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lip tie: trying to get my 2yo clipped

Posted by on Feb. 7, 2013 at 8:27 PM
  • 13 Replies

My 2yo will finally have her lip tie looked at by an oral surgeon in March. I've been avoiding it because I  know I'm such a hot-head. I called DD's PCP (actually, she sees the nurse practitioner) for a referral, and her response was that I should schedule an appointment with her regarding DD's speech and to call a pediatric dentist who is not DD's pediatric dentist. We went there once for a second opinion. I called them anyway. They don't correct lip ties. DD's regular pediatric dentist doesn't correct lip ties either. And neither office seems to know diddly squat about it.

I'd heard that lip-ties can be corrected by oral surgeons and ENTs. I looked up LANAP providers in our area and neither one is covered by insurance. So I looked up oral surgeons in the area covered by insurance and decided to call them and see if any of them corrected lip ties. The first on the list is the oral surgeon my hubby's dentist referred him to for his implant so he can eventually get a crown for a missing tooth. Yes, they correct lip ties. 

Called back the PCP to ask for a referral to the oral surgeon's office. Nurse practioner is all confused why I'd want a referral to an oral surgeon from the PCP, shouldn't that be from a dentist? Actually, the oral surgeon's patients usually get referred to by dentists. But DD's dental insurance doesn't cover lip tie. Her health insurance will, if it's an in-network specialist and she gets a referral from her PCP. Plus nurse practitioner and both pediatric dentist offices know jack diddly about lip ties.

I convinced nurse practitioner that both dental offices said they didn't know enough about lip ties, but the oral surgeon did and could assess if it needed clipping or not. So she reluctantly gave the referral. We've got an appointment in March, first thing in the morning, so that if they determine that they're willing to clip it, they'll do it under nitrous oxide right then. Not as good as laser surgery, but it's what insurance will cover. Here's hoping.

And why do I want her lip tie corrected? She has decay in her top four front teeth and a small gap between the teeth where the lip tie extends. Both pediatric dentists blame bfing, especially night nursing. Yet all her other teeth and her gums are all perfectly healthy. 

EDITED UPDATE: DD's lip-tie consult was moved up to Feb 27. Every nurse that looked at her lip-tie said, "Oh yeah, that's lip-tie." The doctor checked out her lip tie and posterior tongue tie. He agreed that if not corrected now, the lip tie might need correcting later, and agreed to it. The PTT he said didn't look like it was causing problems, and I have to say I agree. It's small and not that tight, and she's never displayed any problems with it. If it needs correcting later, then fine. So her lip tie has been corrected. Nitrous oxide is not covered by insurance, but it's safer than iv sedation which is covered, so we went with the nitrous oxide.

We'll start moving her lip around Saturday, per doctor's orders, to make sure it doesn't reattach. She's drinking out of bottles for a couple days, since all sippy cups hurt and she spills open cups and gets overly frustrated. Her latch has already improved. She only comfort nurses, but with her top front teeth crumbling, it's hurt when she nurses. Now it only hurts when she falls alseep while nursing.

by on Feb. 7, 2013 at 8:27 PM
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Replies (1-10):
slvrbtrfly
by on Feb. 7, 2013 at 8:37 PM
Its weird the pediatric dentist wouldn't do it. My son's was done when he had his teeth pulled under anesthetic a year ago by his reg. Dentist. I hate that dentists bash bfing for crap like that.
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Terpsichore
by Bronze Member on Feb. 7, 2013 at 10:25 PM

The pediatric dentists I have to choose from don't seem that educated on anything except brush, floss, flouride. And when I refused to let them brush DD's teeth with a regular toddler toothbrush and regular toddler toothpaste for $80? It's like I derailed a train. 

PoodleMum
by Silver Member on Feb. 8, 2013 at 12:23 AM
My 2 year old got her lip tie clipped (again, it was done at 2 months and grew back), but after being done properly it's closed the gap perfectly! Her other teeth are even straightening out :) See if he'll check for a posterior tongue tie as well. After the lip is clipped, make sure to pull the lip up to the nose to keep the revision open, otherwise it will heal back together
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Terpsichore
by Bronze Member on Feb. 8, 2013 at 10:00 AM

Thanks for the heads up PoodleMum. I have heard that it'll grow back if the lip isn't pulled back at least once a day until it heals completely. I do think I'll have them check for posterior tongue tie as well, but I don't know if it's a problem for her even if she has it.

PoodleMum
by Silver Member on Feb. 8, 2013 at 12:09 PM
As someone who has an untreated ptt, I'd suggest getting it clipped as well. We're going to do mine, it was never really a problem as a baby but has given me speech, dental, and other health issues (reflux, migraines, etc). Good luck :) Sounds like you're headed in the right direction!

Quoting Terpsichore:

Thanks for the heads up PoodleMum. I have heard that it'll grow back if the lip isn't pulled back at least once a day until it heals completely. I do think I'll have them check for posterior tongue tie as well, but I don't know if it's a problem for her even if she has it.

