Discomfort while nursing. Some babies take to the procedure immediately, and some take time to adjust. Jennifer R. Mata, DDS. For babies under the age of 12 months, a topical numbing cream is applied to the area(s) that will be treated. CO2 Laser Frenectomy Treatment in Potomac, MD. We do not want the top and bottom of the triangle to attach to each other, which would result in a short, tight frenulum and little to no change. Additionally, the laser is bactericidal and sterilizes the wound and surrounding tissue. Spacers are removed when the new tooth erupts. Tongue and lip-tie revisions are completed quickly in office without anesthesia using laser technology. Dr. Kelly Giera is specially trained for tongue tie/lip tie release laser surgery. She has been performing releases for over 7 years. Whats a Frenum anyway? One of the most common signs that your child has a lip or tongue tie is difficulty nursing. You can contact our office if your child is experiencing oral pain or discomfort after having a frenectomy.
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Our doctors perform frenectomies with a laser, which vaporizes the tissue. Does My Child Need a Frenectomy? The effects wear off very quickly when the gas is turned off. The treatment of tongue-tie for infants is a simple surgical procedure called a frenotomy. Laser Frenectomy in Winter Park. Essentially, a tongue-tie and lip-tie is when a child's frenulum is too short, which can restrict movement of the tongue and lips, and can interfere with normal swallowing. How do I know if my child has a Tongue or Lip Tie problem? Taking only minutes to complete, the process involves using a Light Scalpel CO2 dental laser. Focus on getting your index fingers mentally glued together - this forces you to stay in the middle, right on top of the diamond. WILL MY BABY BE IRRITABLE IN THE DAYS FOLLOWING THE PROCEDURE? Do not allow more than 4 hours to span without doing the stretches (including at night). Extra-oral Digital Radiographs. Tylenol - Dosage: Using the dropper in the manufacturer's packaging. Laser dentistry is proven to be much safer and more effective at fully releasing the frenulum, allowing your baby to enjoy a greater range of motion.
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Your child will be able to eat immediately after the procedure, as the laser causes minimal to no bleeding! At Little Star Pediatric Dentistry we have the use of Extra-Oral Digital Radiographs. With an initial exam, we'll make sure to look for these small tissues and provide recommendations ahead of time as needed. Recovery: After laser frenectomy surgery your child may be fussy, irritable, or fatigued. Refusal to nurse or take a bottle. The laser seals the blood vessels as it works so there is little to no bleeding (unlike with scissors which often require an additional medicament to stop the bleeding). Little Star Pediatric Dentistry will make sure your child is comfortable, using local anesthesia to completely numb the area. There is new mobility of the lip and tongue and your baby needs time to re-learn how to use them. An essential part of maintaining your child's oral health is having regular professional cleanings. Space maintainers are made of stainless steel or plastic, and come in two forms: Fixed – cemented onto the teeth on either side of the space. While some dental cavities and conditions can be visually detected, others cannot without the aid of digital imaging. Prior to your appointment: Please dress your child in loose fitting, comfortable clothing. If a permanent tooth is ready to erupt, your child may not need a spacer.
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In fact, we encourage mothers to breastfeed immediately following the procedure to provide healing nutrients from breastmilk. If you have questions about laser frenectomy, contact us to schedule a brief consultation with the doctor. Others may develop such a fear that they will have trouble cooperating during future visits or even refuse treatment. The tongue looks notched or heart-shaped when stuck out. Time is of the essence for these emergencies, and your pediatric dentist should see the child WITHIN 1 HOUR for best chance of success. A frenectomy or frenotomy refers to a corrective procedure done to release a tight frenum.
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The mouth should heal and return to normal in just a few days. Our kid-friendly staff is skilled at helping children have a positive experience in our office. She is a member of the Academy of Laser Dentistry and received her extensive pediatric-specific laser training form the World Clinical Laser Institute and the Biolase corporation. The removal of single teeth may be necessary to maintain the health of your child's remaining teeth, permanent teeth and mouth. Follow up with other necessary professionals/bodyworkers: CranioSacral Therapists, Physical Therapists, Chiropractors, Speech Therapists, Myofunctional Therapists, Occupational Therapists, Cranial Ostheopaths, etc. Early and regular dentist visits can help your child avoid decay, a problem for 40% of 2- to 5-year olds. Place one index finger on the inside of the lower lip and the other index finger pushed under the tongue and lifts toward the palate. Taking appropriate steps early can prevent infection and reduce the need for extensive dental treatment. My recommendation is that stretches be done 6x/day for the first 3 weeks, and then spending the 4th week quickly tapering from 6 to 5 to 4 to 3 to 2 to 1 per day before quitting completely at the end of the 4th week. At first, this may seem scary, but at Chicago Pediatric Dentistry & Orthodontics, our providers utilize the most advanced technology available. Meaning that breastfeeding might actually be harder initially until things begin to organize and the mechanics start working together properly. At Little Star Pediatric Dentistry, we are dedicated to treating infants, toddlers, and children with tongue-ties, lip-ties, buccal-ties and other tethered oral tissues with the use of advanced laser surgery. Dr. Kim uses her LightScalpel CO2 laser for tongue-tie / lip-tie releases and all other soft tissue procedures.
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Breastfeeding can be a special experience between you and your baby and give you both many health benefits. These can include: - heart shaped or notched tongue. We believe in using material that is safe, biocompatible, and healthy for your child. It can also lead to persistent nipple pain and/or damage for the breastfeeding mother. This will lead to reattachment. The following exercises are simple and can be done to improve suck quality. We are very aware and careful of limiting the radiation that is exposed to our patients.
The tongue needs three separate stretching motions: - Once you are under the tongue, try to pick the tongue up as high as it will go (towards the roof of the baby's mouth). Lip-tie refers to an abnormal attachment of the upper lip to the maxillary gingival (gum) tissue. Laser dentistry provides a unique treatment option for addressing ankyloglossia, especially for very young patients. Creased, flattened or blanched nipples. This is called the lingual frenulum. Read the information on this procedure in advance to prepare for your consultation. A voicemail paging service is available to contact the Doctor on call. Please note that, for all frenectomy-related appointments, we require a referral from your child's pediatrician, lactation consultant, speech therapist or orthodontist. A frenectomy is the most common treatment for a child diagnosed with a tongue-tie and lip-tie, and it is simply the removal of the frenulum so that the tongue and lips can function normally.
This is also normal and usually resolves within 24-36 hours. Because we provide laser frenectomies with the WaterLase iPlus Laser: - It's virtually pain-free. Everyone has a frenum, but in some people the frenum fails to recede and is too tight, thick or short and causes mobility problems. Your little one might experience some discomfort for 3-5 days following the procedure. Some swelling may occur. We encourage immediate breast feeding following the procedure. Zoe has allowed us to not use a drill or give shots, in most situations, so many procedures can be done with no anesthetic.
There are four main components to having a successful revision: Release of restrictive frenum (done in office with laser). Unfortunately, the frenulum under the tongue does not stretch or grow as your baby grows. Poor weight gain or weight loss. If you have two raw surfaces in the mouth in close proximity, they will reattach. Dr. Kim has completed numerous courses including The Tongue-Tied Academy, In office training by Colorado Children's Hospital staff, she is also a member of Dr. Zaghi's Breathe Institute.
Come prepared to review this with Dr. Najmeh and bring any questions you might have in addition to what is described here.
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