A tight, restricting frenulum is a small fold of tissue that can cause gum recession, over exposing the front teeth putting them at risk of loss. Strong frenulum attachments also prevent the lips from moving properly which can effect speech or appearance. For infants, this can contribute to improper latching during breastfeeding.
Commonly known as tongue tied, this is a congenital oral anomaly which decreases mobility of the tongue tip due to a pronounced lingual frenulum. For infants, this can cause difficulty or inability to breastfeed. Later in life this condition can cause speech impediments. Our laser treatment frees the tongue to move properly.
1. The procedure can be done in the office using topical anesthetic vs a hospital stay with general anesthetic.
2. The laser is bactericidal and cauterizes while the scissor is neither of those.
3. There is no need for sutures following a laser revision.
4. The laser is extremely precise.
The following could be symptoms, but not limited to: speech problems, difficulty eating and swallowing, poor oral hygiene, dental decay, gas in tummy and poor digestion.
1. A discussion with the parents about what led them to the appointment and symptoms they have observed.
2. A "knee to knee" exam of the child's mouth, lip and tongue action.
3. Observation of tongue movements and lifting of the tongue and upper lip.
1. The infant is swaddled.
2. Protective laser goggles are placed on the infant.
3. A fast-acting topical anesthetic is applied with a cotton swab.
4. The laser releases the tissue with a sweeping motion.
5. Post-op instructions are given and post-op stretches are demonstrated to the parents.
1. Generally, it is best for parents to be in the reception area during the brief surgery. Most parents prefer not to watch.
2. There are special cases where parents or 1 parent can be in the treatment room, but these are determined on a case by case basis by Dr. Fox and the parents and only if all agree that this is the best course to follow.
Yes. There are great healing properties to breastmilk, however, due to the anesthetic, the baby may need some assistance.
Within the first week, the baby may experience varying soreness and irritability. Infant Tylenol can help with soreness. The wound will change color from white to gray to pink overtime. It will take about a month to fully heal.
Post-op stretches minimize the possibility of reattachment and facilitates greater mobility of the tongue, lip and muscles. The stretches also optimize healing.
Over 12 years!
We treated over 300 babies last year alone!