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Surgery and Implants

Tongue-Tie Surgery in Almaty: Price, Types, Stages of the Procedure

Frenectomy of the tongue is a procedure to correct a short lingual frenulum that interferes with speech, feeding, and bite. In Almaty, it is performed surgically or with a laser. The decision on whether surgery is necessary is made by the doctor after an examination. The price depends on the clinic and the complexity of the case.

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30+years treating patients in Almaty
up to 5 yearswarranty on work
0%Installments: Alatau City Bank — 24 months, Kaspi — 12

How much does a frenectomy cost in Almaty

Full price list
TreatmentDuration & warrantyPrice
Frenuloplasty, frenulum release30 minutesLaser, no suturesfrom67 000 ₸Message on WhatsApp
Consultation with an implant surgeon0 ₸Message on WhatsApp
Tooth extractionfrom18 000 ₸Message on WhatsApp
Wisdom tooth extractionfrom25 000 ₸Message on WhatsApp
Removal of an impacted wisdom toothfrom50 000 ₸Message on WhatsApp
Root-end resectionfrom40 000 ₸Message on WhatsApp
Gingivoplastyfrom20 000 ₸Message on WhatsApp
Frenuloplastyfrom67 000 ₸Message on WhatsApp
Laser frenectomyfrom30 000 ₸Message on WhatsApp
Gum recession treatment, single toothfrom100 000 ₸Message on WhatsApp

Cost of the procedure

The price of a tongue frenectomy depends on the method, the complexity of the case, and whether additional procedures are needed. The exact cost is determined after an examination and a treatment plan. The initial examination and treatment plan are provided free of charge.

By anatomy

Types of tongue frenulum and indications for frenectomy

Helps you understand how frenulum types differ and in which cases a release is considered.

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

Types of tongue frenulum

The lingual frenulum is a fold of mucous membrane that connects the tongue to the floor of the mouth. There are anterior and posterior frenulum types, as well as partial or complete shortening. The difference lies in how much tongue mobility is restricted. If the frenulum is short, it can interfere with speech, eating, and oral hygiene. A tongue frenectomy is recommended when there are pronounced functional impairments.

Chairside appointment: dentist at work, over-the-shoulder view of the assistant — illustration for the section "Indications in adults and children"

Indications in adults and children

In adults, indications include speech defects, difficulty chewing food, bite problems, and inflammatory gum diseases. In children, they include breastfeeding difficulties, speech sound disorders, and the development of an incorrect bite. If the procedure is not performed, possible consequences include speech disorders, periodontitis, and gum recession. Recovery after surgery usually takes several days. Methods include classic excision and laser tongue frenectomy. The procedure is performed by surgeons or orthodontists.

Stages of tongue frenectomy

Consultation: doctor and patient at a screen with an X-ray — illustration for the "Consultation and Diagnostics" section
Step 01

Consultation and diagnostics

The doctor examines the oral cavity, assesses the length and elasticity of the frenulum, and if necessary prescribes additional tests. A treatment plan is drawn up.

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

Preparation and anesthesia

Local anesthesia is administered so that the procedure is painless. For the laser method, no additional preparation is required.

The treatment stage itself: the doctor's gloved hands working in the oral cavity — an illustration for the "Performing the Procedure" section
Step 03

Performing the operation

The surgeon makes an incision in the frenulum with a scalpel or laser and, if necessary, places sutures. The laser method is less traumatic and reduces the risk of bleeding.

Follow-up visit: the dentist checks the result with a mirror while the assistant holds the saliva ejector — illustration for the "Rehabilitation" section
Step 04

Recovery

After the procedure, the doctor gives care recommendations. Rinses and special tongue exercises are prescribed. Complete healing occurs within a few weeks.

Our Doctors

Who provides this treatment

The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.

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Farrukh Rustamovich Yuldashev — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe estimate is reviewed by the clinic's implantologistTakes 20 seconds — you'll get a reply from our administrator during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Alatau City Bank — 24 months, Kaspi — 12

Where to have the surgery?

Tongue frenectomy is a surgical procedure performed in dental clinics. It is important to choose a facility with suitable conditions and experienced staff.

