Tongue tie visit for children and adults
Visit 1: consultation only
This visit is about 30 minutes where we will assess the severity of your restriction based on presentation, sign and symptoms related to tongue and lips tie.
Patient or parents would already receive some important documents with lots of information to prepare you for your consultation.
We will give you the material for the Face games, an 8 weeks exercise program for children and adults to do in conjunction with Frenectomy. For a better outcome, this is a must if you are NOT under the care of a body worker or a Myobrace dentist.
Visit 2: frenectomy, 4 weeks after visit 1
Visit 3: 1 week review (FREE of charge)
Pain relief for treatment
We will apply a small amount of our strong numbing cream followed by a small dose of local anesthetic to the area of concern prior to laser treatment. This ensures that the patient does not feel a thing during the procedure.
The treatment
Once it is numb, it takes about 30 seconds to release the tongue/lip tie with laser. Treament will take longer, up to minutes for a more severe lip or tongue tie of an older child or adult. There is often no bleeding afterwards, no sutures needed.
Children go to school the day after and adults can go back to work the same day.  Eating is normal.
It is important to note that a small amount of bleeding is typical a few days following treatment and is not of concern.
Pre and After care for children and adults:
Face games: patient should do 4 weeks Pre-operative and 4 weeks Post-operative exercise, this is to form a new neuromuscular pathway to get full use of the new and un-restricted tongue and/or lip.  We do offer this exercise program for free to all our patients.
For even a better functional result from a Frenectomy (tongue and/or lip  tie laser release), patient should do an 8 weeks exercise program (4 weeks before and 4 weeks after release) of Orofacial myofunctional therapy with a qualified Oral Myofunctional Therapist.
For the very best result, patient would need to be on Myobraces treatment and the Frenectomy is perform after patient has done the Tongue suction and hold exercise for 4 weeks.

Patients who have suffered from neck and shoulder pain should continue to see their regular body worker health practitioner: Chiropractor, Physiotherapist or Osteopath for the next 4 weeks to make the most out of the release of the tongue and/or lip tie release.
Patient who has persistent speech problems should see a Speech and Language Pathologist who trained, and have experience with tongue tie patients to further improve their speech.
Patient should take pain killer like Paracetamol (Panadol) for the next two days, first dose start before the numbness wears away, then every 4 hourly for the first day if needed. Patient may take this pain killer again 1 hour before perform stretches for the next 2-4 days.
Stretching exercise to promote proper healing 
We recommended to do stretches for the area by applying repeated, gentle but firm pressure. Stretches should be done for 3 seconds, 3 times a day, for 3 weeks. This then cut down to 2 times a day in 4th week and completly stop at the end of week 4 after laser release of the frenum restriction.
These exercises are important to minimizing the reattachment of the frenum to its original position. 
It is normal to see a diamond shape, whitish patch for up to 2 week from the release until the new skin fully heal.
The time it takes to see a noticeable change in functionality varies from patient to patient, from almost immediately to a few months following treatment. 
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