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Re: information on 'how much' for tongue tie release

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Connect the dentist with Larry Kotlow. I find that works best--then it is a

peer giving the info. He is working with a dentist right now in France via phone

to help her learn to laser properly.

Tow, IBCLC, France

>

> I have a very nice dentist willing to do tongue tie release with laser. He

> has done a few already, and so far, not a problem. However, the last momma

> and baby, he really needed to do 'more' but he didn't. She did not start

> with me. She saw a hospital LC who suggested she call me for the list of

> providers who would take care of it in her area and knowing the LC I knew

> she received good care in the hospital. My first visit with mom and baby

> was after she had procedure and after baby received CST. She already did

> see the LC from the hospital, but wanted more help in her home.

>

> When I saw the baby, the restriction was still very much an issue. Almost

> no lift and could not maintain tongue even to cover gums for a few sucks. I

> suggested mom call back the dentist to see if he could do more, then I spoke

> with him to let him know there was still not much range of motion. He said

> he would see her again. Mom called to report he said he did not feel he

> could do more. What is left is now much like a posterior tongue tie. Had I

> seen her without the procedure done, I would have assumed posterior tongue

> tie and sent her to a pediatric surgeon who would have corrected it because

> the restriction is obvious. Also, a nice lingual frenulum needs to be

> done, and he would have done that simply because I said it affected

> breastfeeding, but she opted to wait to see the surgeon.

>

> I would like to be able to give him more information about just how far to

> release and why. I have plenty of research on the tongue tie issue itself,

> of course, but is there anything specific to the procedure and more

> specifically how to assess that it was completely released?

>

>

> Pam MazzellaDiBosco, IBCLC, RLC

> Birthing & Beyond, Inc.

> Labor Support and Lactation Consultant Services

>

>

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Thank you!

Pam

 

Connect the dentist with Larry Kotlow. I find that works best--then it is a peer giving the info. He is working with a dentist right now in France via phone to help her learn to laser properly. Tow, IBCLC, France

>> I have a very nice dentist willing to do tongue tie release with laser. He

> has done a few already, and so far, not a problem. However, the last momma> and baby, he really needed to do 'more' but he didn't. She did not start> with me. She saw a hospital LC who suggested she call me for the list of

> providers who would take care of it in her area and knowing the LC I knew> she received good care in the hospital. My first visit with mom and baby> was after she had procedure and after baby received CST. She already did

> see the LC from the hospital, but wanted more help in her home.> > When I saw the baby, the restriction was still very much an issue. Almost> no lift and could not maintain tongue even to cover gums for a few sucks. I

> suggested mom call back the dentist to see if he could do more, then I spoke> with him to let him know there was still not much range of motion. He said> he would see her again. Mom called to report he said he did not feel he

> could do more. What is left is now much like a posterior tongue tie. Had I> seen her without the procedure done, I would have assumed posterior tongue> tie and sent her to a pediatric surgeon who would have corrected it because

> the restriction is obvious. Also, a nice lingual frenulum needs to be> done, and he would have done that simply because I said it affected> breastfeeding, but she opted to wait to see the surgeon.>

> I would like to be able to give him more information about just how far to> release and why. I have plenty of research on the tongue tie issue itself,> of course, but is there anything specific to the procedure and more

> specifically how to assess that it was completely released?> > > Pam MazzellaDiBosco, IBCLC, RLC> Birthing & Beyond, Inc.> Labor Support and Lactation Consultant Services>

>

-- Pam MazzellaDiBosco, IBCLC, RLCBirthing & Beyond, Inc.Labor Support and Lactation Consultant Services

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