Clinics and departments

  • Public clinics: surgery is performed with a doctor's referral, often free of charge, but there may be waiting times and less modern equipment.
  • Private dental practices: offer convenient scheduling, modern equipment, and the ability to choose your surgeon. The price of tongue-tie release is usually higher.
  • Multidisciplinary medical centers: have oral and maxillofacial surgery departments that handle complex cases, including surgery for children.
  • Specialized pediatric clinics: focus on young patients, using gentle techniques and laser technology.

How to choose a specialist

When choosing a clinic, pay attention to the surgeon's qualifications: they should have a certificate in oral and maxillofacial surgery or surgical dentistry. Ask which method will be used for the operation — scalpel or laser. The laser method is considered less traumatic, but its use requires special equipment. Diagnostics are also important: examination and, if necessary, X-ray or tomography. The doctor should assess the condition of the frenulum and explain the treatment plan. In a clinic that has a microscope and other modern instruments, the precision of the intervention is higher. Pay attention to patient reviews, but remember that each case is individual. The price of a tongue frenectomy depends on the complexity and the method, so check the cost during the consultation. The surgeon should have experience with such procedures in patients of different ages.

Preparation for the procedure

Preparation for tongue frenulum surgery begins with diagnostics and ends with simple everyday rules. Following the recommendations reduces the risk of complications and makes the intervention more predictable.

Preoperative examination

  • Examination and consultation: the doctor assesses the length of the frenulum, its elasticity, and its attachment point, and clarifies complaints and medical history.
  • Blood tests: a complete blood count and coagulation panel help rule out anemia and clotting disorders that affect healing.
  • Allergy history: sensitivity to anesthetics and antiseptics is determined in order to select safe medications.
  • Instrumental diagnostics: if necessary, X-rays or tomography are ordered when concomitant pathology is suspected.
  • Consultation with related specialists: for chronic conditions, an opinion from an internist, hematologist, or endocrinologist may be required.

Recommendations for the day before

A few days before surgery, it is advisable to avoid alcohol and smoking, as nicotine slows down tissue regeneration. On the day of the procedure, food intake should stop 2–3 hours before if local anesthesia is planned; with general anesthesia — 8 hours before. In the morning, you can brush your teeth, but do it carefully so as not to injure the frenulum. If you are taking blood-thinning medications, inform your doctor in advance: temporary discontinuation may be required. It is also important to come in comfortable clothing and to inform the doctor about any acute illnesses. The cost of the surgery depends on the extent of the intervention and the type of anesthesia, so the final price is given after the examination. The procedure can be performed on any day, but it is better to choose a time when there are no important meetings or flights ahead.

Equipment and techniques

The technical base determines the precision of the intervention. The surgeon selects the instrument after examination and assessment of the clinical picture. Patient comfort during the procedure also depends on the equipment.

Surgical instruments

  • Scalpel: the classic method, in which the tongue-tie is excised with a blade. It requires precision and an experienced surgeon.
  • Scissors: used to cut a thin frenulum in children. The procedure takes only a few minutes.
  • Electrocautery: coagulates tissue, reducing bleeding. This method is not suitable in all cases.
  • Radiosurgical blade: acts on tissue using radio waves, which reduces damage to surrounding structures.
  • Laser: provides contactless treatment and simultaneously sterilizes the surgical area. The clinic uses a diode laser.

Laser systems

ParameterDiode laserCO2 laser
Wavelength800–980 nm10,600 nm
Penetration depthUp to 3 mm0.1 mm
CoagulationPronouncedModerate
ApplicationSoft tissueSoft tissue
CostLowerHigher

What is frenuloplasty?

Frenuloplasty is the surgical correction of the lingual or labial frenulum. The surgery restores mobility to the organ and eliminates functional impairments. It is performed on an outpatient basis.

Essence of the procedure

Lingual frenuloplasty is a surgery in which the surgeon changes the shape or length of the frenulum. The intervention is performed under local anesthesia and usually takes 15–30 minutes. The doctor makes an incision, moves or excises tissue, and then places sutures. The goal is to restore normal tongue mobility, which is important for speech, chewing, and swallowing. Sometimes frenuloplasty is performed before orthodontic treatment: a short frenulum prevents the teeth from closing properly and complicates oral hygiene. The decision on whether surgery is necessary is made by the doctor after examination and assessment of the clinical picture. Frenulum release in Almaty can be done for both children and adults, but the approach differs for each age. The recovery period is usually short but requires following the doctor's recommendations.

