All posts | May 14, 2024

How to Check for Lip-Tie

by Dr. Liel Grinbaum

A lip-tie is a condition where the tissue that attaches the upper lip to the gums above the front teeth is too thick or tight. This can restrict lip movement and potentially lead to issues with breastfeeding, eating, speech development, and gaps between the front teeth. As a parent, it's crucial to know how to check for a lip-tie in your child. The expert team at Smiles and Grins Orthodontics is here to guide you through the process.

Signs of a Lip-Tie

Lip-ties can cause various symptoms that may affect your child's feeding, dental development, and speech. Being aware of these signs can help you identify potential issues early on. Some common indicators that your child may have a lip-tie include:

  • Difficulty latching or staying attached during breastfeeding
  • Prolonged feeding times, often exceeding 45 minutes per session
  • Gassiness, reflux, or colic symptoms due to swallowing excess air
  • Slow weight gain or failure to thrive
  • Visible gap between the upper front teeth, even in infancy
  • Restricted upper lip movement, causing a "grimace" when smiling
  • Speech issues, especially with sounds that require raising the upper lip, such as "f," "v," and "th"

If you notice any of these signs, it's a good idea to check for a lip-tie or consult a professional.

How to Check at Home

You can perform a simple at-home check for a lip-tie using these steps:

  1. Wash your hands thoroughly and find a well-lit area.
  2. Gently lift your child's upper lip and observe the frenulum, the tissue connecting the lip to the gums.
  3. If the frenulum looks unusually thick, tight, or inelastic, or if it extends down close to the gumline, a lip-tie may be present.
  4. Test lip mobility by seeing if the upper lip can easily lift up to touch the nose. If the lip is tethered and has difficulty moving up, it could indicate a tie.

Keep in mind that degrees of restriction can vary. If you suspect any issues or are unsure, it's best to have your child evaluated by a qualified professional.

Professional Evaluation

If you suspect your child has a lip-tie or notice any concerning symptoms, it's essential to seek a professional evaluation. A qualified provider can assess your child's condition and recommend the most appropriate treatment plan. At Smiles and Grins Orthodontics, our knowledgeable team can thoroughly assess your child for a lip-tie. We recognize the importance of early intervention in preventing future complications and promoting optimal oral function. Our comprehensive evaluation process includes:

  • Taking a detailed medical and family history
  • Examining the appearance and attachment site of the labial frenulum
  • Assessing upper lip function, mobility, and any restrictions
  • Checking for related feeding issues, dental problems, or speech concerns

If a lip-tie is confirmed, we'll discuss personalized treatment options and provide guidance on the best course of action for your child's unique needs. We're passionate about delivering the highest standard of care to help your child thrive.

FAQs

What is the ideal age to check for a lip-tie?

We recommend checking for a lip-tie as early as possible, ideally within the first few weeks after birth. Early identification allows for prompt treatment if needed. However, a lip-tie can be evaluated and addressed at any age, so it's never too late to seek an assessment.

Can a lip-tie resolve on its own without treatment?

In some mild cases, a lip-tie may stretch or loosen over time as a baby grows and the mouth develops. However, moderate to severe ties typically require professional treatment to fully release the restriction and restore proper lip mobility and function.

What are the treatment options for lip-ties?

Common treatment options include frenotomy (snipping the frenulum) or frenectomy (removing the frenulum). These procedures are relatively quick, taking only a few minutes, and can often be performed with topical anesthetic in the dental office. Laser frenectomy is also available for a more precise and gentle release.

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