If you are having trouble feeding your newborn, we may be able to help see if tongue-tied or lip-tied affects you and your baby.
The Team at DentalCareXtra care for new borns, children and adults in our Marian and Moranbah Practices from across the entire Isaac and Mackay region also covering Rockhampton and Townsville.
Symptoms such as...
... may be related to your infant having a restricted frenum, commonly known as a lip and tongue tied, which occurs in approximately 5% of newborns.
´ Symptoms affect feeding and digestion
´ A simple frenectomy can fix the problem
´ Come in to see us for an assessment
You will find additional information about feeding issues related to Lip and Tongue Ties at the Australian Breast Feeding Association site
A fraenum (or frenulum) is a small fold of tissue that checks or limits the movements of an organ part. 'Lip and Tongue' tied procedures are commonly undertaken to help all the family.
Tongue tied is the restricted mobility of the tongue resulting from a tight frenulum and an upper lip-tied is where frenulum under the baby's upper lip is very short or thick and is pinned too tightly to the upper gum.
At DentalCareXtra, we are able to perform a procedure called a frenectomy which helps to improve your baby's lip and/or tongue mobility and functionality and allow them to properly latch on and draw milk from the breast.
The procedure is done in-office, doesn't require any sedation during early infancy and is therefore less traumatic and non-memorable for your child.
We love to see infants and families in our clinic, and we will do our very best to fit you in as quickly as possible.
Contact Us to book in for a consultation for frenectomy of the lip or tongue tie.
We are able to undertake your lip and tongue tied treatment in our practice based in Marian along with limited availablity at our Moranbah Practice. Here we are able to take total care of you and your baby.
Dr Hany is the only LASER user who is fully qualified and licensed to perform this procedure in the Mackay, Isaac, Rockhampton and Central Highlands region and surroundings. Dr Hany has been treating tongue-tie and lip-tie in adults, children and infants using laser surgery for over 7 years.
Dr Hany is one of very few providers of LASER surgery in Australia who performs frenectomy surgery on infants. Due to the unique skill, there has been a huge increase in demand from Lactation Consultants, Speech Therapists and Chiropractors for parents for such a service.
Other health professionals such as registered nurses or medical personnel can perform this procedure. However Dr Hany is specialized in using LASER to enhance the outcomes of treatment. Using LASER allows the operator to perform frenectomies on infants from few hours old up to 24 months old without the need for hospitalization.
Here are some Frequenty Asked Questions that may help
Q. How can I tell if my infant has a tongue or lip tie?
A. Commonly diagnosed by Lactation Consultants who are experienced in this area. Addition to the symptoms of nipple pain and damage - loss of suction on the nipple (and subsequent air-intake, leading to gassiness), poor breast milk intake and clicking sounds, you may notice that your baby's tongue cannot protrude beyond his or her lips. Other indications are: if the tongue cannot be moved sideways; the tongue tip is notched or heart-shaped; or if when the tongue is extended, the tongue tip may look flat or square instead of pointed. In older children and adolescents, an upper lip-tie can be associated with a gap between the front teeth.
Tongue Tie Lip Tie
Q. How is the procedure performed?
A. Small incision with scissors is made under your baby's tongue where it connects to the floor of the mouth. Laser Light energy is used to incise tissue, Laser has a distinct advantage such as precision, control of bleeding, bactericidal (kills bacteria as it ablates), reduces oedema, swelling and inflammation and therefore allows for better healing. The frenulum is not well supplied with nerves or blood, therefore the procedure causes only slight pain and little bleeding. We find that babies show minor distress at being held firmly for the procedure rather than the procedure itself. Nursing or feeding immediately afterwards, made easier by improved tongue extension, is the best way to soothe your child. Infants respond to procedure in different ways such as screaming and put on a show, or become limp and sleepy due to exhaustion.
Q. What is the follow up/aftercare?
A. There will be a small white diamond-shaped mark from the procedure, which should heal within two weeks. Lactation consultant if needed may recommend gentle massaging or other exercises. We undertake the aftercare follow up consultation for tounge tied Mackay region patients.
Q. Will you use any local anaesthetic? Can this be done on older babies?
A. For newborns, anaesthetic is not necessary. Babies over 5 months old may require treatment under general anaesthesia, depending on the extent of the tongue or lip tied.
To allow the tongue and lip to fully function post treatment to allow for breast or bottle feeding, we do not anaesthetise infants or toddlers. It also allows us to how the mouth functions pre and post procedure to ensure the form and function is performing in the best possible manner. By numbing the area within the tongue area, the infant will not be able to feed properly. This approach has been endorsed by the Australian Breast Feeding Association.
Q. Is there a chance of complications or that the frenum will re-attach?
A. Possible complications of the procedure are bleeding or infection, but the incidence of these occurring are extremely rare, as is re-attachment.
Q. What other positives are there to having frenectomy?
A. Some children with tongue-tie are messy eaters due to a restricted ability to tidy up inside and outside of their mouths while they are having a meal. Dental cavities can occur due to food debris not being removed by the tongue's action of sweeping the teeth and spreading saliva. It is unclear as to whether tongue-tied affects speech development, however health issues alone justify treatment.
Q Why do we reccomend the services of a Lactation Consultant?
A Lactation Consultant plays a critical role in the entire process of identification, care and re-education of mother and child before, during and after the procedure. Some of the issues that the Lactation Consultant can assist with include:
• Latch on Problems
• Slow weight gain of infant
• Insufficient breast milk
• Retraining child and mother how to feed
We work cooperatively with Lactation Consultants to ensure your child gets the optimal long term outcome for a healthy life.
How long will it take before we see the results of Treament?
Every patient treatment outcome is different depending on a range of factors. Some patients will latch straight away and start feeding, others will take longer based on the type and nature of the restriciation along with the requirement to re-educate both Mother and patient to be able to re-learn established feeding habits. For this reason we strongly recommend the advice and support that Chiropractors and Lactation Consultants provide to get the optimal results as soon as possible.
If you have any concerns or questions, please do not hesitate to contact us. We are able to look after your child's lip and tongue tied surgery in Marian and surrouning areas (including Moranbah and the wider Isaac Region, Rockhampton and Townsville)
Contact Us to book in for a consultation for your Lip and Tongue tied procedure.