Frenectomy FAQs for children and adult
Frenectomy FAQs for children and adult

 

1. How come my Doctors never told me that my child or I have Tongue tie?

Training about tongue tie, lip tie Diagnosis and Treatment options is not in the curriculum of a basic Medical or Dental degrees for most Universities.  For this reasons, your Doctor(s) may not be able to Diagnosed this condition!
After graduation from his Dental degree, Dr Le had extra training to use laser since 2001, Dr Le has further his knowledge in orthodontics and perform Frenotomy for his orthodontic patients since 2005.  He is also trained with the Tongue Tie Institute, a world leader in tongue tie training based in Australia.

 

2. What happens if we do not treat the lip or tongue tie? 
Tongue functions will be affected in tongue tie patients.  This mean:
In childhood: speech difficulties, crooked teeth due poor jaw growth. This means that it would cost years and many thousand dollars to treat narrow, small jaw and crooked teeth.
In adulthood: head and neck tension, snoring and sleep apnoea may be related.
 
3. I think my child or I has a tongue tie. Is treatment always necessary?
Yes, if tongue ties affect normal tongue functions.
Normal tongue function is super important throughout life, and particularly during growth. The tongue drives the growth of the mid face and jaws, so a tied tongue will almost always result  narrow and small jaw, this mean the teeth will be crooked. Furthermore, the tongue affects breathing and thus overall body posture, especially head and neck. It’s important in speech, swallowing and talking as well. So, if there is a tongue tied, ideally it should be treated as soon as possible to attempt to limit the chances of severe crooked teeth and other future problems.  This would spare you and your child more costly orthodontic treatments in the future.
 
4. Is laser better than a snip with scissors in tongue tie surgery?
The most important factor in the success of any surgery is always going to be the operator. The operator must have done the necessary training to ensure competence and must have had plenty of experience to give a better chance of success. Dr Le is trained by The Tongue Tie Institute, has performed numerous tongue and lips tie release for infants, children and adults.
In relation to laser vs scissors:
A laser “ablates” (vaporises) the tissue. It does not cut or crush the tissue like scissors. It also seals nerve endings to reduce immediate post-op pain and helps to coagulate to reduce bleeding. A laser is extremely accurate. In the hands of an experienced operator like Dr Le, laser gets the job done with minimal trauma to adjacent tissues.

 
5. What will happen at the appointments?
Visit 1: consultation only
This visit is about 30 minutes where we will assess the severity of your restriction based on presentation, signs and symptoms related to tongue and lip ties.
Patient or parents would already receive some important documents with lots of information to prepare you for your consultation.
We will give you the material for the Face games, an 8 weeks exercise program for children and adults to do in conjunction with Frenectomy. For a better outcome, this is a must if you are NOT under the care of a body worker or a Myobrace dentist.
Visit 2: frenectomy, 4 weeks after visit 1 
Visit 3: 1-week review (FREE of charge)

 

6. The treatment
We will apply a small amount of our strong numbing cream followed by a small dose of local anaesthetic to the area of concern prior to laser treatment. This ensures that the patient does not feel a thing during the procedure. Once it is numb, it takes about 1 minute to release the tongue/lip tie with laser. Treatment will take longer, up to minutes for a more severe lip or tongue tie of an older child or adult. There is often no bleeding afterwards, no sutures needed.
Patient should take pain killers like Paracetamol (Panadol) for the next two days, first dose starts before the numbness wears away, then every 4 hours for the two days, to a maximum 8 tablets every 24 hours. Patient may take this pain killer again 1 hour before performing stretches from day 3 to day 5.
Children can go to school the day after and adults can go back to work the same day.  Eating is as normal.
It is important to note that a small amount of bleeding is typical a few days following treatment and is not of concern.
 
7. Pre and After care for children and adults:
Face games: patient should do 4 weeks Pre-operative and 4 weeks Post-operative exercise, this is to form a new neuromuscular pathway to get full use of the new and un-restricted tongue and/or lip.  We do offer this exercise program for free to all our patients.
For even a better functional result from a Frenectomy (tongue and/or lip tie laser release), patient should do an 8 weeks exercise program (4 weeks before and 4 weeks after release) of Orofacial Myofunctional therapy with a qualified Oral Myofunctional Therapist.
For the very best result, patient would need to be on Myobrace treatment and the Frenectomy is perform after patient has done the Tongue suction and hold exercise for 4 weeks.

Patients who have suffered from neck and shoulder pain should continue to see their regular body worker health practitioner: Chiropractor, Physiotherapist or Osteopath for the next 4 weeks to make the most out of the release of the tongue and/or lip tie release.
Patients who have persistent speech problems should see a Speech and Language Pathologist who have been trained and have experience with tongue tie patients to further improve their speech.
 
8. Stretching exercise to promote proper healing 
We recommended to do stretch for the area by applying repeated, gentle but firm pressure. Stretches should be done for 3 seconds, 3 times a day, for 3 weeks. This is then cut down to 2 times a day in the 4th week and completely stopped at the end of week 4 after laser release of the frenum restriction.
These exercises are important to minimizing the reattachment of the frenum to its original position. 
It is normal to see a diamond shape, whitish patch for up to 2 weeks from the release until the new skin fully heal.

The time it takes to see a noticeable change in functionality varies from patient to patient, from almost immediately to a few months following treatment. 

 

9. Is this treatment covered under Medicare?
The consultation and procedure are both considered “dental treatment”, so they are not covered under Medicare. However, for private health insurance, the following item numbers are used:
• 014 (consultation)
• 391 (per frenectomy)
 
10. Are there any restrictions on travel or other activities after surgery?
There are minimal restrictions on travel or other activity after surgery. However, carers should bear in mind that our active wound management protocol requires stretches to be performed 6 hours after surgery and every 8 hours for 3 weeks post-treatment, then every 12 hours in the 4th week. In general, it is best to take things easy in the first couple of days post-surgery and we advise against swimming for 7 days.

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