Hi Mickey,

Looks great. It will make a significant difference in her life.

One of the first ones I did brought a comment from a patient who said, “You changed my life!” A pretty powerful statement not often heard from patients inspite of the many other more important and much more difficult things that I thought I had being doing all these years but rarely elicited a similar reaction. Things like that seamless crown margin, that text book perfect endo shaping and obturation, that optimal composite interproximal contact, that asymptomatic pulp exposure treatment to save them an endo, the hardly detected injection of a local anesthetic, the management of emergency during and after office hours, that well fitting prosthesis, that dramatic enhanced and improved smile, that reduced periodontal pocket, that beautiful surgical procedure….. Well, you get the general idea.

Not that patients don’t appreciate all these thing that we do and not that they don’t express their gratitude in many ways. They do. However, there is also a level of expectation that all these things that we do are the norm, regardless of how we sweated over them to provide the end result.

Yet a simple procedure like a release of a tongue tie will provide an immense change to a patient who swallows hundreds of times each day for the rest of his/her life. That patient will be less likely to choke in swallowing, will be able to take a vitamin tablet easier, will be able to speak more clearly and freely…. As I tell my patients about lingual frenectomy: You don’t know about the freedom until you have it. And once you have it, you won’t want to lose it.

The laser gives us the power to provide all that in such a patient friendly, noninvasive and comfortable manner.

Cheers,

Andrew

Great case Mickey and a wonderful service to your patient. Thanks for sharing!!!!!!!!!

Al

I did a lingual frenectomy on a 16 year old less than 1 week ago. I used waterlase at .5W 11%A with topical.
He tolerated procedure well and both he and mother were quite pleased with immediate post op results. Patient came in today for follow up and said he had pain for a few days and now he can’t stick out his tongue very far. This was surprising to me as I disected quite far .
Although there is an improvement from pre op, there has been some relapse. How do you prevent that from happening?

Robert.

HI there……..I know my friend Larry Kotlow puts one suture in to prevent reattachment in certain cases.

I might be able to find out where he puts the suture…..

I will copy him on it.

Glenn

Larry Kotlow took time out of his busy schedule to email these photos to me………

Hope they help, and I think they are captures from his scope of video he has taken.

They are of him placing a suture in the tongue tie release prior to releasing the patient to prevent the reattachment process. Note the lack of bleeding. Laser used was a Delight with soft tissue tip probably at 30Hz and 50-80 mj, with anesthetic.

Take care

Glenn

Here are the photos of the frenectomy I spoke of 2 weeks ago. You can see  that in the immediate post op the tongue was freed up nicely.  The 5 day post op he had pain and noticed it was tightening up again. The 2 week follow up shoes it healed, with a thicker attachment than before and clearly not as free as the immediate post op.
Aside from the suture technique, any comments( I have thick skin).

Robert’

Having done these procedures with a scalpel-what a mess. Seeing consistent beautiful results using the laser makes me realize I will being sending my patients that need these procedures up to Davey Kimmel.
Awesome use of the laser!
Thanks for the thread,
Danny