Procedure Information
Lip and tongue tie release procedures are a gentle and effective treatment to improve oral function by removing the tethered oral tissues (TOTs) that restrict movement of the lip or tongue. This minimally invasive procedure uses laser technology to safely and precisely release the shortened frenulum from the lip or tongue. The laser provides a highly targeted approach to minimize discomfort and reduce healing time, and the procedure typically takes just a few minutes.
This method offers immediate results, allowing for better feeding, speech development, sleep, and oral hygiene. Dr. Robinson and her team ensure that the process is as comfortable as possible, focusing on each child’s unique needs.
LightScalpel CO2 Laser
The LightScalpel® CO2 laser is an advanced tool in pediatric dentistry for precision procedures like lip and tongue tie releases. It offers unparalleled accuracy, reducing discomfort and promoting faster healing. This advanced laser minimizes bleeding and swelling, making it a safe and effective choice for delicate oral surgeries.
What to Expect
Before the Procedure
When your child has been referred to our practice for a suspected lip and/or tongue tie, the first step is always an evaluation. For infants under one year, we provide a dual evaluation in partnership with the Speech Language Pathologists (SLPs) from Magnolia Pediatric Therapy. Dr. Robinson evaluates anatomy while the SLP evaluates function related to feeding and lactation. For patients older than one, we recommend an evaluation with a new patient dental exam. If needed, functional evaluations with an SLP will be performed separately to allow time for a full evaluation of function, including feeding, speech, and sleep.
After the Procedure
Following the procedure, mild swelling or discomfort can be managed with over-the-counter pain relief. Dr. Robinson will provide stretching exercises to prevent reattachment and schedule a follow-up appointment to monitor healing and progress. Most children return to regular activities shortly after, and you should begin to see improvements in feeding, speech, sleep, or other related issues within a few days.
Frequently Asked Questions
A lip or tongue tie is a condition where the small band of tissue, known as the frenulum, that connects the tongue to the floor of the mouth or the upper lip to the gum is unusually tight or short. This restricts the natural range of motion, leading to potential difficulties in breastfeeding, speech development, and proper oral hygiene. In some cases, it can cause other complications, making it important to address in early developmental stages.
In infants under one year, signs of a lip or tongue tie typically include difficulty with breastfeeding and feeding. In children over one year, speech and sleep may also be impaired by tethered oral tissues (TOTS). As patients age, lip and/or tongue ties can begin to manifest in different ways. Please let us know at your child’s routine dental check-ups if your child struggles with enuresis (bed-wetting) beyond potty training, onset of frequent headaches, and neck and/or back tension, as these can also be symptoms of oral restrictions.
The lip and tongue tie releases are minimally invasive and designed to be as comfortable as possible for your child. A numbing agent is applied to the area before the procedure, ensuring little to no pain. Most children experience only mild discomfort, if any, during and after the procedure. Discomfort after the procedure can be managed with over-the-counter pain medication.
The lip or tongue tie release procedure is quick, typically taking only a few minutes. The entire appointment, including preparation and the post-procedure recovery period, usually lasts less than an hour, making it a convenient option with minimal disruption.
Recovery time after the procedure is generally brief. Most children experience mild discomfort for a few days but can resume regular activities almost immediately. Following the provided aftercare instructions, including any recommended exercises, will help ensure a smooth and swift recovery.
The procedure is generally very safe and well tolerated, but there are a few potential risks and complications. These can include minor bleeding, infection, or discomfort at the surgical site. There’s also a small chance of tissue reattachment or scarring. Following aftercare instructions carefully and attending follow-up appointments can help minimize these risks and ensure proper healing.
Yes, this procedure is designed to improve breastfeeding, speech issues, and oral function. Many parents notice immediate benefits in breastfeeding ease and, over time, improvements in speech clarity, enhanced mobility, and overall comfort.
Aftercare includes simple stretching exercises, and may involve over-the-counter pain relief as recommended. Stretching exercises following a lip or tongue tie release prevent the frenulum from reattaching and ensure proper healing.
Please see the Aftercare page to review the post-procedure stretching protocol. Following these exercises as directed by Dr. Robinson several times a day is imperative to maintaining the results of the procedure. Follow-up appointments are necessary to monitor any changes and ensure proper healing.