Tongue-Tie Services


Tongue-Tie: Complications and Remedies

Tongue-tie or ankyloglossia is a condition that can be caused by a malformed frenum.  The frenum is a band of tissue that connects two soft tissues in the mouth such as the cheek, gums, or lips.  There are two types of frenum in the mouth, the labial frenum and the lingual frenum.  The labial frenum connects the gum above the two upper or lower front teeth to the underside of the lip and the lingual frenum connects the underside of the tongue to the floor of the mouth.  A frenectomy is the removal of the frenum and a frenotomy is the incision and relocation of the frenal attachment. In the case of the lingual frenum it is often tight, short or thick causing tongue tie.  In the case of the labial frenum is often too large and extends past the gum line and interferes with the front teeth or can lead to receding gums.

Lingual Frenectomy/frenotomy

A lingual frenectomy is often advised to remedy cases of tongue-tie.  In these cases the lingual frenum is unusually short, thick or tight which can cause the development of a speech impediment in developing children. This condition can be corrected by a simple procedure to release the tongue.

Tongue-Tie in Children

In older children tongue-tie has been linked to speech difficulties like trouble making sounds like, “t”, “d”, “z”, “s”, “th”, “r” and “l”.  It can also lead to limitations in oral hygiene because of limited dexterity of the tongue as well as problems with other oral activities like playing a musical instrument or licking a popsicle.

Tongue-Tie in Babies

Tongue-tie can affect a baby or child’s oral development or the way they eat, speak and swallow.  Symptoms can include problems in lifting the tongue to the roof of the mouth and moving the tongue from side to side, and trouble sticking out the tongue past the front teeth.  These symptoms can lead to problems breastfeeding in babies, because it requires a baby to keep their tongue over the lower gum while sucking.  If a baby cannot move the tongue or keep it in place, the baby will often instead chew on the nipple leading to significant pain to the mother and causing trouble for the baby in getting breast milk. 

Tongue-Tie Surgery

A simple procedure can help to remedy the possible complications of tongue-tie.  An incision is made in the lingual frenum to “release” the tongue and allow a more broad range of motion.  The traditional method using a scalpel carries with it routine risks of surgery like bleeding and post-operative patient compliance.

Frenum - Tongue-tie - Frenectomy - Vincent Vella, DDS Rochester, NY

When appropriate the preferred surgical technique in the office of Dr. Vincent Vella DDS is to use a state of the art CO2 laser to perform the frenotomy.  The advantages of using a CO2 laser to perform the surgery include the shorter duration of the surgery, the simplicity of the procedure, the absence of postoperative infection, less pain, less swelling and the presence of little or no scarring.

Labial Frenectomy Surgery

The labial frenum is the piece of tissue that connects the gum line, above the top front teeth and below the bottom front teeth, to the lips. At times the labial frenum can grow past the gumline and interfere with the alignment of the upper or lower front teeth. In this case a labial frenectomy, the surgical removal of the portion of the frenum that extends past the gumline, may be needed to allow for the teeth to grow in straight and even.

Benefits of CO2 Lasers For A Labial Frenotomy

The LightScalpel dental CO2 laser system used by Dr. Vella and his team offers the same benefits when performing a frenectomy/frenotomy on the gums as it does when it is used on the underside of the tongue.  It is faster, less prone to postoperative infection and offers diminished pain, swelling, and scarring.

Diagnosis and Treatment

Dr. Vincent Vella recommends that the need for a surgical correction for tongue-tie or ankyloglossia be established by medical and occupational therapists, speech pathologists, trained professionals specialized in lactation consulting, and other medical doctors and professionals.  An assessment for a labial frenectomy/frenotomy can be performed by Dr. Vella and his team.

What Our Patients Are Saying…

Carrie Ann ShufeltCarrie Ann Shufelt
15:39 10 Feb 22
Dr.Vella is an amazing Dentist. With a wonderful bedside manner, he is compassionate, caring, has a great personality and has strong work ethic’s. He takes his dentistry seriously and provides the BEST OF THE BEST for his patients. And to top it off, he has an excellent staff of hygienists and secretaries. You will not leave that office unhappy. Even though he does not accept my insurance, I still go to Dr. Vella because I know I’m getting the Best. So, my family and I are willing to pay.
Sandy CaramanteSandy Caramante
15:17 09 Feb 22
Dr. Vella is awesome. His staff is also wonderful. I had to have a crown pulled. I didn't feel a thing. Dr. Vella kept asking me if I was doing okay through the whole process. He's very caring. I would recommend him to everyone. It really was such a pleasant experience. And he called me that evening to see how I was doing. Again Dr. Vella and his staff are awesome.
Greg BarberGreg Barber
18:55 03 Feb 22
As a prior military veteran, I have never had a good experience with any Dentist. Since I started visiting Dr. Vella, I have had nothing but great experiences. Both Dr. Vella and his staff go above and beyond to take care of his patients. He is up front in telling what procedures he will be preforming. As a patient I like the fact he is " A Down to Earth " type of Dentist. I would recommend ( which I already have ) to anybody and everyone.Five stars to Dr. Vella and his Staff.
marlene disalvatoremarlene disalvatore
14:27 22 Jan 22
I was always afraid of going to the dentist, until I met with Dr Vella. This gentleman of a doctor made me feel so comfortable he is a compassionate, caring man and does outstanding work. I needed allot of work done and Dr Vella walked me through each step thoroughly and with much care. He is the most professional man (dentist) I have ever met and knows it all when it comes to teeth. I can't thank him enough for the care and constant care he has shown throughout surgery and much other work he has done. He has changed my life by fixing my teeth. I would recommend this dentist to anyone who has a fear of dentists. Dr Vella is gentle and always made sure I was comfortable. I want to thank him for all he has done and changing my life. His staff and Co workers are also very professional caring and accommodating, they are friendly and always listen and make sure you understand all that is going on. All I can say is that I'm am so grateful to you Dr Vella and your co workers. Thanks for making a huge difference in my life.
Susie MitchellSusie Mitchell
04:34 21 Jan 22
I have been a patient here since 2000. I truly love this dental practice and you will also! Dr. Vincent Vella is a wonderful compassionate person. Always makes sure you are not in pain ever. Picks the procedure he feels will benefit you most. You are not just another patient here. The whole office staff is friendly and treats each person like family. Always brought my children with me since they were born. I felt if my kids saw me getting dental work, it would take away any "fear". Both are teenagers now. Getting teeth cleaned by Joni since they were 3yrs. Joni is Magnificent. Office always has the most updated medical equipment. I'm grateful for everything Dr. Vella has done for our family. I refer people who need a dentist to this practice and our teens refer their classmates!

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