05/13/2026
👶 As a pediatric dentist who performs laser frenectomies daily, you’d expect me to tell you laser is better. It’s more complicated than that.
The laser vs. scissors debate comes up constantly in parent groups, and the conversation often misses the point. Both techniques can successfully release a tongue or lip tie. In skilled hands, either can produce a great outcome. The instrument matters far less than people think.
What actually predicts success:
✅ Completeness of the release. Especially for posterior ties, the deeper fascial component has to be fully addressed — not just the visible band.
✅ Provider experience with infants specifically. Releasing a frenum in a 2-week-old is a different skill than doing it in an adult. Volume and focus matter.
✅ Functional assessment, not just visual. Is the provider evaluating feeding, latch, and oral function — or only looking at appearance?
✅ The care team around the procedure. IBCLC support, bodywork when indicated, and a clear aftercare protocol make or break results.
A few honest differences: CO₂ laser (what we use) seals tissue as it works, so bleeding is minimal and the release can be more complete, particularly for posterior ties.
Scissor releases are quick and effective for clear anterior ties, but bleeding is greater and deeper restrictions can be harder to fully address.
💡 My advice to parents: don’t pick the tool — pick the provider. Ask how many infant releases they do per month, whether they assess feeding function, and what aftercare looks like. Waiting an extra two weeks for the right provider is almost always worth it.
You’re asking the right questions. That alone puts you ahead.
