Pre-Op Instructions for Tongue- and Lip-Tie Release
Preparing for a frenectomy—whether for an infant, child, teen, or adult—can help ensure a smoother experience and better results. Below are guidelines to help you get ready for your upcoming procedure.
1. Consultation & Diagnosis
- A proper diagnosis from a qualified provider (pediatric dentist, ENT, or myofunctional specialist) is essential.
- Often, pre-op assessments include: oral function evaluation, feeding or speech review, and photographs or measurements of the tie.
2. Schedule Coordination
- Coordinate your procedure with time for recovery, ideally when you’re not traveling or during major school or work commitments.
- For infants, try to schedule after naps or feedings for the calmest time of day.
3. Pre-Op Myofunctional Therapy (if applicable)
- Children and adults may benefit from pre-op myofunctional therapy to improve muscle tone and prepare the oral structures.
- A therapist may teach specific stretches or strengthening exercises to begin a few weeks before the procedure.
4. Infant Feeding Support (for babies)
- Work with a lactation consultant (IBCLC) if your baby is breastfeeding. They can help with latch and feeding technique before and after the release.
- Have feeding supplies ready (nipple shields, bottles, syringes) if advised by your care team.
5. Infant Feeding Support (for babies)
- Infants: Can usually feed up to the time of the appointment.
- Children and Adults: Follow standard guidelines:
- If local anesthesia: Eat a light meal 1–2 hours before the appointment.
- If sedation or general anesthesia: Follow strict fasting instructions from your provider (typically no food 6 hours prior, clear liquids up to 2 hours).
6. Oral Hygiene
- Brush teeth and gently clean the mouth before the appointment (especially for older children and adults).
- For infants, use a damp cloth or finger brush if instructed.
7. Keep It Positive and Calm
- Avoid using scary words like “cut,” “surgery,” or “hurt”—especially with children.
- Say things like “The dentist is going to help your tongue/lip move better so it feels more comfortable.”
8. Infant Feeding Support (for babies)
- Infants: Blanket, pacifier, burp cloth, bottle or nursing supplies
- Kids/Teens: Comfort item (toy, stuffed animal), a snack or drink for after
- Adults: ID, insurance info, list of medications, and a support person if sedation is used
9. Ask Questions Beforehand
- Clarify:
- What type of release will be performed (laser or scissors)?
- Will there be any numbing or sedation?
- What does the recovery timeline look like?
- What supplies or medications might be needed post-op?
10. Prepare for Aftercare
- Make sure you receive:
- Written post-op instructions
- Pain relief guidelines (e.g., Tylenol or Ibuprofen dosages)
- Post-release stretching exercises
- Follow-up schedule with your provider