Lip and Tongue Ties
Breastfeeding can be a beautiful bonding experience for some, but for others, it may lead to pain and frustration, leaving them drained. If you're seeking a solution, consider frenectomies, which can enhance your comfort and ensure your child receives optimal nutrition during feeding.
Does my child need a frenectomy?
Being told that your infant needs a surgical procedure can sound scary, but frenectomies are simple, safe, and effective with minimal aftercare. Plus, with a conservative approach to pediatric dentistry, your doctor will only recommend frenectomies when they deem them necessary. If you’ve been struggling with breastfeeding or noticing popping or clicking sounds while your child is feeding, it may be time to come in for a frenectomy consultation.
What to Expect
Infant Frenectomy
The days and weeks following your baby's frenectomy can be a mix of relief and worry. It's normal to have questions about how your baby will recover. Knowing what to expect and how to care for them will help you feel more confident.
The First 24 Hours
- Managing Pain and Discomfort: Your pediatric dentist will likely suggest pain relief such as infant acetaminophen/ibuprofen. Follow the recommended dosage instructions. Gently using cold compresses on the area can also reduce swelling and discomfort.
- Monitoring Bleeding: It's normal for a bit of bleeding to occur. If needed, use gauze pads to apply gentle pressure. If bleeding continues or seems excessive, contact your pediatric dentist immediately.
Feeding Your Baby
- Breastfeeding Adjustments: Breastfeeding might be challenging initially as your baby adjusts to their improved mouth movement. Patience is important. Consult a lactation consultant if needed for comfortable positions and techniques.
- Bottle Feeding: If you're bottle-feeding, make sure the nipple flow matches your baby's new sucking abilities. Some babies may prefer a different flow speed post-surgery.
Oral Exercises and Stretching
To prevent the frenulum from reattaching and to promote healing, your pediatric dentist will recommend specific oral exercises. These will include gently lifting and moving the tongue several times a day. Following these exercises as prescribed is crucial for a successful recovery. Frenectomy Aftercare
Signs of Successful Healing
- Improved Feeding: One of the main goals of the frenectomy is to enhance feeding. You may notice better latching, more efficient feeding, and steady weight gain in your baby.
- Less Irritability: As feeding becomes easier and less painful, many parents see a decrease in their baby's fussiness and irritability.
Potential Complications and When to Seek Help
- Signs of Infection: Infections are rare but watch for fever and/or increased redness, swelling, or actual pus (wound sometimes looks white or yellow) near the surgical site. Call our office for any of the following:
- Uncontrolled bleeding
- Refusal to nurse or take a bottle
- Fever >101.5
- Reattachment: Sometimes, the frenulum can reattach if post-surgery exercises aren't done correctly. If feeding problems return, contact your pediatric dentist.
Long-term Benefits of a Frenectomy
- Enhanced Oral Development: Proper tongue movement is crucial for speech and oral health. Addressing tongue-tie or lip-tie early can prevent future issues.
- Improved Quality of Life: Resolving feeding issues through a frenectomy can significantly improve bonding and overall well-being for both parents and babies.
Caring for Your Baby
Navigating the post-frenectomy period might seem overwhelming, but with knowledge and support, you can provide a smooth recovery. Stay connected with your pediatric dentist at Dance Dentistry for Kids with any concerns.
The Frenectomy Process
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Sometimes, getting started is the hardest part. We are here to help you take the first step with free frenectomy consults.
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Custom Treatment Plan
The Benefits of Frenectomies
Experience Better Breastfeeding
Tongue/lip ties can make breastfeeding difficult for both baby and mom. Frenectomies ensure your infant can feed properly and help prevent low weight gain.
Prevent Speech Impediments
Early treatment with a frenectomy helps prevent speech impediments due to restricted tongue movement.
Improve Overall Eating Ability
Releasing restrictive tissues can also help older children enjoy their favorite foods with ease.
Frequently Asked Questions
Check out these frequently asked questions, or call us to speak with our team.
Tongue and lip ties are collectively known as “tethered oral tissues” or TOTs. They occur when the bands of tissue that connect the tongue or the lips to the mouth become overdeveloped to the point that proper mouth movement is restricted.
They are uncommon in infants and toddlers, and sometimes do not need treatment. Minor tongue and lip ties may not cause any feeding problems, or contribute to speech impediments.
However, serious tongue and lip ties can make it hard for your child to breastfeed or use a bottle properly, resulting in poor feeding and inadequate nutrition. If you think that your child is having trouble feeding because of tongue or lip ties, you should get help from a pediatric dentist right away.
Feeding problems are the most common signs of tongue and lip ties. Your child’s lips and tongue need to be able to move properly to latch onto the nipple and stimulate it for proper feeding. If they seem to be having trouble making a proper seal, milk dribbles out from their mouth while feeding, or they frequently stop and start feeding, they may be having latching issues due to tongue or lip ties.
You can also look for visual signs of tongue and lip ties. For the lips, you can fold back your child’s upper lip and look at the frenulum. If it is difficult to lift the lip or it seems like your baby is unable to move their upper lip on their own, they may have a lip tie.
Signs of tongue ties include an inability for your child to stick their tongue out past their front teeth, or problems moving the tongue from side to side. Tongue ties can also be identified visually. A common sign of tongue ties is a “heart-shaped” tongue. When your child sticks their tongue out, the restriction caused by the tongue tie may cause it to look “notched” or heart-shaped, instead of appearing as a smooth “U” shape.
Your child’s mouth will be completely numb throughout the procedure, and we use special tools at our office to eliminate pain and discomfort. With laser dentistry, your child will experience minimal bleeding, and they will be able to recover from tongue or lip tie treatment quickly and with low levels of post-operative discomfort.
A frenectomy will typically be covered by dental insurance, so you can get your child the care they need without worrying about high out-of-pocket expenses. Even if you do not have insurance, the cost of a frenectomy is quite low. Insurance plans vary, so make sure you consult with your dental insurance company to make sure your child is covered for their treatment.
To care for the surgical site, you will need to clean the treatment area twice a day to prevent infection and keep it healthy. Your child’s dentist may also recommend some stretches for the tongue and/or lips. These stretches will help ensure that when the frenulum heals, it will not reattach and restrict your child’s oral range of motion. Follow the instructions given to you and make sure you regularly perform all stretches recommended to you by your child’s dentist.
Frenectomies are usually identified in infants and young children before they grow older, so the treatment is primarily done on younger children. However, it’s not exclusively provided to infants and young children. Older kids, teenagers, or even adults who have tongue or lip ties may be able to benefit from treatment with a frenectomy if they have serious tongue or lip ties.