Effective Tongue Tie Solutions: Enhance Speech, Breastfeeding Success, and Tongue Movement
Is your baby struggling with breastfeeding issues?
Don’t worry; we’ve got you covered! Your child might be experiencing tongue-tie (also known as ankyloglossia). Tongue- tie is a congenital condition that limits the range of motion of the tongue. It occurs due to a short, thick, or tight band of tissue (the **lingual frenulum) that tethers the tip of the tongue to the floor of the mouth. This can interfere with breastfeeding and bottle feeding and make it difficult for a baby to stick out their tongue.
Tongue- tie can also affect how a child eats, speaks, and swallows. Although ankyloglossia may not always cause problems, in some cases, a simple surgical procedure called tongue tie treatment may be needed to correct the issue.
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Reasons Behind Tongue -Tie
(Ankyloglossia) for receding gums
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Tongue Tie occurs when the frenulum-the band of tissue under the tongue-fails to separate from the tongue before birth. This condition, often due to genetics, results in an unusually short or thick frenulum, creating tightness that limits the tongue’s mobility as the child develops. While tongue tie is commonly considered an isolated condition in children without other disorders, it can occasionally be associated with other syndromes.
Tongue Tie Indicators and Symptoms
Tongue Tie symptoms can vary from mild to severe, with noticeable signs such as a heart-shaped tongue or a notch in the tongue. Tongue Tie (ankyloglossia) might not always disrupt daily life, and its symptoms can differ by age group.
In Infants
- Breastfeeding difficulties due to tongue tie
- Extended breastfeeding sessions required
- Persistent hunger despite feeding
- Clicking sounds during feeding
- Irritation, frustration, and excessive crying
- Weight fluctuations or slow weight gain
- Refusal to breastfeed
- Gagging, choking, or coughing while eating
- Frequent spitting up
In Young Children
- Speech problems related to tongue tie
- Swallowing difficulties
- Trouble moving the tongue side to side or towards the roof of the mouth
- Difficulty licking ice cream
- Challenges learning to play wind instruments
- Problems with sticking the tongue out
Effective Solutions for Tongue Tie (Ankyloglossia)
Tongue Tie treatment is a topic of debate among experts. Some doctors and lactation consultants recommend correcting tongue tie as early as possible, even before the newborn is discharged from the hospital. Others advocate a more cautious approach, opting to wait and observe.
In many cases, the lingual frenulum may gradually soften on its own, potentially resolving tongue tie. For some individuals, tongue tie does not cause significant issues. Breastfeeding can sometimes be improved with the help of a lactation consultant, while speech therapy with a speech-language pathologist may assist in enhancing speech sounds.
In many cases, the lingual frenulum may gradually soften on its own, potentially resolving tongue tie. For some individuals, tongue tie does not cause significant issues. Breastfeeding can sometimes be improved with the help of a lactation consultant, while speech therapy with a speech-language pathologist may assist in enhancing speech sounds.
What is Frenotomy, and How is it Performed?
Frenotomy is a straightforward surgical procedure used to treat tongue tie. It can be done with or without anesthesia in a hospital nursery or doctor’s office. During the procedure, the doctor examines the lingual frenulum and then cuts it with sterile scissors. Because the frenulum has fewer nerve endings and blood vessels, the frenotomy is typically quick and painless. Post-procedure, any bleeding is minimal-usually just a drop or two. Infants can breastfeed immediately after the procedure. Although complications are rare, possible issues include bleeding, infection, or damage to the tongue or salivary glands. Scarring or reattachment of the frenulum is also possible.What is Frenuloplasty?
When the frenum is too thick for a frenotomy, a more invasive procedure called frenuloplasty is recommended. Frenuloplasty is performed with surgical tools under general anesthesia. After the tongue tie surgery, the wound is usually closed with self-absorbing sutures.
Frenuloplasty Risks include bleeding, infection, or damage to the tongue or salivary glands. Due to its more invasive nature, scarring and anesthesia reactions are possible. Post-procedure tongue exercises may be suggested to improve tongue movement and minimize scarring.How Does Laser Frenectomy Work?
A soft tissue laser is used in laser frenectomy to treat tongue tie. Instead of cutting, the laser uses light energy to vaporize tissue. This method results in minimal discomfort and almost no bleeding. The laser sterilizes on contact, reducing the risk of infection. It also promotes bio-regeneration and accelerates healing.
Laser Frenectomy Benefits:
- Treatment is completed in a single visit, usually taking 1-2 minutes.
- No bleeding, no sutures, and no need for general anesthesia or sedation.
- Accelerated healing and recovery.
- Minimal pain or discomfort.
- Very low chance of reattachment.
- Minimally invasive.
- Feeding can be attempted immediately.
- Treatment is performed in our office with the highest care and precautions.
Know Your Tongue Tie Specialist
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Dr. Pradeep Adatrow, a former full-time Professor and Director at the University of Tennessee, founded Advanced Dental Implant and TMJ Center to bring his extensive expertise directly to the community. As the only board-certified Periodontal/Implant Surgeon and Prosthodontist in the southern U.S., Dr. Adatrow draws on 30 years of experience and elite university-based training. With degrees from the University of Alabama and the University of Tennessee (DDS), along with advanced postdoctoral training from Indiana University (Periodontal/Implant Surgery) and the University of Tennessee (Prosthodontics), he is a recognized leader in dental care. Board certified and a Fellow of the prestigious International College of Dentistry—a distinction held by only 10,000
Frequently Asked Questions on Tongue Tie Treatment in Southaven, MS
When Is a Frenectomy Required?
