Commonly asked questions about Frenotomies/Frenectomies.
1. Do you use scissors?
Great question! No, we use a CO2 laser. It cuts as well as cauterizes the tissue. Using the laser greatly decreases bleeding and increases comfort level.
2. Do you numb for the procedure?
We do not for infants- this facilitates feeding after the procedure. We have tried with and without numbing-feeding is much easier without the numbing from topical. The laser provides numbing as it is being used. We have topical numbing available upon request. We will use topical numbing and local anesthetic on older children with thicker tissue.
3. What are the risks of the procedure?
This is a minimally invasive procedure. During the procedure the patient may experience bleeding.
4. How will my baby feel afterwards?
For Infants-You will be able to feed your baby right away. There can be some discomfort (like a pizza burn) and your baby may be fussy. We send you home with some Infants’ Tylenol and will discuss all post-op instructions with your family. For children-Your child will be numb and may be able to use Nitrous Oxide (laughing gas). We will review all post-op instructions with you.
5. Can I stay in the room during the procedure?
Yes, absolutely! You can be as close or as far away as you want. If you chose to be out of the room, you will be able to come in the room as soon as the procedure is completed.
6. How long does the procedure take?
We schedule you for about an hour and a half. During that time the assistant and Doctor will spend time explaining the procedure and educating you on the benefits of the Frenotomy/Frenectomy. The actual procedure is very quick (between 1-2 minutes).
7. Why do you require Vitamin K shot?
Vitamin K is something our bodies make naturally but not until around 6 months old. It helps control bleeding and clotting. There are many blood vessels under the tongue and the mouth is prone to bleeding. Without the Vitamin K shot or the full oral regimen there is a potential for excessive bleeding.
8. Can I give them Tylenol before the appt?
Yes you can if you choose to but wait until you get to the office to give it and make sure to call your pediatrician for dosing instructions. Or ask us when you arrive.
9. Do I have to follow up with Lactation or Chiropractor?
Dr Pagé always recommends you follow up with your referral source (lactation, Chiropractor, speech pathologist etc.) within 72 hours of the procedure.
10. How long is the recovery time?
Any discomfort your infant may have will be within the first few days. We provide you Tylenol to take home for this reason. We schedule you back for a follow-up visit within 7-10 days of the procedure.