Reply to Tongue tie, 10 yr old

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[quote=Anonymous]There are some dentists who are gung-ho about the procedure, more often pediatric dentists than others IME.
I no longer treat many young persons for this (I guess the pediatric dentists are increasingly doing these procedures) but I do this procedure on preteens and adults. It's quite minor for most patients, healing is rapid, low complication rate. As with any type of medical procedure, some patients are more reactive than others. 
If the patient has a speech issue, that's one reason I generally recommend surgery. I'm surprised that the patient wasn't assessed for an anatomical issue before starting speech therapy; I would think the patient would be checked for hearing deficits and tongue tie during the work-up phase? 
In other cases, the orthodontist requests the treatment as the tongue tie can interfere with the planned treatment or the long-term stability post-treatment
I've also seen adults where sadly a tongue tie has caused gum recession and actual loss of the teeth in the area, so if there are signs that the tie is high enough to be a problem, I also recommend the treatment.
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