A frenectomy, or tongue-tie release, is a surgical procedure performed by an oral surgeon, otolaryngologist (ENT) or plastic surgeon. It can be done either with traditional scalpels or carbon dioxide lasers. Tongue-tie is most commonly a problem for babies, but it can also affect adults. In the past, doctors routinely clipped tongue ties to support breastfeeding. But when breastfeeding fell out of fashion, so did tongue-tie releases. Parents seeking a tongue-tie release are often confused about who is best to perform the procedure and when.

A recent article in The New York Times prompted an interesting discussion among a number of pediatric otolaryngologists, lactation consultants and breastfeeding experts. Some argue that tongue-tie releases are not necessary for most newborns. Others say that if breastfeeding is challenging, and a tongue-tie evaluation reveals that the child’s lingual frenulum is too tight and restricts movement of the tongue, the condition should be treated.

If a baby has a lingual frenulum that is too tight, it may be difficult for the infant to latch or nurse and can cause pain in the mother’s nipples. In addition, a tongue-tie can interfere with the development of the palate and teeth. In some cases, a tongue-tie can also lead to low milk supply, constipation and diarrhea. Reach out to Gateshead dental in Stoney Creek to answer all your questions.

In addition, a child with a lingual frenulum can have difficulty breathing through the mouth during sleep and may need to be assisted when they are sick. The good news is that a tongue-tie can be successfully treated by a specialist. In some cases, a frenectomy is performed at birth. The procedure is called a Frenotomy and can be done with or without anesthesia.

The lingual frenulum is an important part of the tongue. It is located under the tip of the tongue and connects the lower portion of the tongue to the bottom of the mouth. It is usually a thin strip of tissue that is attached to the front of the upper and lower jaw bones.

A frenectomy or tongue-tie release is a simple surgery that involves cutting the lingual frenulum with a scalpel or laser and does not require anesthesia. Afterward, the area will be covered with a dressing. A parent is encouraged to keep the wound clean and to sweep it gently with their finger around the inside of the mouth to prevent reattachment.

Although small studies have shown that tongue-tie releases reduce nipple pain during nursing, no rigorous research has been published to show that they improve breast milk production or reduce future problems such as speech delays or dental issues. In some cases, a frenectomy can improve a baby’s reflux, fussiness or bedwetting, but these conditions have many causes that should be evaluated by the child’s doctor.

In the meantime, families with a newborn who has a possible tie can get more information by talking to their otolaryngologist or lactation consultant. An evaluation that includes a clinical exam and close observation of the baby while feeding can help determine whether a tongue-tie release is needed.

Gateshead Dental

184 Hwy 8, Stoney Creek, ON L8G 1C3

Telephone: 905-664-5555

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