>
Poor sucking can also arise from other factors:
Your child may have a restrictive tongue-tie but the cause is often multifactorial, and if the other issues are not resolved before the frenectomy, the procedure will be much less effective, or even ineffective.
Furthermore, it is very common for a frenectomy to become unnecessary once work has been done on the various aspects of the sucking disorder. It all depends on the restrictive impact of the frenulum and the resulting symptoms — which is why this multidisciplinary care group specialises in this area.
To treat a restrictive lingual frenulum, two procedures are possible:
These procedures can be performed using a laser or scissors.
The procedure is painless or causes very little discomfort. This membrane contains no nerves, so there is no painful sensation.
It takes only a few seconds to 2 minutes.
The laser reduces bleeding compared to scissors by simultaneously cauterising the tissue.
Parents should contact their health insurer. Supplementary insurance covers frenectomy. If the child only has basic insurance, it is necessary to contact your paediatrician to obtain a referral authorisation.
Osteopathic follow-up and preparation for frenectomy
A trained osteopath can identify a restrictive frenulum and refer to a specialist. They will also assess associated cranial, cervical and oral tension. Before and after the procedure, they will teach exercises to optimise tongue mobility and prevent reattachment.
Historically, these procedures were performed at birth by paediatricians or midwives.
Today, it is crucial to consult a trained professional in restrictive oral frenula to ensure optimal management and avoid complications such as reattachment of the healed frenulum.
There are 2 methods: laser or scissors
Regardless of the method, the result is the same, provided the procedure is performed by a trained ENT specialist or dental surgeon who specialises in restrictive oral frenula.
There is no minimum or maximum age for undergoing a frenectomy — it can even be done in adulthood. However, the procedure is not recommended between 18 months and 3 years (as the child moves a great deal).
The earlier the procedure is performed, the fewer the repercussions on the dentition, palate, cervical spine and the rest of the body, as well as on the tongue itself.
However, it is important to prepare the child for a frenectomy. The older the child, the more preparation is required, and the assistance of a speech-language therapist will very likely be needed afterwards.
We recommend consulting an osteopath trained in restrictive oral frenula.
Management of oral frenula is not taught during standard osteopathic training.
It is essential to consult someone who has completed additional training in frenula. It is important to question your practitioner before booking an appointment.