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Tongue and Lip Ties / Tethered Oral Tissues

Tethered oral tissues (TOTs) have been treated for thousands of years but there is still debate over their need and what qualifies as a restriction. It's estimated that between 8-20% of newborns have some sort of intraoral physical restriction. When they impede breastfeeding it can create a lot of pain and discomfort for a mom or difficulty transferring milk for the baby leading to inadequate weight gain or other issues.

Dr. Patel offers a thorough evaluation to assess whether your baby has restrictions that may contribute to feeding difficulties. If the frenectomy procedure is indicated it will often be offered the same day if a parents desires utilizing our non-touch LightScalpel CO2 laser. The procedure takes less than 20 seconds with almost no bleeding, minor discomfort, and quick healing.

1. Lactation Consultant Follow Up Care

Post-treatment visits with a lactation consultant are recommended within 48 hrs of your baby's surgery to ensure baby and mom are re-learning how to latch appropriately. Positioning issues and weight checks before and after a feed are just a few services an IBCLC can provide along with emotional support to help sustain that important relationship between mother and baby.

2. Stretches / Exercises

Post-surgery stretches are crucial to good wound healing and maximizing the mobility of the oral tissues. Dr. Patel recommends stretching 3-4 times a day for 3 weeks at diaper changes to prevent poor wound healing thus leading to a less than ideal outcome.

3. Follow Up

Dr. Patel stays in touch with parents via text and is happy to do post-operative visits at no charge if there are questions regarding healing, etc.

4. Discomfort and Pain Relief

Many parents are concerned about discomfort during and after the procedure. The procedure is very quick and the tool we use (LightScalpel CO2 laser) ensures a precise, minimal wavelength/heat production leading to great post-operative outcomes. Baby safe numbing agents and other precautions are taken by our team to ensure the least amount of discomfort possible. Dr. Patel will review more information at the consultation visit so please be sure to write down any questions you may have in preparation!

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