change tooth position. Orthodontic treatment will be required. The decision to cut the frenulum is made by the doctor after assessing the clinical picture. Sometimes a shortened frenulum is combined with other anomalies, and a comprehensive approach is needed.
Preparation for frenulum release consists of two parts: getting the child ready and the medical formalities. Let's go through both in order.
Before the procedure, the doctor examines the child and orders a blood test to assess clotting and rule out anemia. The child must be healthy: a runny nose, cough, or fever is a reason to postpone the visit. Two hours before the procedure, the child should not be fed to avoid regurgitation during surgery. The night before, brush the teeth; in the morning, simply rinse the mouth with water. If the child takes medications, especially those affecting clotting, tell the doctor in advance. On the day of the procedure, dress the child in comfortable clothing without tight collars, bring a spare T-shirt and the parent's ID for paperwork. After the procedure, the doctor will give aftercare recommendations, so write down any questions you want to ask right away. It is also worth asking which pain relievers can be given to the child if needed and how long the wound takes to heal. The doctor may schedule a follow-up visit to monitor healing, so confirm the date and time of the next appointment.
Recovery after surgery takes little time. Immediately after the procedure, the doctor gives recommendations for oral care. Following them helps healing proceed smoothly.
In the first hours after the procedure, avoid eating and drinking anything hot. On the day of surgery, it is best to stick to cool food and water. The next day you can return to your usual menu, but avoid hard and spicy foods. Do not rinse the mouth with strong solutions, so as not to injure the suture area. The doctor will prescribe gentle care and, if necessary, a pain reliever.
The sutures after the procedure dissolve on their own. This takes seven to ten days. During this time, the child may feel some mild discomfort when talking and eating. It usually passes quickly. If swelling appears or the pain gets worse, it is worth seeing a doctor. The specialist will assess the situation and adjust the recommendations if needed.
The price depends on the type of frenulum (lip or tongue), the child's age, and the surgical method — traditional or laser. The exact cost is given by the doctor after an examination, and you can find current prices in the pricing section on this page. To clarify details and book an appointment, call the phone number listed on the website. The initial examination and treatment plan are free of charge, so you can get complete information without extra costs.
At our clinic in Almaty, frenectomy of the tongue and lip is performed in children. The appointment is conducted by a pediatric dentist, who will assess the condition of the frenulum and whether surgery is necessary. You can book a consultation by calling the phone number listed on the page.
No, the procedure is performed under local anesthesia, so the child does not feel pain. After the procedure, there may be mild discomfort, which passes quickly. The doctor will give recommendations on how to ease the child's condition in the first few days.
If a short lingual frenulum interferes with correct pronunciation of sounds, its release may be recommended by a speech therapist. However, it is important to first consult a speech therapist and a dentist to assess whether surgery is necessary. In some cases, speech therapy exercises are enough.
If the frenulum is not released, speech problems, feeding difficulties in infants, as well as tooth displacement and gum disease may persist. In each case, the decision is made by the doctor after an examination, assessing all the risks.
Yes, contraindications may include acute inflammatory processes, infectious diseases, bleeding disorders, and some other conditions. Before the procedure, the doctor examines the child and, if necessary, prescribes additional tests.
The procedure is performed on an outpatient basis and takes a few minutes. The doctor administers local anesthesia, then cuts the frenulum with a laser or scalpel. The laser method is less traumatic and speeds up healing. After the procedure, the child can go home right away.
A frenectomy can be performed at any age, but it is most often done in infancy for feeding problems or at preschool age before starting speech therapy sessions. The doctor determines the optimal time after an examination.
We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Phone for appointments — +7 747 093 89 86. Initial examination and treatment plan — 0 ₸.
Address: Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Parking for patients is free. Phone for appointments — +7 747 093 89 86. Appointments are available daily from 9:00 to 20:00.
Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google and Yandex. Initial examination and treatment plan — 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 — +7 747 093 89 86.
Initial examination and treatment plan: 0 ₸. There is no separate fee for the first visit. Warranty on work: up to 5 years. Installments for 24 months with Jusan bank or 12 months with Kaspi.
Parking is free. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 747 093 89 86.
I initially just wanted to look around and compare prices. They treated two of my daughter's baby teeth. The tooth doesn't hurt anymore, she eats without worry, the difference is noticeable. They messaged us the next day to ask how she was feeling. In my opinion, the price is fair for that kind of work. The receptionist called back when she said she would. They scheduled us at a convenient time, no "come at nine and wait" — that's how it should be.
I spent a long time choosing a clinic and read reviews all over the city, but strangely, I didn't even get tired during the appointment. . . They treated two baby teeth for my daughter, and it was all done in one visit. They arranged an installment plan on the spot, with no running around to banks. The tooth doesn't hurt anymore, and she eats without worry. They set up a card right away and only asked for a passport once. We were seen right on time, with no waiting. Shoe covers, a cup, a napkin — little things, but everything was there
Before this, I had only come for promotional offers and never really got proper treatment. They treated two of my daughter's baby teeth. The sterility was obvious, and they opened the instruments in front of me. My daughter is now asking to book her next check-up. They arranged the installment plan on the spot, no running around to banks, no complaints there. They messaged us the next day to ask how she was feeling — a small thing, but nice. The contract and receipt were provided without us having to ask. They let us look at the instruments before they started. Prices were quoted upfront, and nothing was added at the end, just as agreed — that's a whole separate story —.
My child now comes here without any coaxing, compared to how it used to be. They put a filling in my child's tooth and got it done in a single visit, without coaxing or tears. I'm almost embarrassed that I put it off for so long. I would come back here for the second tooth too. I didn't expect it to be completely painless. Five out of five — that's a whole separate story —. They scheduled us at a convenient time, no 'come at nine and wait' — a small thing, but a nice one. The office is bright, the equipment is new — a small thing, but a nice one.
Proshlyy vrach pereehal, nado bylo iskat novogo — stranno, no ya dazhe ne ustala za priem. Hodim s dochkoy na osmotry kazhdye polgoda, ulozhilis v odin priem!
Hodim s dochkoy na osmotry kazhdye polgoda, dochka dazhe ne uspela ispugatsya. Zapisali na udobnoe vremya, bez «prihodite k devyati i zhdite», etogo ranshe nigde ne bylo. Budu hodit syuda i dalshe.
I put it off for about a year. I had my daughter's baby tooth treated, and it was all done in one visit. I didn't expect that. Nurlan is a good specialist.
I brought my son for the first time, and there were no tears — he held up like a champ. They gave us the prices upfront, and nothing was added at the end, just as we had agreed. These people know what they're doing. The office is bright, the equipment is new — I want to point that out specifically. The sterility is visible, and the instruments were opened in front of me.
I needed a second opinion. I ended up here by chance, I was nearby. My daughter and I come in for check-ups every six months. The tooth doesn't hurt anymore, she eats without worry, and it feels like her own. I'll keep coming here, no question — and that was exactly what I was afraid of. They took me right on time, no waiting, and I want to mention that specifically. They scheduled me for a convenient time, no "come at nine and wait." I'll put it this way: the only scary part was before I got in the chair. I'm almost embarrassed I put it off. They set up the installment plan right there, no running around to banks, just like they promised. The hallway doesn't smell like a hospital, more like something neutral. There's parking in the courtyard, I found a spot, and I'm grateful for that too.
I initially just wanted to look around and compare prices. I ended up here by chance, as I was nearby. They put a filling in for my child, got it done in one visit, and we booked a check-up in six months (I couldn't believe it myself))
I spent a long time choosing a clinic and read reviews all over the city. I was nervous until the very last moment. They put a filling in for my child and got it done in a single visit, and even gave us a toothbrush afterward. Shoe covers, a cup, a napkin — small things, but everything was provided. Now my child comes here without any coaxing. They messaged us the next day to ask how we were feeling, and I want to specifically mention that. They let us look at the instruments before they started, and I have no complaints about that.
They put a filling in for my child, got it done in one visit, and now my daughter is asking to book her next check-up. In my opinion, the main thing is that they don't pressure you into a decision. Zhanel told us right away what to expect.
They said elsewhere it would just need to be extracted. It was quick. We had an alternative filling placed, and they patiently answered my questions.
My child now comes here without any coaxing — my daughter and I go for check-ups every six months. I came on my sister's recommendation. I recommend this clinic.
My child now comes here without any coaxing, and that's what matters most. We brought our son for the first time, and there were no tears!
My daughter now asks to book the next check-up, the difference is noticeable. We brought our son for the first time, no tears this time, he held up like a champ. Alisher explains things calmly and to the point. I would come back here for the second tooth as well. We chose the clinic based on reviews. I will keep coming here. They messaged us the next day to ask how we were feeling.
They put a filling in for my child, managed it in one visit, got it done in a single appointment (we laughed about it at home afterwards). The tooth doesn't hurt anymore, they eat without worry, the difference is noticeable. In short: good. They messaged us the next day to ask how we were doing, just as they had promised.
My child had a filling done, and they managed it in a single visit — my son was a real trooper. Now he comes here without any coaxing, and that's what matters most. Nurlan showed us everything on the X-ray. I'll keep coming here, no question about it. The sterility is plain to see — they opened the instruments right in front of me. They gave me the contract and receipt without me having to ask, which I've never seen anywhere else. They answered my questions even after the appointment, over messenger. The receptionist called back when she said she would (I checked twice). They set up the chart right away and only asked for my passport once. They quoted the prices upfront, and nothing was added at the end — thanks for that too!
