Pain during post frenectomy rehabilitation phase

I have a clinical question that I would love your opinion on. 

In adult patients with TT, do you find less pain in the post frenectomy rehabilitation phase when a period of pre habilitation is undertaken, in essence conditioning the musculature as much as possible?

A number of older children & adults are reporting significant pain post op, not at the wound site but in the body of the tongue as the muscles work anew.

Thank you so much, I hope you don’t mind my asking!


I am so glad you asked this question.  It has not come up before although I touch upon it during my courses.

I hope I helped answer your questions.  Please let me know your thoughts and if I missed anything.



Importance of Proficiency Exam #1

Are there exercises in your manual that will help a child who has difficulty in lifting the middle and back of the tongue enough to suction it to the palate?


CVA with noted aphasia

Posted by | Apr 15, 2015 | Tags: ,
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I just screened a new resident post CVA with noted aphasia in her record and some dysarthria. On exam, her tongue had a fairly significant fissure at midline. Any recommendations for healing?


Could an improper oral rest postures/enlarged tonsils/inconsistent mouth breathing completely inhibit the ability to produce /k,g/?

I recently picked up a six year old boy who has been in speech therapy for years for production of velars. He consistently fronts /k,g/ and is not stimulable for the sounds.


Nine years old, forward tongue thrust

Posted by | Mar 15, 2015 | No Comments

I had a patient yesterday. Nine years old, forward tongue thrust. Severe allergies and asthma. These are under control as much as they are going to be. Age 9. To see orthodontist soon. So, is this one that I take as far as possible knowing it will not correct totally?


Swallow Right manual

Posted by | Feb 28, 2015 | Tags:
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I just ordered the Swallow Right manual. Do you think it will help with this feeling that I have that I do not know how frequent and long to have the patients work each exercise?


Must I wait until a palatal expander is taken out to begin therapy?

Posted by | Feb 15, 2015 | No Comments

I used to take kids who could suction flat with the expander, but there are too many other considerations.


RDH Not Too Sure About Charges

Posted by | Jan 30, 2015 | No Comments

My two biggest all time failures were the kids of my two best friends


Can adult undergo expansion?

For adult expansion, longer periods of retention are needed to maintain the expansion.



at times her tongue was in and her lisp were together (which suggests to me that there are no nasal breathing issues). Her tonsils were not visible (small???). She seemed to easily be able to breathe through her nose. Parents report that she does snore a little. Her cheeks were pretty “puffy” looking, but she is a young child so it seemed like it could be just a baby face. On the inside of her mouth, her cheeks seemed really “thick”.

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