Treatments

Infant Tethered Oral Tissues

Infant Tethered Oral Tissues (Tongue-Tie & Lip-Tie) - Synera Dental Wellness

At Synera Dental Wellness, we understand the profound impact that seemingly small issues like tethered oral tissues (TOTs), commonly known as tongue-tie and lip-tie, can have on an infant’s development and overall wellbeing. Dr. Jeremy Montrose has specialized training and a compassionate approach to diagnose and address these conditions, supporting healthy feeding, breathing, and growth for your little one.

Understanding Tethered Oral Tissues

Tethered oral tissues occur when the frenulum – the small band of tissue connecting the tongue to the floor of the mouth (lingual frenulum) or the lip to the gums (labial frenulum) – is abnormally short, thick, or tight. This restriction can limit the natural movement and function of the tongue and/or lips, potentially leading to a range of challenges.

Common Signs and Symptoms of Infant Tongue-Tie and Lip-Tie May Include:

Difficulty latching during breastfeeding or bottle-feeding

Poor seal, slipping off the nipple, prolonged feeding times, frustration at the breast/bottle.

Pain for the breastfeeding parent

Nipple pain, damage, or mastitis.

Poor weight gain in the infant
Clicking sounds during feeding
Excessive gas or reflux
Colic-like symptoms
Difficulty transitioning to solids later in infancy
Potential impact on speech development as the child grows
Possible link to mouth breathing and other airway issues
Gaps between the upper front teeth (in the case of a significant upper lip-tie)

It’s important to note that not all infants with a visible frenulum restriction will experience difficulties. A thorough functional assessment by a trained professional is crucial for accurate diagnosis.

Our Holistic Approach to Infant TOTs

At Synera Dental Wellness, Dr. Montrose takes a comprehensive and gentle approach to evaluating and managing infant tethered oral tissues. We understand that each baby is unique, and our assessment goes beyond a simple visual examination. We focus on:

Detailed Functional Assessment: We carefully observe your baby's feeding patterns, oral motor skills, and overall development to understand the impact of any potential restrictions.
Gentle and Thorough Examination: Dr. Montrose conducts a thorough yet gentle examination of the oral cavity, paying close attention to the frenulum's length, thickness, and elasticity, as well as its impact on tongue and lip mobility.
Parent Education and Support: We believe in empowering parents with information and providing ongoing support throughout the process. We will discuss our findings clearly, explain treatment options, and answer all your questions.
Collaboration with Other Professionals: We recognize the importance of a multidisciplinary approach and often collaborate with lactation consultants, pediatricians, speech-language pathologists, and other specialists to ensure the best possible outcome for your child.

Treatment Options: Functional Frenuloplasty

If a functionally restrictive tongue-tie or lip-tie is diagnosed and deemed to be contributing to your infant’s challenges, Dr. Montrose offers functional frenuloplasty. This is a minimally invasive procedure to release the restrictive frenulum, allowing for improved tongue and/or lip mobility.

Our Approach to Frenuloplasty:

Gentle and Safe Procedure: We prioritize your baby's comfort and safety throughout the procedure.
Focus on Function: Our goal is not just to release the tissue but to optimize function. We will discuss post-operative care and may recommend exercises to help your baby develop proper oral motor skills.
Supportive Aftercare: We provide detailed aftercare instructions to promote healing and ensure optimal outcomes. We are also available to answer any questions or concerns you may have during the healing process.

Why Choose Synera Dental Wellness for Infant TOTs?

Specialized Expertise: Dr. Jeremy Montrose has specific training and a deep understanding of the functional implications of tethered oral tissues in infants.
Holistic Philosophy: We consider the whole child and the interconnectedness of oral function with overall health and development.
Compassionate Care: We provide a supportive and understanding environment for both you and your baby.
Focus on Function: Our goal is to improve your baby's ability to feed, breathe, and develop optimally.
Collaborative Approach: We work closely with other healthcare professionals to provide comprehensive care.

If you suspect your infant may have a tongue-tie or lip-tie, we encourage you to schedule a consultation with Dr. Montrose at Synera Dental Wellness. We are here to help you and your little one thrive.

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