What is a Tie?
Is a Tongue Tie Hereditary
Tongue-tie is congenital (present at birth) and may be hereditary (often more than one family member has the condition). It results when the frenulum (the band of tissue that connects the bottom of the tongue to the floor of the mouth) is too short and tight.
Does a Tongue Tie Affects Speech
Although it is often overlooked, tongue tie can be an underlying cause of speech difficulty because there will be a restricted movement of the tongue. While the tongue is remarkably able to compensate and many children have no speech impediments due to tongue-tie, others may.
Does my Baby need Anesthesia during procedure
The application of anesthesia will depend on the age of the patient and the nature of the procedure. The procedure is usually done by a trained pediatric dentist under monitored anesthesia care by a qualified pediatric anesthetist.
How is a Tie corrected
The conventional method uses blade (scissors or scalpel) to release a tie however in recent days the procedure is done using a laser diode under local anesthetic gel.
Can a Tongue tie Baby Breatfeed
When a tongue tie is causing problems with breastfeeding, the baby often does not open his mouth widely, thus not latching on to the breast at the correct angle. Instead, he may latch onto the nipple, and ‘gum’ or chew it, causing severe pain and eventually, nipple damage.
Is the Procedure painful
There is certainly some discomfort associated with any procedure in the oral environment, regardless of the tool. Our laser procedure is customized to provide the best outcomes for each patient depending on their age. The procedure is painless as it is performed under local anesthetic.
Will there be pain after the procedure
Pain is very subjective and patients report a variety of pain levels following a frenectomy. For a procedure that is carried out thoroughly, some pain can be anticipated. Standard analgesics may be of comfort in the days following surgery.
What are the chances of reattachment after procedure?
There is always a possibility of reattachment. However, tongue stretching exercises are taught by reducing the potential chance of reattachment.
How long does the procedure take?
We have a well-planned protocol to ensure that our infant and toddler patients will have the shortest surgery time possible and to enable them to breast feed straight away. The surgical aspect of the visit generally takes 3-5 minutes.
Can I be present inside the room during my child is having the procedure?
A frenectomy is a relatively non-invasive procedure. By keeping the number of people in the surgery to a minimum we are able to be most efficient, focus on our patient, and provide care in a less emotionally charged environment. This is especially true for mothers who will be breastfeeding immediately after the procedure.
What will happen if a Tie left untreated?
Given the importance of breastfeeding in strengthening the tongue and other mouth and face muscles and the important role of the tongue in encouraging correct tongue posture (where we place our tongue at rest), the inability or ineffectiveness of many tongue tied infants to breastfeed adequately may led to poor tongue positioning. Even after breastfeeding has ceased, the establishment of tongue posture and the patterns of tongue movement may be limited by a tongue restriction. The effects of a “descended tongue posture” and “tongue thrusts” has a direct effects on the development of the jaws, positioning of the teeth, certain breathing dysfunctions
Are there any restrictions on activity after procedure
When is the right time to treat it?
As soon as it is diagnosed would be the ideal time to treat it, if normal functions have been compromised
What would be an after care protocol?
After care includes gentle exercise that would encourage tongue movement and prevent reattachment followed by assistance from a lactation consultant / craniosacral therapist / body worker