Dr. Nasem and her team have experience and training with the following certifications:
At Treehouse Pediatric Dentistry and Orthodontics, we use one of the most advanced soft tissue lasers available for tethered oral tissue procedures. The benefits of this technology include:
Often called a frenulum, a tongue, lip, or buccal tie is a small band of tissue that connects either the tongue to the floor of the mouth, or the lip to the gingiva. With a tongue tie, the tongue is attached too far forward or too tight to the floor of the mouth which does not allow the tongue and its eight muscles to function properly.
Upon arrival, we will ask that you fill out a medical history of your child, including a form of signs and symptoms that may be related to tethered oral tissues that you may not realize are related.
A doctor on our team will discuss the paperwork with you, explain tongue tie and lip tie and how it is or could be affecting your child.
Next, an examination is done as the child lays straddled across yours and the doctor’s lap with gentle finger pressure, no instruments. Tongue and lip movement and function will be evaluated as well as the child’s suckling.
The doctor will then let you know what they have found and their recommendations. The laser treatment will be explained. Consents will be reviewed and signed and the procedure will be explained to you. Stretches and post op care will be reviewed.
Your baby will be taken to the procedure room by the doctor. Parents are not allowed in the procedure room for laser safety and regulatory reasons. You will only be away from your child for 10- 15 minutes.
Your child is held in an infant swaddle, just like theirs at home, eye coverings are placed on your child to protect their eyes and the procedure is completed with our CO2 laser. As soon as the procedure is completed, your child is brought to you in our private room. It is recommended to see a lactation consultant 48-72 hours after release to help start your new journey of breastfeeding.
The most important part of post op care is stretching exercises. The area must be stretched 6-8x a day for 2 weeks minimum to avoid reattachment. Care instructions will be given to you and stretches will be demonstrated prior to the surgery. You can expect some fussiness and discomfort for the first few days. Infant Tylenol can be used for pain. Coconut oil is recommended for stretches and healing.
We will conduct a 1-week post op exam to ensure tissues are still released and not reattaching. Myofunctional therapy, baby chiropractor and body work are all highly recommended to provide the greatest results.