Indications and limitations

  • Speech impairment: a short frenulum makes it difficult to pronounce the sounds "r," "l," and sibilants when a speech therapist cannot correct the defect through therapy.
  • Feeding problems in infants: the baby cannot latch onto the breast, tires quickly, and gains weight poorly — this is a reason to consult a surgeon.
  • Difficult hygiene: due to limited tongue mobility, plaque accumulates on the inner side of the teeth, leading to cavities and gum inflammation.
  • Orthodontic indications: the frenulum pulls the lower teeth toward the center, causing crowding or a diastema — in that case, surgery is planned together with bite correction.
  • Periodontal problems: traction from the frenulum causes gum recession at the lower incisors, exposing the roots and increasing sensitivity.
  • Contraindications: the procedure is not performed during acute infections, flare-ups of chronic diseases, bleeding disorders, or in the first months after radiation therapy to the head and neck.

Excision or plasty: the differences

The question of choosing a method arises after diagnosis. The surgeon assesses the anatomy and decides what is more appropriate: to cut the tether or to reposition the attachment site. There is a difference, and it is noticeable.

Comparison of methods

CriterionExcisionPlasty
EssenceDissection of the frenulumRepositioning of the frenulum
IndicationsShort frenulumAbnormal attachment
TraumaLowerHigher
RecoveryShorterLonger
ScarringPossibleLess noticeable

When each is chosen

The choice depends on the clinical picture. If the frenulum is simply short and impedes tongue movement, a release is sufficient. When the tether attaches too close to the tip or restricts function, plasty is performed. The doctor assesses the condition of the tissues, age, and accompanying problems. Frenulum release in an adult is usually done with a laser or scalpel. The price of frenulum release is based on the complexity and the method. The decision always rests with the surgeon after examination. In pronounced bite anomalies, comprehensive treatment involving an orthodontist and a speech therapist may be required. The surgeon explains in detail which option is suitable in a specific case and answers the patient's questions.

Does the frenulum affect speech?

A short lingual frenulum limits tongue mobility. This affects sound pronunciation. The issue concerns not only children but also adults. A speech therapist usually refers the patient for a consultation with a surgeon.

Pronunciation defects

  • Sibilants: with a short frenulum, the tip of the tongue cannot rise to the palate, so «sh», «zh», «ch», «shch» sound slurred or are replaced by other sounds.
  • The «r» sound: vibration requires freedom of movement for the tip, and a short frenulum hinders it, causing a guttural pronunciation or omission of the sound.
  • The «l» sound: the tongue must press against the upper teeth; when mobility is limited, the sound is distorted or replaced by «v» or «u».
  • Sibilants: «s», «z», «ts» require a precise position of the tongue at the lower incisors, which is difficult with a short frenulum.
  • Speech rate: even if the sounds are generally intelligible, articulation slows down, and speech becomes unclear, especially at a fast pace.

Mechanism of influence

The tongue is the main articulatory organ. Its mobility determines how precisely it touches the palate, teeth, and alveoli. The frenulum is the tether that limits this mobility. The shorter the fold, the smaller the range of motion. Some sounds require lifting the tip upward, others require moving it forward or sideways. When the range is insufficient, the tongue seeks compensatory positions, and articulation becomes distorted. A child may become accustomed to incorrect placement, and even after surgery, work with a speech therapist will be required. In adults, the mechanism is the same, but the pronunciation stereotype is more firmly established, so speech correction takes longer. The degree of influence depends on the length and elasticity of the frenulum, as well as on exactly how it attaches. The doctor decides after examination.

Effect on bite

A short lingual frenulum can affect the position of the teeth and jaws. This happens gradually as the child grows. The connection is observed, but it is not always obvious.

Bite formation

Normally, the tip of the tongue at rest is positioned near the upper incisors, in the area of the palatal suture. When swallowing, the tongue presses against the palate, supporting the upper jaw in the correct position. If the frenulum is shortened, the tongue lies on the floor of the mouth and does not reach the palate. The pressure of the tongue on the lower teeth and gums pushes them forward, while the upper jaw develops more slowly. A distal bite forms: the lower jaw remains behind, and the upper front teeth protrude. Frenuloplasty performed in childhood allows the tongue to take a physiological position. This does not guarantee a perfect bite, but it creates conditions for normal jaw growth. In adults, correction of the frenulum will not change an already formed bite, but it can help with orthodontic treatment.