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aehanrahan
by Group Mod - Amy on Feb. 8, 2013 at 5:27 PM
How would I know if I had a ptt? I think I had a lip tie. I had a gap in my teeth as a kid & went to speech therapy in kindergarten. I can feel a separation in the frenulum where it seems like it was clipped. I wonder if a tt could have caused an aversion to foods. I have ALWAYS been very picky because many textures bother me still to this day.

Quoting PoodleMum:

As someone who has an untreated ptt, I'd suggest getting it clipped as well. We're going to do mine, it was never really a problem as a baby but has given me speech, dental, and other health issues (reflux, migraines, etc). Good luck :) Sounds like you're headed in the right direction!



Quoting Terpsichore:

Thanks for the heads up PoodleMum. I have heard that it'll grow back if the lip isn't pulled back at least once a day until it heals completely. I do think I'll have them check for posterior tongue tie as well, but I don't know if it's a problem for her even if she has it.

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PoodleMum
by Silver Member on Feb. 8, 2013 at 7:45 PM

You can still do the sweep check, but I find it easiest to push back on both sides of the middle of your tongue and it will pop out.  There's also a way to see it when you go to click your tongue, but I don't have a pick of that

Like this, but with two hands since you're not holding a camera :P


Quoting aehanrahan:

How would I know if I had a ptt? I think I had a lip tie. I had a gap in my teeth as a kid & went to speech therapy in kindergarten. I can feel a separation in the frenulum where it seems like it was clipped. I wonder if a tt could have caused an aversion to foods. I have ALWAYS been very picky because many textures bother me still to this day.

Quoting PoodleMum:

As someone who has an untreated ptt, I'd suggest getting it clipped as well. We're going to do mine, it was never really a problem as a baby but has given me speech, dental, and other health issues (reflux, migraines, etc). Good luck :) Sounds like you're headed in the right direction!



Quoting Terpsichore:

Thanks for the heads up PoodleMum. I have heard that it'll grow back if the lip isn't pulled back at least once a day until it heals completely. I do think I'll have them check for posterior tongue tie as well, but I don't know if it's a problem for her even if she has it.


PoodleMum
by Silver Member on Feb. 8, 2013 at 7:48 PM

Oh and I have many food aversions due to texture, etc.  I choke a lot, even just while drinking, have moigraines, tmj, reflux, and speech problems.  Also horrible dental health even though I take crazy good care of my teeth.  10 years of orthodontic work and you can't even tell I had any done

Quoting PoodleMum:

You can still do the sweep check, but I find it easiest to push back on both sides of the middle of your tongue and it will pop out.  There's also a way to see it when you go to click your tongue, but I don't have a pick of that

Like this, but with two hands since you're not holding a camera :P


Quoting aehanrahan:

How would I know if I had a ptt? I think I had a lip tie. I had a gap in my teeth as a kid & went to speech therapy in kindergarten. I can feel a separation in the frenulum where it seems like it was clipped. I wonder if a tt could have caused an aversion to foods. I have ALWAYS been very picky because many textures bother me still to this day.

Quoting PoodleMum:

As someone who has an untreated ptt, I'd suggest getting it clipped as well. We're going to do mine, it was never really a problem as a baby but has given me speech, dental, and other health issues (reflux, migraines, etc). Good luck :) Sounds like you're headed in the right direction!



Quoting Terpsichore:

Thanks for the heads up PoodleMum. I have heard that it'll grow back if the lip isn't pulled back at least once a day until it heals completely. I do think I'll have them check for posterior tongue tie as well, but I don't know if it's a problem for her even if she has it.



aehanrahan
by Group Mod - Amy on Feb. 8, 2013 at 7:53 PM

I never needed any orthodontic work, but my theeth have always been horrible. I had cavaties in every baby tooth, then in every adult tooth. They are even worse now since I have lived for many years without dental insurance.

I tried making myself oatmeal shortly after having Johnathan since I knew it was good for milk  but could NOT even get one bite down. It was the texture. I don't choke, but I do get migraines and horrible heartburn. I'm going to go in the bathroom now and look. 

THANK YOU!!! 

Quoting PoodleMum:

Oh and I have many food aversions due to texture, etc.  I choke a lot, even just while drinking, have moigraines, tmj, reflux, and speech problems.  Also horrible dental health even though I take crazy good care of my teeth.  10 years of orthodontic work and you can't even tell I had any done

Quoting PoodleMum:

aehanrahan
by Group Mod - Amy on Feb. 8, 2013 at 8:08 PM

I can't get my finger in to try the sweep check. I have a weird thing that prevents it. I just looked at both of my boys and they might have ptts too. Neither has a lip tie. Maybe I should find someone here to look at all three of us.

Quoting PoodleMum:

You can still do the sweep check, but I find it easiest to push back on both sides of the middle of your tongue and it will pop out.  There's also a way to see it when you go to click your tongue, but I don't have a pick of that

Like this, but with two hands since you're not holding a camera :P


Quoting aehanrahan:

Lilypie Kids Birthday tickers

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