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Infant & Mother

Immediate Problems for Infant & Mother

When an infant is suffering due to a tongue tie, the infant will have difficulty latching, this results in difficulties for both the infant and the mother:

Infant                                                                                                           Mother

-Unable to develop/sustain a suction                                                       -Compromised maternal milk supply

-Difficulty or inability to breastfeed                                                          -Shallow latch

-Unable to stay on/sliding off breast                                                        -Infant falling asleep on the breast

-Crying with tongue flat in mouth                                                             -Mastitis, engorgement, thrush

-Gas or reflux                                                                                                -Extended nursing episodes

-Dribbling milk                                                                                              -Painful compression of nipples

-Clicking                                                                                                         -Flat/Sore nipples

-Colic (Crying, Unsettled, Irritability)                                                         -Required use of nipple shield

-Jaw quivering after or between feeds                                                     -White stripe at end of nipple

-Coughing, choking, or gulping when feeding                                        -"Lipstick nipple" when baby unlatches

-Unable to deal with fast milk ejection                                                    -Plugged ducts

-Sucking blister on top lip                                                                          -Untimely weaning

-High palate                                                                                                  -Cracked/bleeding nipples

-Fussy/arches away from breast                                                               -Ineffective milk transfer

-Breast refusal (if aspiration occurs!)                                                       -Frustration, disappointment with breastfeeding  

-Slow weight gain/weight loss                                                                   -Infant chews or bites on nipple 


Today, the best treatment for resolving the issue of tongue-tie is the laser. Our office prides itself on being one of very few that uses the laser (ER: YAG). It has been found that the parents preferred method to revise the tongue-tie, is with the laser. The laser allows the procedure to be quick and easy, with little to no bleeding. Also, infants do not need anesthesia either! Prior to the introduction of laser, knives and scissors were used, causing more bleeding and pain, and required sutures to finish the procedure. That day and age is now behind us, with laser technology we can take care of your infant as quickly and painlessly as possible with a much quicker recovery time, and with no anesthesia or sutures required, as is usually needed if using knives or scissors.

Post Procedure

After a frenotomy, a tongue-tie procedure, it is important for an infant to relearn how to breastfeed properly. Some of the ways to do this is by shaping the breast and holding the teat in the baby’s mouth during the breastfeed. This could take a few days, depending on how much relearning the baby needs. Also, being proactive is an excellent way to ensure accurate positioning and latch so that the baby learns correctly. Finally, it is recommended, the infant is without nourishment for at least 60 minutes before the surgery. As soon as the surgery is completed, the mother can then nurse the infant, and it is more likely the infant will go to the breast quickly.


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