Have you or your child/infant been diagnosed with a tongue or lip-tie? Dr. Rosenberg can help! We are only 20 minutes from Boston and conveniently located right off of Routes 2 and 128!
What does it mean to be
tongue-tied or lip-tied?
Many people, ages 0 to 100, suffer from tongue-ties, lip-ties, or both.
It is a genetic abnormality that can range from very minimal in some cases to
severe in others.
The lingual frenum is a cord that stretches from under the tongue to the
floor of the mouth. A tongue tie, or ankyloglossia, are terms used for the lingual
frenum is short and restricts the movement of the tongue. It can be diagnosed several different ways.
Some common signs of a tongue-tie are:
• difficulty moving tongue side to side or up and down
• inability to touch the roof of the mouth with tongue
• inability to stick out tongue
• presence of a notch at the tip of the tongue
The labial frenum is a piece of skin that connects a persons upper lip to
their gums. A lip-tie is when the labial frenum is too short or wide and
restricts upper lip movement.
Some common signs of a lip-tie are:
• problem with breastfeeding
• slurred speech
gap between upper teeth
Below are some pictures of lip and tongue-ties:
Are you having trouble
If infants are having trouble with breastfeeding, it could be attributed
to lip or tongue-tie. This condition is unfortunately often overlooked and can
lead to an infant’s failure to thrive. Luckily, it can be fixed!
Infants who have lip and /or tongue-ties cause breastfeeding to be
painful for the mother. This is frustrating for both the mother and infant.
Common signs for the infant are:
to properly latch • unsatisfied hunger
off nipple • falling asleep on the breast
feeding time • gumming on chewing nipple
weight gain • excessive gas
Common signs for the
or flattened nipples after feeding • incomplete breast drainage
or blistered nipples • infected nipples
nipples • plugged
pain with latching • mastitis and nipple thrush
Tongue and lip-ties can be easily corrected in our office using a laser.
It takes only a few minutes!
How is this treated?
These conditions are treated with a procedure called a frenectomy. It is also commonly known as a frenontomy or frenulectomy. Dr. Rosenberg treats tongue-ties and lip-ties with FDA approved Periolase
Laser by Millenium. This laser is safe, effective, and minimally invasive. Using
a laser for this procedure eliminates the need for needles, general anesthesia,
stitches, or a costly hospital visit. Because the procedure is done with a
laser beam, there will be minimal bleeding, if any at all. It only takes a few
minutes and patients can eat, drink, and talk immediately afterwards.
If a lip-tie or tongue-tie are not corrected, there are several things
that can happen.
Infants can have trouble with breastfeeding. This leads to failure to
thrive, colic, excessive drooling and gagging, and nutritional problems.
School aged children can develop rampant decay on the outside of their
teeth because the tongue doesn’t have the mobility it needs to sweep food away
after eating. Children can also develop gapped teeth and speech problems, especially
relating to articulation the sounds l, r ,t ,d , n, th, sh and z. It can also
leave to problems with the proper development of the jaw.
Later on in life, untreated tongue and lip-ties can lead to sleep apnea,
jaw pain, migraines and even problems kissing! In elderly patients a tongue-tie
can make it very difficult to keep a denture in place.
What is the aftercare once a
patient has undergone laser therapy to correct their tongue or lip tie?
Other than doing exercises to keep
the frenum from reattaching, the aftercare doesn’t consist of much. You will
want to keep the area clean, but in most cases there are no restrictions on
activity or diet.
Billing to insurances for lip and tongue-tie: We bill to dental plans for these procedures.We find that patients get much better coverage through their dental plans.
Some medical plans may cover it, but you would need to check to see if there are stipulations about out of network providers and make sure that it is approved to be completed in a general dental office. We are not in network for any medical plans. Payment would be required up front if billing to medical, and any reimbursement would be payable to you directly from the insurance.