If you have just discovered that your baby has a tongue tie you are bound to be very anxious. You may have noticed it yourself, or been told by a doctor or midwife and they have referred you to either an NHS or Private expert, such as myself.
Unfortunately, Tongue tie can be over-diagnosed, un-diagnosed and misdiagnosed. Why? Because there just aren’t that many trained professionals around. The first step to examination is adequate lighting. Although, at this point of examination and assessment I do not rely heavily on what I can see, as the assessment is predominantly made by observation and palpation.
How will I assess your baby for tongue tie? With your permission, I will examine your baby, targeting the head and neck to determine if there are any restrictions. Your baby will be placed on my lap and I will gently perform a digital examination of the baby’s mouth.
I tend to initially examine babies on my lap with their feet against my torso. This can also be done with their head facing away and lower than their bottom facilitated by laying the baby on the mother’s lap feet closest to her torso. I will then face the mother knees touching. You cannot assess a baby for tongue tie sitting in a parent’s lap in an upright position.
The aim of the examination is to determine the degree of tension of the frenulum of the tongue and on the surrounding tissue. I will then insert my index fingers under the tongue and lift the tongue away from the floor of the mouth. If the frenulum is tight, it will often turn white or blanch. Part of the assessment is also to note where the frenulum inserts along the gum line and under the tongue.
The mouth is examined for maxillary bony alveolar notching, blanched frenula with elevation, height of achievable elevation, lateralisation of the tongue (impaired transverse tongue reflex), abnormal floor of mouth elevation with elevation of the tongue, and location of attachment of the frenula.
I will also entice your baby to suck on my finger in order to evaluate for normal gum/lip grip, cupping of the tongue against the finger, seal on the finger, and the nature of the sucking tongue motion and movements.
The classification of tongue tie is informal, I prefer to note any restrictions found, classifying the tie as 25%, 50%, 75%, 100% or Posterior (submucosal).
The examination is gentle and will not distress your baby, other than their possible frustration of not yet being fed.
Following the examination I will discuss my findings with you, explain the division procedure and any associated risks (which are minimal) and you can make an informed decision as to whether you would like to go ahead with a frenulotomy (tongue tie division).
Please Get in touch if you would like to discuss your baby and Book a Tongue Tie Assessment Appointment.
I work across Sussex including but not limited to Brighton, Hove, Burgess Hill, Haywards Heath, Lewes, Crawley, East Grinstead, Horsham, Worthing, Shoreham-by-Sea, Lancing, Eastbourne, Uckfield, Steyning and Hastings. I also perform Tongue Tie Assessment and Division in Central and South London, Kent and Surrey.
Tongue Tie Division Fees
Tongue Tie assessment and division at home
London, Surrey and Kent ~ £245
(No hidden costs. Includes travel, assessment, division of tongue tie, feeding support and feeding after care plan as needed)
Follow up consultations via Skype ~ £50 (30 mins) or £85 (one hour or two 30 min calls paid for at the same time)
Assessment of tongue tie and division at the Saltdean, Brighton Clinic
Tongue tie assessment/division, including feeding support ~ £175
(includes support with feeding after division, as needed and take home after care and feeding plan)
If you can not get to us I can see you at home in and around Brighton for a small extra charge. Visit further afield will incur a small extra travel charge, to cover travelling time. Please enquire for details
Please be aware you will need to provide a visitors parking permit if necessary. Parking fees or fines must be reimbursed should they occur.
--- We came to see Dee when our baby was a few days old and had a tongue tie. We were told we needed to wait 2 weeks for an appointment at the hospital but Dee was able to see us the same day we contacted her, making time, after work and putting her daughter to bed, to see us. The tongue tie was snipped very quickly and healed really well and the feeding improved almost instantly. Really great service and would highly recommend
--- I came across Dee's details after frantically searching the Internet for any information or help regarding a tongue tie division. It was noticed at our 6 week check up that my son had a tongue tie - which was resulting in his frequent feedings and difficulties latching onto his bottle. We were referred via NHS - however after waiting 2 stressful weeks we still had no appointment through and no one answered our phone calls or emails when we tried to get in contact. I contacted Dee and within the hour I had a response which was amazing!! We arranged to meet and had the tongue tie divided that same evening. Dee was amazing both in communication beforehand and in person. We were put at ease straightaway. The procedure was simple and very quick (over within a few seconds). We had a fresh bottle ready for after - in which my son took to immediately (latching onto his bottle perfectly & drinking the most he ever has in one go with ease). We are extremely happy and thankful for all Dee's help and expert advice. I would recommend to anyone. If it wasn't for Dee my son would still be struggling with his feeds and getting very little sleep.