Frequently asked questions
How do I know if my baby needs the tongue tie procedure?
Tongue-tie affects around 10% of newborn babies. Signs that your baby might need the procedure include difficulty attaching to the breast or difficulty staying attached for a full feed, feeding for a long time followed by a short break and then another feeding, the baby being generally unsettled and hungry all the time, and if the baby is not gaining weight. Tongue tie can also create problems for the mother, including sore or cracked nipples, low milk supply and mastitis.
In most cases a tongue tie release procedure is recommended by a doctor, dentist, or lactation consultant. If you are unsure you are welcome to consult with your own doctor or lactation consultant or with one of the lactation consultants who work with our clinic.
Why do you use a laser for the tongue tie procedure?
Laser tongue tie release is a very quick procedure – usually taking only 1-2 minutes. There is no need for stitches or anesthesia/sedation, and there is barely any bleeding during or after the procedure. Laser release involves minimal discomfort to your baby, and healing is faster. The baby can and should be fed immediately following the procedure.
The laser sterilizes and cauterizes the tissue as it works, so infection from laser tongue tie procedure is very rare.
Does the procedure cause the baby pain?
There are very few nerve endings in the area around the floor of the mouth, and in newborns the nerve endings have not yet fully formed. Some babies even sleep through the procedure, while others may cry for a few moments.
What do I need to do for my baby after the procedure?
o facilitate proper healing we strongly recommend stretches/exercises to be done six times a day, no more than 4-6 hours apart. As the wound heals, scar tissue will grow into the revision site to reform the frenulum. The purpose of the stretches/exercises is to make sure the tissue is longer and further back along the tongue. If stretches are not done, there is a likelihood that tongue will form a short frenulum again, which may then require another procedure. It is therefore crucial to be diligent when it comes to the stretches. Doing the stretches is one of the main components of a successful revision.
Dr. Landau will provide full instructions on how to do the stretches, and we recommend seeing a lactation consultant in the period after the procedure for further support.
Can I bring my own lactation consultant?
Yes, you are welcome to bring your own lactation consultant. Our clinic also has a list of highly experienced lactation consultants who we work with, and we are happy to recommend one of them as well.
What follow up care is provided?
Our office will call the mother 1-3 days after the procedure to check that the initial healing is going well and to verify that stretches are being done properly. A follow up visit can be arranged about two weeks after the procedure.
What is the tongue tie procedure?
The frenum (or frenulum) is a band of tissue that attaches the upper lip to the gums and the tongue to the floor of the mouth. Sometimes the frenum is too thick or too long, which can prevent proper movement of the upper lip and/or tongue. A frenectomy is a procedure that revises the frenum to increase the movement of the upper lip and/or tongue.
What is a lip tie?
Who is Dr. Landau?
Dr. Landau graduated as a Doctor of Dental Surgery (DDS) from the University of Toronto, Canada. Prior to that she obtained a Bachelors of Arts in Biology from Yeshiva University, New York. She was trained in tongue tie release at the Brisbane, Australia Tongue Tie Institute. Continuing education in all aspects of modern dentistry remain a priority for her, and she has participated in dozens of workshops, lectures and seminars.