Frenectomy

YOUR PREFERRED SAN ANTONIO PEDIATRIC DENTIST

What is a Lip/Tongue-Tie?

In Pediatric patients  as part of comprehensive examination the evaluation of soft tissues is important. A normal frenum is a connective band bringing two soft tissue pieces together. In some cases, if that band connects too tight or too low it can result in a condition known as a Tongue-Tie or a Lip-Tie. Lip and Tongue-Ties are not a new problem. In fact, a Lip or Tongue-Tie is one of the main reasons given to Moms to wean her child to a bottle instead of breastfeeding. However, having restricted mobility in a child’s lip or tongue can make certain milestones beyond breastfeeding more challenging

Consequences of Untreated Lip and Tongue-Ties

Feeding issues – Many children develop a high arch in their roof of the mouth (palate) as it does not get the benefit of proper shape and molding by the tongue. Many children struggle with transitioning from milk to purees or table foods. While some become picky eaters and have difficulty managing variable texture of table foods.

Speech impact – Many children develop air management and speech clarity or articulation problems due to limited range of motion and elevation of all parts of the tongue required to produce various sounds – l/th/d/n, st/sr/kh/gh, m/p/b and so on.

Dental consequences  – Children with lip or tongue tie are prone to developing cavities on the surfaces that do not get the benefit of natural cleansing from the soft tissue of the mouth. Cavities seen on the front part of the incisors or recession of gums near the midline are often attributable to lip ties. Cavities on the chewing surface of the molars are often seen in patients that have a tongue tie and never developed the reflex to clean out the sticky foods after snacks or meals.

Sleep  implications  – Disordered Breathing and Sleep Apnea are often seen in children that cannot manage the proper posture and tone of the tongue muscle due to restrictions or ties. The tongue remains ‘down and back’ in the mouth which leads to restriction of the airway. Snoring, exhaustion, grinding of teeth, attention deficit disorders, behavioral issues are all now being connected back to sleep disordered breathing in the literature.

How are Tongue-Ties and Lip-Ties treated today?

At Kids World Pediatric Dentistry we use diode laser. The lasers ability to coagulate as it releases tissue allows better healing of the surgical site. Lasers virtually eliminate the need for scalpel or sutures, in most frenectomy cases.

 In Kids World Pediatric Dentistry

We work hard to make sure children are comfortable in the dental chair before deciding to move forward with any treatment. This way, your child can sit comfortably while watching their favorite tv show or movie throughout the procedure. In some cases, if your child is managing other medical conditions or dental anxiety, we may discuss other options such as Nitrous Oxide (laughing gas) or other forms of sedation to make sure your child is not only comfortable, but safe while receiving the best quality of treatment. We will work with you as a team to make the best decision for your child.

ATTN: Families of Kids World Pediatric Dentistry

Dear Families of Kids World Pediatric Dentistry,

We hope you are all well and in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice, our infection control processes are made so that when you receive care, it is both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the Texas State Dental Board, American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up to date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agency recommendations.

You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff from the current COVID-19 crisis. The process to check in will for now be different than the previous “normal”

        Before your appointment fill our screening questionnaire and any required forms from our website, this will reduce paperwork at the office. You will be asked those same questions again when you arrive at the office in case anything has changed. The patient’s temperature will be taken upon arrival. Please understand that if required we might have to reschedule your visit.

        Check in by phone when you park your car. You will receive a text to enter the office.

        Please bring only the patient that is being seen and one adult.

        We will guide you to either a seating area assigned with a letter or straight to the treatment room.

        Mandatory:  Please wear mask.

        Please maintain social distancing.

        Only patients in treatment areas when possible, this reduces effects of any aerosols.

        We have hand sanitizer that we will ask you to use when you enter the office. You will also find some in the reception area and other places in the office for you to use as needed.

        Our waiting room will no longer offer magazines, books, toys, ipads and so forth, since those items are difficult to clean and disinfect.

        Appointments will be managed to allow for social distancing between patients. That might mean that you are offered fewer options for scheduling your appointment.

        We will do our best to allow greater time between patients to reduce waiting times for you.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 210 787 1200 or visit our website at kidsworldpediatricdental.com

Thank you for being our patient. We value your trust and loyalty and look forward to seeing you and your smiles.

Sincerely,

Kids World Pediatric Dentistry Team

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