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52084 - Frenulum Release (Age ≥ 2)

MBS service description:

TONGUE TIE, MANDIBULAR FRENULUM OR MAXILLARY FRENULUM, division or excision of frenulum, in a patient aged not less than 2 years (Anaes.)
Schedule Fee:
136.1
@85% Benefit Fee:
115.7
@75% Benefit Fee:
115.7
Last updated on
March 29, 2025

When is item code 52084 (Frenulum Release (Age ≥ 2)) typically used?

The need for division or excision of the tongue tie, mandibular frenulum, or maxillary frenulum in patients aged 2 years or older arises when these restrictive bands—connecting the tongue or lips to the gums—limit movement, causing speech, eating, or dental issues, requiring surgical release under anesthesia. This procedure targets older children or adults where congenital or acquired tightness persists beyond infancy, impacting oral function or aesthetics. It is critical in the maxillofacial region where frenulum restrictions can affect articulation, chewing, or orthodontic outcomes.

Reasons include:

  • Speech delays: A tight tongue tie in a 5-year-old might cause speech impediments, needing excision for clarity.
  • Lip restriction: A maxillary frenulum limiting lip movement in an adult could affect smiling or eating, requiring division.
  • Dental gaps: A mandibular frenulum pulling on gums might widen tooth spacing, needing release for orthodontics.
  • Chronic irritation: Tight frenula causing pain or gum recession prompt surgery for comfort.

For example, a teenager with a tongue tie affecting speech therapy progress might need this to enhance articulation, done in a clinic. In aged care, an elderly patient with a maxillary frenulum causing denture issues could benefit from this to improve fit, given their frailty. By releasing the frenulum, this service improves mobility, resolves functional problems, and supports oral health, making it essential for managing restrictive frenula in older patients in the maxillofacial area.

Benefits to the patient

Surgeons dividing or excising the patient’s tongue tie, mandibular, or maxillary frenulum under anesthesia (for those over 2 years) provide developmental benefits. A primary advantage is enhanced oral function. This procedure improves the patient’s tongue or lip movement, aiding speech or dental alignment—key for 'frenulum excision benefits.' It also improves speech or dental alignment by correcting restrictions, benefiting the patient’s communication or oral health. Furthermore, it relieves irritation by removing tight tissue, enhancing the patient’s comfort. For surgeons exploring 'frenulum treatment advantages,' this service ensures patients experience better function, alignment correction, and reduced discomfort, offering a tailored solution for older children or adults.

Recovery considerations

Recovery of a few days with mild discomfort; minimal impact on daily life.

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