Smiles for Health and Healing
LIP-TIE   TONGUE-TIE
and
BREASTFEEDING
BREASTFEEDING SHOULD BE GRATIFYING FOR MOM AND EFFECTIVE FOR BABY!
​Symptoms
MOM'S
  • Cracked blistered and bleeding nipples
  • Plugged ducts
  • Discomfort while nursing
  • Sleep deprivation (Because baby is not able to nurse efficiently, they may compensate by nursing more often including at night)
  • Thrush/mastitis
  • Compromised milk supply


BABY'S
  • Reflux or colic
  • Difficulty latching
  • Gumming or chewing nipples
  • Gassy
  • Poor weight gain
  • Making clicking noise while suckling
  • Excessive drooling
  • Choking on milk or popping off the breast to gasp for air
TONGUE-TIE
LIP-TIE
Class IV(LK) Tongue-tie
Class IV(LK) Lip-tie
Simply, a lip or tongue tie is a frenum. A frenum is that piece of skin under the upper lip or under the tongue that is left over from embryological development. Frenums can also be found farther back in the mouth attaching to the cheeks called buccal frenums. They are usually only considered a "tie" when they limit the range of motion of the lip, tongue or cheeks, not allowing your infant to achieve a proper latch.  The "ties" are classified from I-IV with the Class IV involving the most amount of tissue. While the Class I lingual frenum attaches at the base of the tongue rather than the tip, it can have a submucosal component sometimes called a "posterior tongue-tie". This can be very restrictive, limiting the range of motion of the tongue.

Currrent research has shown that tight frenums left untreated can lead to swallowing and digestive issues, higher incidences of dental caries, airway issues and sleep apnea, speech issues, poor upper and lower jaw development leading to facial malformations and malocclusion.
BREASTFEEDING 
COMPLICATIONS WITH LIP TIE AND TONGUE TIE
CORRECTING LIP TIE AND TONGUE TIE WITH SOLEA CO2 LASER


This little guy came into the world three weeks early at 5 lbs. 11 oz. He had a poor latch and was not able to create a vacuum to obtain enough milk and his mom was in a lot of pain. He had a Class IV(LK) maxillary lip-tie and a Class I tongue-tie with a sub mucosal component (posterior tongue-tie). He had his revisions with the Solea CO2 laser at 10 days old and by one month of age he weighed 9 lbs.
YOUR CHILD'S TREATMENT
To make a diagnosis and determine the needs of your child, a thorough oral exam and a history of your's and your child's nursing experience will be obtained. You and Dr. Shamey will sit knee to knee as your child sits in your lap with it's head and shoulders in his lap. This is the best position for him to evaluate any restricted oral tissue and for you to visualize the tongue and lip tie, and possibly any buccal ties.

Once a diagnosis is made and you consent to treatment, your child will be brought into the treatment room. For your child's safety and security they will be gently placed in a warmed swaddle blanket and fitted for protective eye-wear. To follow Laser Safety Protocol, only Dr. Shamey, his assistant and your child are allowed in the treatment room. 

The actual procedure takes about 30 seconds to complete and your child will be away from you for only about ten minutes as you wait in the waiting room. This is the time it takes to create a safe and secure environment for your child and to obtain before and after photographs. You will be asked not to feed your child for about 90 minutes before the appointment in order that they have a desire to nurse immediately following the revisions.  The Solea CO2 laser is state-of-the-art and the most precise, is bactericidal and leaves a bloodless, virtually painless wound that heals quicker than other methods of revision.

AFTER CARE
It is of the utmost importance to follow the home-care instructions given to you following your infants lip and tongue-tie release.  Not doing so would allow the healing tissue to reattach. 

As your infant has probably compensated for their restrictions, their facial and body muscles often need to be retrained for proper function after the releases.  Following up with your Lactation Consultant (IBCLC) and a Pediatric Chiropractor with knowledge of lip and tongue-tie and/or a Craniosacral Therapist will be important.  Rarely is having the surgical procedure enough to correct the original breastfeeding problems
FEE FOR SERVICE

Our fee is $695, this includes the consult,the surgical procedure whether it involves one or six sites (lip, tongue or buccal frenums), and the follow up evaluation appointments. Our office accepts most dental insurances but you will need to make sure your child is listed on your plan. Rarely do they cover 100% of the service, usually 50-80%. We also offer an interest free payment plan through Care Credit. Dr. Shamey is a MassHealth provider for children 14 years of age and younger.

The Release Procedure
from Dr. Shamey's clinical files