Possible disorders

  • Open bite: with a short frenulum, the tongue does not rise to the palate, the front teeth do not close, and a gap remains between them.
  • Distal bite: the lower jaw is underdeveloped, the upper incisors protrude forward, and the tongue presses against the lower teeth.
  • Crowding of teeth: the narrow upper jaw cannot accommodate all the teeth, so they crowd and rotate.
  • Displacement of the lower jaw: the tongue shifts it to the side, leading to facial asymmetry and improper closure.
  • Swallowing disorder: an infantile swallowing pattern, in which the tongue presses against the teeth rather than the palate, aggravates the deformities.

Feeding problems in infants

A short lingual frenulum in an infant often becomes apparent during feeding. Parents notice difficulties, but do not always associate them with anatomy. What should you pay attention to?

Signs of a short frenulum

  • Latch onto the breast: the baby often releases the nipple, cries, and cannot keep it in the mouth.
  • Sounds during feeding: smacking or clicking is heard due to a break in the vacuum.
  • Duration: feeding drags on, the baby quickly tires and falls asleep hungry.
  • Weight gain: the gain is below normal, which requires consultation with a pediatrician.
  • Mother's condition: cracked and painful nipples, lactostasis are common companions of a poor latch.

Consequences for feeding

Limited tongue mobility prevents the infant from forming proper suction during breastfeeding. The baby has to squeeze the gums harder to hold the breast, which quickly tires them. Milk flows less effectively, the baby does not get enough, and the mother develops cracked nipples and milk stasis. With bottle-feeding, similar difficulties occur: the bottle nipple slips out, the baby swallows a lot of air, and colic and spitting up appear. In such a situation, the pediatrician or neonatologist may suspect a short frenulum and refer the patient to a dentist. Examination will show how limited tongue movement is. Sometimes observation and correction of feeding technique are enough; in other cases, the doctor recommends frenuloplasty. The decision is always made after assessing the clinical picture. Early intervention helps restore comfortable feeding and avoid long-term consequences. The cost of the procedure, for example, the price of lingual frenulum surgery, is discussed individually.

What to keep in mind

Key takeaways

Frenuloplasty is a surgical correction of the lingual frenulum that is performed for medical indications, not for aesthetic reasons. The decision on whether intervention is necessary is always made by the doctor after examination and assessment of tongue function. The operation can be performed in the classical way with a scalpel or with a laser — the choice of method depends on the clinical picture and the surgeon's preferences. The intervention usually takes little time and is performed under local anesthesia, but the exact duration and features of recovery are determined individually. After the procedure, it is important to follow the doctor's recommendations on oral hygiene and dietary restrictions so that healing proceeds without complications. You should not postpone a visit to a specialist if the frenulum causes discomfort, interferes with speech or eating, since early diagnosis helps avoid more serious problems.

When to see a doctor

Reasons for consultation may include difficulties with breastfeeding in an infant, speech disorders in a child that are not corrected by speech therapy sessions, as well as a feeling of tension or pain in the area of the sublingual fold in adults. If the frenulum is short, this can lead to gum recession, the formation of a diastema, or problems with chewing food. In such cases, the dentist or surgeon will perform an examination, assess the range of tongue movements, and decide whether frenuloplasty is needed. There are no universal timing for surgery — indications are determined individually for each patient. It is important not to ignore symptoms, because some consequences, such as an incorrect bite, are easier to prevent than to correct. If you notice at least one of the listed signs in yourself or your child, make an appointment with a specialist for a qualified assessment.

Questions about frenulum release

Frenuloplasty, or cutting the frenulum, starts from 67,000 ₸ according to the clinic's price list. The price depends on the type of surgery (laser or classic), the complexity of the case, and whether additional procedures are needed. The exact cost is given by the doctor after an examination, and you can see approximate prices in the prices section on this page. At the clinic, the surgery is performed by surgeons using modern equipment, including a laser, which reduces trauma and speeds up recovery. The initial examination and treatment plan are free of charge, which allows you to assess the scope of the intervention before making a decision.