A frenectomy is necessary in cases where:
- The lingual frenum is too long and affects tongue function.
- A large maxillary labial frenum attached close to the teeth creates a gap between the front teeth.
Is It Acceptable to Breastfeed Before the Procedure?
Yes, but if you plan to have the surgery on the same visit, it’s advisable to wait until after the procedure to avoid regurgitation and potential aspiration of milk.
What Is the Working Procedure of the Waterlase (Biolase) Laser?
The WaterLase dental LASER utilizes a combination of water stream and laser-generated energy to safely and accurately remove tooth decay, reshape bone, and re-contour gum tissue. It is used in various procedures such as tooth decay removal, gingivitis treatment, bone surgeries, and cosmetic dentistry.
What Happens If Tongue Tie Is Left Untreated?
If left untreated into adulthood, tongue tie can cause:
- Breathing problems during sleep (SDB)
- Obstructive sleep apnea
- Back, neck, and shoulder pain
- TMD/TMJ (jaw joint pain)
- Migraines or chronic headaches
What Are the Complications of a Thick Frenum?
A thick frenum can lead to:
- Speech difficulties due to restricted tongue movements
- Diastema (spacing between upper front teeth)
- Mouth breathing from limited lip movement
- Decreased confidence due to speech difficulties or noticeable spacing
- Unstable dentures if the frenum interferes with denture stability
What is a Frenectomy?
Frenectomy is a surgical procedure typically performed under local anesthesia to remove or loosen the tissue bands attached to the ear, cheek, or floor of the mouth. This procedure enhances tongue movement or reduces the gap between the upper front teeth. Depending on the dentist, a frenectomy can be carried out using a scalpel, electrosurgery, laser, or a combination of these methods.
What Is the Difference Between Laser Frenectomy and Conventional Frenectomy?
In a conventional frenectomy, the tight frenulum is excised using surgical scissors. This procedure is quick but usually requires local anesthesia. In contrast, a laser frenectomy often does not need local anesthesia due to its minimal procedural pain. Lasers allow dental professionals to avoid excessive bleeding, reduce the risk of post-surgery infections, and minimize complications. They also offer a precision that traditional tools cannot match.
What to Expect Post-Treatment of Tongue Tie
Post-surgery, some babies may sleep more, have shorter and more frequent breastfeeding sessions, and experience increased drooling. As soreness decreases, the tongue adjusts, and you may notice improved latching. The tongue may require time to adapt or therapy for strengthening the oral musculature. Minor bleeding during tissue exercises is usually not a concern, and drooling will normalize as the wound heals.
Will My Insurance Cover the Consultation or Procedure?
Many dental insurance companies do not cover the procedure, as tongue tie is classified as a congenital medical condition. However, medical insurance often covers both the consultation exam and the procedure. We provide a health insurance claim form for you to submit to your insurance company. Most patients receive some form of reimbursement, although we are not in-network with health insurance companies. Payment is required at the time of service, and we will discuss all fees before treatment begins.
How Can I Identify Tongue Tie If My Pediatrician or Primary Care Provider Does Not Mention It?
Unfortunately, there is limited training on tongue and lip ties in medical, dental, nursing, or other health-related professional schools. Doctors treating tissue ties must pursue additional education. Dr. Adatrow has sought further education in surgical treatment of oral tissues for nearly two decades, ensuring the best possible care with a success rate of around 97%.
Is My Child Going to Be in Pain During the Procedure?
With modern technologies like laser and sedation dentistry, the procedure is less painful. Research and experience show that infant fussiness is minimal. The procedure takes about 10-15 seconds and is comparable to routine vaccination discomfort. Dr. Adatrow ensures minimal discomfort by treating each child with the utmost care.
Is Tongue Tie Just a Fad?
Tongue ties have been documented since ancient times, with literature dating back to biblical times. While treatment methods have evolved, laser technology now offers a safe and effective approach for tongue tie treatment. Our WaterLase technology ensures precise treatment and a faster healing process compared to traditional methods.
Is It Okay for Me to Remain in the Treatment Room with My Baby During the Surgery?
For safety, we ask you to wait in the reception area during the procedure. Our doctors prefer to focus solely on the procedure to ensure efficiency. We use protective eyewear for the baby, and our staff will guide you to the treatment room immediately after the procedure to comfort and feed your baby. Many mothers notice an immediate improvement in their child’s feeding.
What Sets Advanced Dental Implant & TMJ Center Apart from Corporate Dental Centers?
At Advanced Dental Implant & TMJ Center, we offer the same specialized care as corporate dental clinics but prioritize patient welfare and satisfaction over revenue. Dr. Adatrow closely monitors each patient’s condition and provides a personalized treatment plan. As the most experienced WaterLase dentist in the area, we ensure high-quality care and consider every patient part of our family.
Why Choose Advanced Dental Implants & TMJ Center?
At Advanced Dental Implants & TMJ Center, we strive to provide world-class care. Dr. Adatrow is dedicated to personalized care, spending time with each patient to understand their condition and recommend the best treatment. With extensive training from the University of Tennessee and Indiana University, Dr. Adatrow specializes in gum diseases, laser treatments, crown lengthening, and sedation dentistry. As the only board-certified periodontist and prosthodontist in the southern United States with over 17 years of experience, he ensures exceptional care. Our clinic, voted Desoto County’s Best Dental Specialty Clinic, provides personalized, specialized care, and sedation dentistry in the Memphis, Southaven, and Olive Branch areas.
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