Tongue Ties and Lip Releasing Frenectomy

Between 4-10% of children are born with some degree of frenulum restriction, also known as tongue-tie or lip-tie. This means that their tongues and lips are attached to the mouth with excessive connective tissue webbing. This excess tissue impedes the movement of the tongue or lips to various degrees and can cause anything from moderate inconveniences to more severe impairments including failure to thrive in neonates to periodontal issues as adults.

Infant/Child/Adult Symptoms:

Inability to latch, painful nursing, increased air in belly while nursing, unable to lick ice cream cone, limited ability to extend tongue, gap between front teeth, painful catching of the frenulum between teeth, delayed speech, difficulty making certain sounds (such as T, R, and L sounds), difficulty swallowing solid food, or a very strong gag reflex.

Revision Procedure:

When a child suffers from tongue-tie and lip-tie, we offer a simple procedure called a revision. The procedure may be performed as early as the day of birth and has very low records of complications. Dr. Korie and her team can perform the procedure right in our office.

We see to the baby’s comfort by applying a numbing cream and then the doctor uses the laser to gently remove the frenulum tissue, causing virtually no bleeding. Stitches are usually not required. Afterward, the baby is allowed to nurse or feed immediately. While this procedure is relatively simple, it can yield big results such as restoring ease of speech and self-esteem.

Contact our office at Derby City Pediatric Dentistry to discuss your questions and concerns and schedule an appointment for a full examination and consultation.

Dear Derby City Pediatric Dentistry Families,
By now you are all aware of the measures being taken statewide to slow the spread of COVID-19. I’m writing to update you with the practice protocols Derby City Pediatric Dentistry will follow in the coming weeks or longer. We appreciate your understanding and patience as we determine the best way to keep our families, our team, and the greater population safe.

For now, Derby City Pediatric Dentistry will be closed from March 17, 2020, until further notice, in an effort to flatten the curve and prevent the spread of this virus. If your child has a scheduled appointment during this time, we will be in touch to get your child rescheduled once we have a better idea of when it’s safe to resume normal operations. We are developing strategies to accommodate future additional needs.

This decision was not made lightly, but necessary in order to protect our patients, our team and our doctors after reading updated recommendations by the CDC and OSHA. Dental procedures generate a large number of droplets and aerosols. The latest advice is that our standard personal protective equipment is not effective enough to prevent the spread of the COVID-19, especially when patients are in the incubation period and are unaware they are infected. This is especially unique to our profession as children are being found to be asymptomatic carriers. This means that screening is no longer considered effective in capturing all who may be infected with the virus. Continuing to provide dental treatment and cleanings at this time is just not appropriate when trying to limit this virus.

OSHA has placed dental professionals in the “very high exposure risk” category regarding COVID-19. Current recommendations are that dentists and team members wear N95 masks for dental treatment during this pandemic. However, not only are these masks extremely difficult to obtain at this time but most importantly, they need to be conserved for other professions that are at the forefront of fighting this virus.

If your child has a true dental emergency, there will be a doctor to assist you. Please do NOT go to any Emergency Rooms and call our office first at 502-254-6097.


Rest assured that we are reading scientific and government recommendations, talking with local colleagues, and taking direction from our national organizations. We are sorry for any inconvenience that this may cause, but it is imperative that as a community, we slow the spread of this virus, and that requires extreme measures. We are aiming to help flatten the curve by implementing this policy. We remain committed to the safety of you and your family! Please call us if you have any questions.

We appreciate your understanding as we all try to navigate through this situation.
Stay Home and Stay Healthy!

Sincerely,
Dr. Korie Acord and the Derby Pediatric Dentistry Team