Frenectomy Registration Form

Register for Frenectomy

Fill out the form carefully for registration
Attendee Name

First NamePreferred/Nick nameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Dental License Number
State Licensed
Date Issued
DMD or DDS?
AGD Number if a Member
Do you currently do frenectomy or other soft tissue oral surgery?
Do you currently do full thickness mucoperiosteal flap reflection?
Do you have a laser, if yes, what type?
What’s their goal/outcome of taking course?
Do you currently evaluate for tongue and/or lip tie, airway assessment (i.e. anesthesia assessment prior to IV sedation)?
Additional Comments

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Functional Frenectomy

This hands-on course gives general dentists the skills to assess, diagnose, and perform functional frenectomies in patients of all ages. Learn essential anatomy, clinical protocols, and both scalpel and CO₂ laser techniques, with an emphasis on real-world application, interdisciplinary care, and improved outcomes in airway, speech, and ortho cases.

$5,200.00 Quantity

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Register for Frenectomy

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