In general, dental laser procedures are very well-tolerated by children. We take every measure to ensure that discomfort and stress during the procedure is minimized.
- General anesthesia is not utilized in the office
- Due to laser safety regulations, parents are not allowed in the treatment room during the procedure. I will carry your baby to and from the room, and the approximate time away from you is about 15 minutes. The actual time of lasering is 15-30 seconds.
- For children 12 months of age or older, numbing cream is applied. In some instances, an injected local anesthetic may be applied for additional anesthesia.
- Crying and fussing are common during and after the procedure. In older children, we have the option of giving an oral dose of Versed (midazolam), which is a relaxing medicine maybe recommended. It is very safe in children and begins working in 20-30 minutes. It helps alleviate separation anxiety in addition to providing an amnesia-like effect during the procedure. It lasts about 90-120 minutes.
You may breastfeed, bottle-feed, or soothe your baby in any manner you’d like following the procedure. You may stay as long as necessary.
How to Prepare for the Procedure
The best way to prepare for the procedure is to have the medications that you will need on hand so you can focus on your child following the procedure.
You do not need to give any medication prior to the procedure. Dosage: Using the dropper in the manufacturer’s packaging. This can be given every 6-8 hours after the procedure. The concentration of Tylenol should be the 160mg/5mL dosage. Some places may sell a concentrated form at 80mg/0.8mL – this is not the one we want you to use.
- 6-11 pounds – 1.25mL
- 12-17 pounds – 2.5mL
- 18-23 pounds – 3.75mL
- 24-35 pounds – 5mL
For children 6 months of age or older, you may use ibuprofen instead (or with Tylenol). Please follow the dosing instructions on the package.
You may use whatever works for your family. This includes homeopathic remedies like arnica or Rescue Remedy, or nothing at all. Because numbing medicine is used during the procedure, and because the laser itself has some analgesic properties, not everyone needs a medication beforehand.
Our Team Approach
We feel that post-revision care is important to the success of the revision. Essentially, the baby must learn how to use his or her tongue in a new way. Some babies need no help at all and immediately breastfeed post-procedure, while other babies may need help by additional professionals.
- An International Board Certified Lactation Consultant (IBCLC) can help improve latch, provide suck strengthening exercises and develop a feeding plan to address issues of latch, nipple healing, and low milk supply.
- A speech or developmental feeding therapist can help babies learn to use their tongues for more effective eating and speech.
- A craniosacral therapist or chiropractor can help babies to release tight muscles that have compensated for a tight frenulum or improper suck.