Nuzhno bylo mnenie vtorogo vracha. Syna priveli pervyy raz obolshos bez slez, syn derzhalsya molodcom. Kartu zaveli srazu, pasport sprosili odin raz, tak i dolzhno byt. Dochka teper prosit zapisatsya na sleduyuschiy osmotr, raznica zametna. V koridore pahnet ne bolnicey, a chem-to neytralnym, tak i dolzhno byt. Dogovor i chek vydali bez napominaniy, otdelno eto otmechu. Kabinet svetlyy, oborudovanie novoe. Napisali v messendzher na sleduyuschiy den, sprosili pro samochuvstvie, kak i dogovarivalis. Administrator perezvonila, kogda obeschala. Rassrochku oformili na meste, bez begotni po bankam.
Strange, but I wasn't even tired after the appointment. My daughter and I go for check-ups every six months, and we got everything done in one visit. We were seen right on time, no waiting. Now my daughter is asking to book the next check-up. They arranged the installment plan on the spot, no running around to banks — a small thing, but nice. And that's — a whole separate story —. Parking is in the courtyard, and we found a spot.
We had two baby teeth treated for our daughter, and it was all done in one visit. The tooth doesn't hurt anymore, and she eats without worry. They let her look at the instruments before they started, which is how it should be. Shoe covers, a cup, a napkin — small things, but everything was there, just as agreed — that's a separate story —. I have a low pain threshold, and they took that into account. They arranged an installment plan on the spot, without running around to banks, and I'll note that separately. They gave us the prices right away, and nothing was added at the end. Parking is in the courtyard, and we found a spot, thanks for that too. The office is bright, the equipment is new, a small thing, but nice. The receptionist called back when she promised. The hallway doesn't smell like a hospital, but like something neutral, just as agreed!
I was told elsewhere that it just needed to be pulled. I came here on a colleague's recommendation. My daughter had her baby tooth treated, and every step was explained in advance.
I spent a long time choosing a clinic, reading reviews all over the city. I took my time choosing, and now I understand it was worth it. We brought our son for the first time, and there were no tears. And that was it (I asked twice to be sure). Now my daughter is asking to book the next check-up, and I've gotten used to the thought that it's all behind us!
Our previous dentist moved away, so we had to find a new one. We found a clinic near our home. Ernar showed us everything on the X-ray. My daughter and I go for checkups every six months, and they gave us a toothbrush after the appointment. I think the key is that no one here rushes you (we laughed about it later at home)...
My daughter is now asking to book the next check-up. We go for check-ups with my daughter every six months, and we got it all done in one visit. I put it off for a long time. That's what won me over. I'll keep coming here from now on, no question about it. The hallway doesn't smell like a hospital, but like something neutral — thanks for that too. They messaged us the next day to ask how we were feeling — a small thing, but it's nice!
My child had a filling placed, and it was done in a single visit, with no coaxing and no tears. It seems like a small thing, but that's exactly what stuck with me. The tooth doesn't hurt anymore, and he eats without worry — that's the main thing. They messaged us the next day to ask how he was doing.
My daughter wouldn't even let me look; I was prepared for the worst. The tooth doesn't hurt anymore, and she eats without any trouble. I'll put it this way: the scary part was only up until she sat in the chair. They treated two of my daughter's baby teeth, and gave her a toothbrush after the appointment)
My daughter and I go for check-ups every six months. The only downside was that the lobby was a bit chilly, but it didn't affect our overall impression. Nurlan stays in touch even after the appointment!
After the previous clinic, my child wouldn't sit in the chair at all. They treated two of my daughter's baby teeth, without coaxing or tears. What won me over was that they didn't push anything unnecessary. They scheduled us at a convenient time, no "come at nine and wait." Madina showed everything on the X-ray...
After the previous clinic, my child wouldn't sit in the chair at all. . . Zhanel showed everything on the X-ray. On the downside, it was chilly in the waiting room, but that didn't affect the overall impression. They put a filling in for my child and got it done in a single visit.
Brought my son in for the first time — no tears at all, and my daughter didn't even have time to get scared. They scheduled us at a time that worked for us, no "come at nine and wait" — we'd never had that anywhere before.
After the pandemic, I hadn't been to the dentist for about three years and put off going for a long time. Aigul knows her stuff. The only thing I didn't like was that the waiting room is a bit cramped when everyone's waiting. We brought my son for the first time, and there were no tears...
I booked through the website and they called back about ten minutes later. It was my son's first visit and there were no tears. The room is bright and the equipment is new (I asked twice to be sure). To be honest, I was expecting worse.
Tell us how your treatment went. The review appears on the site once the front desk has checked it.

Initial examination and treatment plan — 0 ₸. The administrator will check the doctor's schedule and offer the earliest available time.