19365 7th Ave, Suite D108 Poulsbo, WA 98370 | Phone: 360-779-7115 | Fax: 360-779-3990
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What is a frenectomy?

A frenectomy removes the small section of the restrictive frenum causing the Tongue or Lip Tie. A laser is used to make this procedure quick and painless.

Breast feeding problems can be associated through an infant’s Tongue or Lip Tie which prevents the baby’s lips, mouth or tongue to properly latch on the mother’s breast. This can lead to endless problems including breast pain and damage, the inability to stimulate milk production resulting in low milk supply and slow weight gain for the infant. Tongue tie results in improper tongue mobility that may also cause the baby colic, reflux and future speech difficulties. Sleep deprivation for the mother and infant can also be a result of Tongue or Lip Tie due to frequent feedings. In older children the results of Tongue Tie or Lip Tie can lead to other health problems like dental decay, tooth spacing, speech difficulties and/or digestive issues.

Laser Frenectomy- How does it work?

The CO2 laser does NOT cut, it is more a “vaporization” of tissue that occurs with light energy. There are many benefits of using the CO2 laser for frenectomies. There is very little discomfort with the laser. There is almost no bleeding from the laser procedure as the laser seals blood vessels at the same time. Lasers sterilize at touch therefore have less risk of infection and faster healing. There is no recovery time, immediate successful feeding is not unusual.

How to Prepare for Infant Laser Frenectomy Appointment

  • Fill out New Patient form and Symptoms Checklist form and bring these with you.
  • Consider what you may give as pain control and bring it with you.
  • Do not feed baby before your appointment as we will want you to breastfeed right after the procedure.

Pain Medications

Tylenol - Dosage: Using the dropper in the manufacturer's packaging. This can be given every 6-8 hours after the procedure. The concentration of Tylenol should be the 160mg/5mL dosage. Some places may sell a concentrated form at 80mg/0.8mL - this is not the one I want you to use.

  • 6-11 pounds - 1.25mL
  • 12-17 pounds - 2.5mL
  • 18-23 pounds - 3.75mL
  • 24-35 pounds - 5mL

For children 6 months of age or older, you may use ibuprofen instead (or with Tylenol). Please follow the dosing instructions on the package.
You may use whatever works for you family. This includes homeopathic remedies like coconut oil can be used on the healing site after the procedure.

Helpful Downloadable Forms:

Exercise videos: