Frenectomies (Tongue and Lip Tie Revisions) for Infants and Toddlers

A simple examination can determine if your child is a candidate for this minimal invasive procedure. We use the latest in laser technology which minimizes swelling and helps with rapid recovery.

Who Can Benefit From a Frenectomy and is it Right for my Child?

  • Mothers’ with a painful latch while breastfeeding.

     
  • Babies with nursing sessions which have frequent breaks/clicks heard when latched, swallowing of air, gassy, fussy or colicky babies.

     
  • Babies with nursing a callous or blister in the midline of the top lip.

     
  • Children with speech delay or difficulty with sounds that require uniform elevation and/or extension of the tongue.
  • Children who frequently gag on foods when transitioning to solids, aversions of foods that require significant mastication before being swallowed.

     
  • Children with an increased incidence of dental caries on molar teeth.

     
  • Children with high arched palate or dental malocclusion.

When you’re ready to schedule your consultation, please complete the following questionnaire and checklist. A BeanTeam member will then call you to review the information with you and schedule your consultation.

breastfeeding questionnaire

Scheduling a Frenectomy Consultation

 
The next step after completing the checklist is to schedule a consultation appointment with Dr. Lewis. While we suggest a morning appointment, a member of our team will work with you to find a time that accommodates both you and your baby’s schedule.

 

During the consultation appointment, Dr. Lewis will review the symptoms you selected on your checklist to determine if they are possibly related to a lip or tongue restriction of normal movement. After reviewing these items with you, a gentle “lap to lap” examination of your baby’s mouth will be performed. A “lap to lap” examination is when your baby is partially resting on your lap, facing up and towards you with his or her head resting on Dr. Lewis’ lap. During the examination, Dr. Lewis will be looking at the elasticity, length, muscle tension and insertion points of frenulums, the range of opening of the mouth, and the ability to flange the top lip. This part of the visit usually takes less than a minute.

Following the examination, Dr. Lewis will let you know which (if any) revision(s) are recommended and explain how your babies’ specific findings may be related to any symptoms you and your baby may be experiencing. Dr. Lewis will explain the revision procedure and healing process thoroughly with one or both parents. Dr. Lewis will also demonstrate post-revision stretches and discuss whether a consultation with a lactation consultant would be beneficial (if you haven’t seen one already).

The typical frenum consultation can take anywhere from 30 to 45 minutes. If the decision is made to perform the procedure, we will have you sign a consent form and will usually complete the tongue or lip tie revision on the same day as the consultation. In this case, the appointment will generally take about one hour.

If you’re ready to move forward with the procedure, you can access and complete the frenectomy consent form by clicking the button below.

frenectomy consent form

Postprocedure Follow-up

 
The follow-up appointment is set for 1 week from the date of your child’s frenum revision. This appointment allows Dr. Lewis to check the healing process and evaluate how you are doing with the postoperative stretches. If you’re having difficulty with the stretches, Dr. Lewis will do a hands-on demonstration of proper stretching technique. At this time a member of the clinical team will complete a postoperative questionnaire with you and take postoperative photos which are placed into your child’s dental chart and are used to compare the frenum(s) pre-and-postoperative appearance.

 

For more information on postoperative stretching please visit our Post Procedure Care page.