Friday, January 25, 2013

Baby Lip Tie UPDATE

I posted earlier this week that I had just discovered that my 7 month old son may have an upper lip tie. This occurs when the upper frenulum is too long and connects lower on the gum than it is supposed to. In my son's case it connects right between his front teeth, which are just beginning to emerge.

I am concerned about the upper lip tie as it can lead to:
  • breastfeeding latch issues
  • tooth decay
  • gap between the front teeth
  • speech delay

I was finally able to get him in to see a pediatrician at a walk-in clinic.

The pediatrician confirmed that it is an upper lip tie like I suspected. Who knew, sometimes Google is correct. Doctors often tell mothers to not search the Internet for symptoms but on occasion it really does help. Especially, since my kids do not have a pediatrician or family doctor that they see regularly.

So as of now, we are on a waiting list for a consultation with a pediatric surgeon. The surgeon will determine if the frenulum should be cut or not. It could take months here in Canada before we get an appointment.

I am not really worried since he can breastfeed and eat solids easily. The other possible problems: tooth decay, gap teeth and speech delay do not really apply at only 7 months old.

Since it took me 7 months to notice the issue...

I decided to check out my 2 year old's mouth.

He has the same problem! He has an upper lip tie too!

I cannot believe I never saw it before. I brush his teeth every day but never lifted his lip before.

Here is a picture of my oldest son when he was 12 months old. He had a big gap at first.



Here he is with his little brother now, at 28 months old. The frenulum does connect between his two front teeth but there is not big gap there now. All of his other teeth must have pushed them together like normal.


My oldest did have breastfeeding latch issues. I used a nipple shield the entire time I nursed him (14 months) because he could not latch without it. I thought at the time it was the shape of my nipples that prevented him from latching but now I think that it was probably caused by the lip tie.

He also has a speech delay. He is 28 months old and not speaking very much. He says some words and says them clearly but he is definitely not talking at the same level as his peers. I am planning on getting him to a specialist if he does not start saying more words soon.

So it turns out that both of my boys have lip ties. My baby's seems to be worse and I will get it checked out by the pediatric surgeon as soon as we can get an appointment.

I will also talk to my family doctor about my toddler's lip tie and see if that should be fixed as well. His teeth have no sign of tooth decay so the only thing to be concerned about at the moment is the speech delay.

The speech issue is supposed to be a DELAY not an impediment so he should start talking on his own eventually without difficulty. Since he is already delayed, I assume he should be talking fairly soon. *Fingers crossed*

I will post another update as soon as we see the pediatric surgeon.

Have you ever encountered this before? Was surgery performed or was it left alone?


11 comments:

  1. I would not be concerned about his speech delay (in regards to the lip tie). I noticed my son's lip tie when he was nine months. My Dr. isn't concerned. But I also know two speech pathologists, after consulting them and my Dr. we are not going to 'correct' my son's lip tie. The speech pathologist said that as a baby, if they can make the ma and ba sounds that there is nothing to worry about. That being said, I know babies w/o lip tie who can't do 'ma' and are just fine. I also know a few children who were not speaking well at all until about three years old (also w/o lip tie). My dr. said he does not recommend surgery but that some toddlers will trip and fall allowing it to tear and 'fix itself'. Which sounds horrible, but from what I understand it heals better (along the same lines as why they don't do episiotmys and allow a woman to naturally tear while delivering a baby).

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  2. I actually had a severe upper lip tie as a kid. I wasn't able to move my upper lip that much at all, you could see the skin hanging down between my gap. I also was in speech due to having issues using "th" sound. My mom had me have oral surgery to correct it when I was around 9-10 years. I still have the gap, and it was weird to move my lip at first. Thankfully my son doesn't have it, but it was one of the first things I looked for after he was born.

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  3. I actually had a severe upper lip tie as a kid. I wasn't able to move my upper lip that much at all, you could see the skin hanging down between my gap. I also was in speech due to having issues using "th" sound. My mom had me have oral surgery to correct it when I was around 9-10 years. I still have the gap, and it was weird to move my lip at first. Thankfully my son doesn't have it, but it was one of the first things I looked for after he was born.

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  4. I checked my son's upper lip after you posted originally because he has a large gap between his front teeth. He is 11 months old. He has an upper lip tie too. So, I am going to see our pediatrician and see what we need to do.

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  5. I checked my son's upper lip after you posted originally because he has a large gap between his front teeth. He is 11 months old. He has an upper lip tie too. So, I am going to see our pediatrician and see what we need to do.

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  6. Thank you for posting this! My 14 month old daughter has a gap between her front teeth so after reading this post I was curious. Does she have it too? That's what it looks like to me! We have a check up with the doctor in a few weeks anyway, so we can get it looked at. Thanks for the info!

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  7. How many words is your son saying now?


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  8. I am sorry that you are having to wait so long for medical care. You have mentioned the long waits to see doctors as being caused by living in Canada a couple of times. I also live in Canada and have never experienced the longs waits you speak of. In fact, the two times my son had to be sent to a pediatrician specialist, the first time I was called the very same day with an appointment for the next day and then a hospital appointment for two days later and the second time it was for a much less urgent issue, I was called later than week with an appointment for my son the following week. We do live on the outside are of major urban center (GVRD). It just made me curious, do you live a long way away from a major urban center?

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    Replies
    1. I live mostly in the country. There is a small city near by with a hospital but you need to be referred for everything. I have been on the waiting list to see a dermatologist for YEARS now. If it was serious I would keep calling but for now I am just waiting.

      If you go to the emergency room you'll see someone that day and then be referred more quickly.

      For non-urgent issues you usually have to wait months around here.

      My family doctor is retiring so my whole family has been on a waiting list for another doctor for 6 months now.

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  9. I'm sorry that you and your sons are going to have to go through this, Kristen. But good for you for being proactive and researching it on your own! I'll be watching for the updates.

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