The cost consists of the chosen method (laser or scalpel), anesthesia, and the surgeon's qualifications. The final amount is determined by the doctor during the consultation, and the price list is available in the corresponding section of the page. When using a laser, the procedure is less invasive, which shortens healing time and reduces the risk of complications. After the examination, the doctor will explain all stages in detail, discuss possible risks, and provide recommendations for post-operative care.

Tongue-tie excision (frenectomy) is a surgical procedure whose price depends on the complexity and method of the procedure. The exact cost can be determined during an examination, and basic prices are listed in the price list on the page. The intervention can be performed either conventionally or with a laser, which provides less blood loss and faster healing. The doctor will assess the condition of the frenulum and suggest the optimal option, taking into account the patient's age and individual characteristics.

At our clinic in Almaty, tongue-tie release is performed for both children and adults. We are located at 133/6 Kanysha Satpayeva St., JAZZ Residential Complex, and are open daily from 9:00 to 20:00. You can make an appointment by phone at +7 747 093 89 86.

Our clinic is located at 133/6 Kanysha Satpayeva St., JAZZ Residential Complex, in Almaty. We are open daily from 9:00 to 20:00, and there is free parking. You can schedule a consultation by phone at +7 747 093 89 86.

The procedure is performed under local anesthesia, so there is no pain. After the procedure, there may be minor discomfort that resolves within a few days. The doctor will provide care recommendations for rapid healing.

Yes, our clinic uses a laser for tongue-tie release. The laser method is less traumatic, reduces the risk of bleeding, and speeds up healing. The decision on the method is made by the doctor after an examination.

Tongue-tie release in children is often recommended for difficulty with breastfeeding, speech impairment, or bite problems. The optimal age is determined by the dentist, but the procedure can be performed at any age. At our clinic, a pediatric dentist will perform an examination and provide recommendations.

Frenuloplasty is a surgical procedure to correct the tongue-tie. It is performed when the frenulum is too short or improperly attached, which restricts tongue movement. At our clinic, the procedure is performed by surgeons using modern methods, including a laser.

Our clinic provides a warranty of up to 5 years for dental services, including surgical procedures. This means that if complications occur within the warranty period, we will provide repeat treatment free of charge. For warranty details, please ask the administrator.

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 247 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 Alatau City 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 Alatau City 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.

Reviews about tongue-tie release

4.9
25 reviews on the site
25 ratings
Google5.063 reviews2GIS4.996 reviewsYandex4.888 reviewsTotal4.9247 reviews
ААсель Р.22 July 2026
★ 5,0

Everything is fine now, and that's what matters most. I came in for a consultation, ended up staying for treatment, and it was all done in one visit. Strange, but I didn't even feel tired after the appointment. And that's it. From now on, only here.

ААйнур П.25 June 2026
★ 4,0

I had no confidence after previous treatments. I came here because it's close to home. Aruzhan is a good specialist. I received treatment, and she explained what she was doing at every step. It turned out better than I expected. I was satisfied. She was punctual. She didn't ask for extra money beyond the bill.

ААсем А.20 June 2026
★ 4,0

I spent a long time choosing a clinic and read reviews all over the city (I asked twice). . . Ayaulym showed me everything on the X-ray. And that was it. The only thing I didn't like was that I had to ask twice about the timeline. Our whole family received treatment here.

ППавел З.2 June 2026
★ 5,0

My tooth hurt for several months. I received treatment, and they explained what they were doing at every step. I didn't have to wait in line. I would recommend them. They called the next day to check on how I was doing. Booking was easy. They didn't ask for any extra money beyond the bill. They kept exactly to the scheduled time.

ДДенис У.26 May 2026
★ 5,0

I needed a second opinion, and it was important to me that everything be explained in advance — and it was. Everything is fine now. They did what was planned, nothing extra, and it was all done in one visit)

ННурлан П.20 March 2026
★ 5,0

I made an appointment on the recommendation of a colleague from work, and we are happy with the result, no complaints so far. Rustam knows his stuff. Our whole family has been treated here. At first the quiet in the lobby threw me off — then I understood why. Now we only come here.

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