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Docere Center for Natural Medicine

Tongue Tie
Tongue and Lip Tie Evaluation
Symptoms of Tongue Tie

Frenotomy Procedure

Tongue and Lip Tie Evaluation

Dr. Chenelle Roberts  provides complete tongue and lip tie evaluation at Docere Center. Evaluation includes review of breast and/or bottle feeding history, birth and medical history, current symptoms and infant oral examination. If a procedure (frenotomy) is recommended, Dr. Roberts will describe the procedure in detail and can perform during the consultation visit. An IBCLC lactation consultant is on-site for all frenotomy procedures to assist during and after procedure. Aftercare will be reviewed with family and a follow-up visit to assess frenotomy site will be scheduled about a week after the procedure.

Symptoms of Tongue Tie

There are many symptoms that may be associated with a tongue and/or lip tie. For the breastfeeding parent, these may may include a decrease in milk supply, plugged ducts, mastitis, sore or lipstick shaped nipples, breast and/or nipple pain or an "oversupply". For the infant that is feeding either at breast or with bottle symptoms may include poor latch, clicking while feeding, fussiness while feeding, very slow feeds, frequent feedings, quick tiring while feeding, poor weight gain or weight loss. There are some infants that have significant reflux or spitting up that may also benefit from having a tongue tie evaluated and released if present.

Frenotomy Procedure

Dr. Chenelle Roberts performs procedures for both tongue ties (including posterior tongue tie) and lip ties. This procedure is a quick in-office minor surgical procedure. Prior to the procedure, your infant is calmed and swaddled and given a 24% sucrose solution. Depending on the age of the infant and need, additional pain relief may be offered. An assistant then gently positions your infant's head and Dr. Roberts performs the frenotomy. Parents are encouraged to stay in the room and are welcomed to watch should they desire. After the frenotomy is completed, your infant is given back to you immediately and feeding from a bottle or breast may occur. An IBCLC lactation consultant feeding specialist is available to assist during this time of comforting post-procedure. The procedure, including swaddling and positioning usually takes less than a couple of minutes.  
 
Insurance

Many insurance companies are accepted for frenotomy procedures including Premera, Lifewise, First Choice, Regence, BSBS, Aetna, United and Molina. At this time, the only Applecare plan that is accepted is Molina. Group Health and Cigna do not cover frenotomy procedures at Docere. Should you have questions about insurance coverage or would like to discuss self-pay including payment plan options, please give us a call and request a call back from our billing specialist.