I have been informed of the laser frenectomy procedure(s) to be performed on my son/daughter. The
benefits and possible risks of treatment as well as alternative care options, including no treatment, were
discussed and I was provided ample opportunity to have all of my questions and concerns addressed.
The doctor, will be performing a laser frenectomy to release the physical restriction of the frenulum. The
intent is to remove the frenulum which through reported symptoms, physical exam and written history
provides reason for treatment. The expectation is that by removing the frenulum there will be the
establishment of a more normal lip and/or tongue posture and movement. The presence of the frenulum in
this case is most likely one of the causes for the speech issues It is understood that though the intent is to
alleviate the problem by frenectomy, there is no guarantee that this will cure the problem. I understand that
the frenulum is likely a contributing cause to speech, feeding, sleep, or other difficulties. I further
understand that I am responsible to provide the post-op stretching exercises as directed. This will help
assure the best possible result. I am to return to my therapist for follow-up guidance for my child.
Post-op complications may be discomfort, minor bleeding, reattachment, and less commonly fever and
infection.
