From the Guidelines
A pediatric otolaryngologist is usually the specialist who performs a frenectomy in a newborn with congenital tongue tie. This recommendation is based on the fact that congenital malformations of head and neck structures, including the oral cavity, are preferably managed by a pediatric otolaryngologist 1.
Key Points to Consider
- The procedure is relatively simple and can often be done in an outpatient setting, sometimes even in the provider's office.
- For newborns, it's frequently performed using sterile scissors or a laser, with minimal or no anesthesia required due to the limited nerve supply in the frenulum.
- The entire procedure usually takes only a few minutes.
- Following the procedure, parents may need to perform gentle stretching exercises to prevent reattachment of the tissue.
- The timing of the procedure is important, with many specialists recommending it be done as early as possible if the tongue tie is interfering with breastfeeding.
Specialist Options
- Pediatric dentist
- Otolaryngologist (ENT specialist)
- Pediatric surgeon
- Lactation consultants may also identify the need for the procedure and refer to the appropriate specialist. It's worth noting that while other specialists like pediatric dentists or pediatric surgeons may also perform frenectomies, the preference for pediatric otolaryngologists is based on their specialized training in managing congenital head and neck malformations, including those affecting the oral cavity 1.
From the Research
Frenectomy Providers for Newborns with Congenital Tongue Tie
- The studies provided do not specifically mention which provider or specialist usually performs frenectomy in newborns with congenital tongue tie 2, 3, 4.
- However, based on the context of the studies, it can be inferred that frenectomy is a surgical procedure that can be performed by oral surgeons or other medical professionals with expertise in oral surgery 2, 3.
- The studies focus on the procedure, complications, and outcomes of frenectomy, rather than the specific provider or specialist who performs it 2, 3, 4.
- It is likely that the provider or specialist who performs frenectomy in newborns with congenital tongue tie would be a pediatrician, oral surgeon, or other medical professional with expertise in treating infants and children with oral anomalies 4.