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It's really impossible to answer this with anything specific - the patient needs to get a second opinion from an oral and maxillofacial surgeon, either in private practice or at a nearby dental school. The patient didn't indicate whether the "surgeon" was a general dentist, oral surgeon, or other. Depending on the patient's individual circumstances, he may or may not get further improvement with a reoperation, even with laser. IN GENERAL, frenectomy is only done for severe cases, because many times the anticipated improvements in speech, etc. do not appear (without speech therapy), and/or the scarring can limit the tongue (I'm assuming he's talking about his tongue here) nearly as much as the frenum did. I'm unfamiliar with the technique described - it is a very atypical way to remove a frenum, but I would have to see the case to render an opinion on whether it was appropriate or not. Complications with the salivary glands is a recognized risk and we counsel every patient on that possibility. I'm sorry I can't be more specific. I suggest the patient seek an oral surgeon's evaluation.
Roger E. Alexander DDS
Associate Professor
Dept. of Oral & Maxillofacial Surgery & Pharmacology
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