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At Healthy Kids Nurtured by Nature in North Mackay, we understand that parents and patients often have questions about lip and tongue tie conditions and treatment options. We’ve compiled answers to some of the most common questions to help you make informed decisions about your care.

Frenectomy procedures are provided by Dr Hany Aziz (DEN0000989492), Registered Dentist.

What Is a Tie or Restriction?

Everyone has frenula (pronounced “FREN-you-lah”)—the folds of tissue that connect the tongue to the floor of the mouth and the lips to the gums. These tissues become problematic when they restrict normal oral function.

Modern understanding of tongue and lip ties goes beyond just appearance—we evaluate based on movement, function, and the overall working of the mouth. When a frenum limits normal functions, it’s considered restrictive compared to one that allows full range of motion and function.

If My Child Has a Lip Tie, Does That Mean They Will Have a Tongue Tie Too?

A failure of tissue separation during development often affects both the lip and tongue. However, this doesn’t necessarily mean both will require treatment.

Our thorough examination will determine which areas may need attention. For breastfeeding infants, the lip nearly always contributes to feeding challenges. For older children, our assessment is based on clinical signs and symptoms. Early evaluation is recommended so we can discuss your options.

What Are the Long-Term Implications of Untreated Ties?

While we can’t predict exact outcomes for each individual, research suggests several potential issues may develop when ties remain untreated:

• Altered tongue posture and function
• Improper swallowing patterns
• Restricted jaw development
• Dental misalignment
• Habitual mouth breathing
• Speech difficulties

Early assessment may help identify concerns. Results of treatment vary between patients.

Is Surgery Necessary for Tongue Tie?

Before determining if a frenectomy is needed, we conduct a comprehensive assessment that includes:

• Visual examination
• Manual palpation (using our hands to feel inside the mouth)
• Functional evaluation

We often recommend consultation with allied health professionals such as a paediatric chiropractor, speech therapist, or lactation consultant before proceeding with treatment. Our goal is to ensure you have all the information needed to make an informed decision for your child.

Why Do You Use Laser for Frenectomies?

Our practice uses laser technology for frenectomy procedures. Potential benefits may include:

• Reduced bleeding compared to some traditional methods
• Natural sterilisation of the treatment area
• Sutures often not required
• Targeted treatment of restrictive tissue

Laser frenectomies are regulated in Queensland, requiring specific training and licences. The technology requires investment and appropriate facilities.

As with any surgical procedure, there are risks involved. Results and healing times vary between patients.

Do You Use Anesthesia During the Procedure

Our approach to anaesthesia depends on the patient’s age and the nature of the procedure:

For Infants:

• Frenectomies are often performed without injectable anaesthesia
• Babies are returned to parents for comfort through breastfeeding
• Our laser may have some analgesic effects, though discomfort may occur

For Toddlers and Young Children:

• Strong topical gel anaesthetic may be applied
• The approach depends on whether the child is still breastfeeding
• We discuss anaesthesia options before the procedure

For Older Children and Adults:

• Local anaesthetic is used for comfort during the procedure

Is the Procedure Painful?

Some level of discomfort is expected with any surgical procedure. Our approach focuses on managing discomfort:

• For infants, discomfort typically resolves with feeding
• Older patients receive appropriate anaesthesia for comfort
• Post-procedure discomfort varies between patients

Will There Be Pain After the Procedure?

Pain levels vary by individual. Some patients experience discomfort, particularly during eating, for a few days following the procedure. Our team provides guidance on managing discomfort and is available to address concerns during healing.

How Long Does the Appointment Take?

Each patient is different, and appointment length varies based on individual needs. During your consultation, we’ll provide a time estimate specific to your situation. Our goal is to ensure thorough care while respecting your time.

Are There Restrictions After the Procedure?

We recommend:

• Taking it easy for a couple of days following the procedure
• Being mindful of the treated area for at least 4 weeks
• Avoiding swimming and other medical procedures for 7 days after treatment

Our team will provide specific post-procedure guidelines based on your situation.

Can Parents Be Present During the Procedure?

For Infants: For safety reasons, parents will be settled in our comfortable Nurture Room during the procedure. Your baby will be returned to your arms as soon as possible. A team of three professionals provides care during the procedure.

For Children and Adults: One parent or support person is welcome to be present during the procedure.

What Other Professional Support Will I Need?

We recommend patients receive manual therapy (chiropractic or osteopathic care) within 24 hours before and 48 hours after treatment, regardless of age. This therapy may support the suppleness and flexibility of the mouth, jaw, head, and neck.

For Patients Ages 2+ to Adult: We recommend three weekly oral myofunctional therapy sessions leading up to the release and three weekly sessions afterward to support positive outcomes.

Is Treatment Covered by Insurance?

The procedure is not currently covered by Medicare. Private health insurance coverage varies by provider and level of cover. We recommend checking with your insurer about potential coverage under your extras policy.

Our team at Healthy Kids Nurtured by Nature is committed to ensuring you have all the information you need about lip and tongue tie treatment. If you have questions not addressed here, please contact our North Mackay office at (07) 3062 7662.

Professional Associations

• Australian Breastfeeding Association
• Raising Children Network

Local Resources

For additional support, we can provide referrals to our network of allied health providers, including:

• Speech therapists
• Lactation consultants
• Paediatric chiropractors
• Oral myofunctional therapists

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.