Our Multidisciplinary Approach to Tongue Ties
Dr. Mandeep Johal
FIND RELIEF WITH
Functional Tongue Tie Release
What is Functional Tongue Tie Release?
The medical term is Functional Frenuloplasty. This quick and easy procedure is used to release the frenulum, a piece of tissue under the tongue, lip and/or cheeks that is short or restricting the proper oral function. a restricting frenulum needs to be corrected to allow for proper speech, swallowing, eating, breathing, and sleep.
CO2 Laser vs. Scissors
This is a frequently asked question regarding our procedure at Family Dental Centre. Dr. Johal uses a painless CO2 laser on infants and children. For adults, depending on the situation, both scissors and CO2 laser can be in use.
Learn what it was like for Pierre and how his life has changed.
How The Multifunctional Tongue Tie Is Performed:
The CO2 laser used by Dr. Mandeep Johal, DMD is the gold standard for an infant frenectomy. The procedure is only about a minute long. It allows for no or minimal bleeding at the treatment site which results in better visualization of the posterior tongue tie and quicker healing times for the baby.
Lactation consultant and body work therapy before and after is strongly recommended for optimal results.
We work with midwives, and lactation specialists from all over Ontario. We are lucky to have our very own Rupinder Sadhra BScN, RPN, IBCLC, in Guelph to help mothers if they need help after the procedure.
The functional Frenuloplasty technique is based on precision: releasing the appropriate extent of tissue for maximal relief.
Dr. Johal uses the Co2 laser on children and a combination of CO2 laser and scissors on adults. Dr. Johal has had the opportunity to learn from Dr. Soroush Zaghi (ENT), who is pioneering the way for a standard in delivering of tongue-tie release surgery.
Dr. Zaghi has also developed The functional frenuloplasty technique.
ISSUES RELATED TO TONGUE TIE
Food Texture issues: If infants with tongue-ties encounter solid foods, issues may begin to present themselves. It may seem like picky eating, or the child will gag on food as they try to eat it or they won’t eat it at all because of how it feels in their mouth. The child may also show signs of loud or messy eating. The tongue is designed to help move food around the mouth as well as to clean food out of the mouth. When someone is tongue-tied, the tongue isn’t able to perform these functions. When someone can’t chew food properly one of two things can happen: indigestion because food that isn’t adequately chewed cannot be digested properly, or the person avoids those foods altogether. Neither of these solutions is great for our long-term health.
Speech issues: In order to properly form sounds, the movement and position of the tongue need to be functioning as they should. If tongue-tied, it may not be possible to form the sounds as they should. Sometimes people are able to compensate for the lack of mobility, but this isn't the case for everyone. In those situations, the only way to properly produce the sound is to release the tongue enabling it to move.
Importance of Correction
Having the tongue in the correct position allows for optimal facial growth and allows for proper nasal breathing.
Dr. Johal used Co2 laser by Light Scalpel, for painless and quick release. She was the first one to buy this amazing laser, that does not cause any bleeding or burning like other lasers on the market. She released her own two boys with the same laser, at the ages of 4 and 6.
She has great mentors she has been learning from, Dr. Larry Kotlow, Dr. Bobby Ghaheri, Dr, Richard Baxter, and Dr. James Thomas.
To further understand the connection of tongue ties and the whole body, her collaboration with fascia and cranial therapist gives her a further understanding on how it is all connected.