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Tongue-Tie

Tongue-Tie Treatment in San Jose

We provide tongue-tie treatment in San Jose with a gentle, thoughtful approach—ensuring a safe, comfortable experience while supporting healthy oral development and function.
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How it Works

Tongue-Tie Treatment

After a tongue-tie referral, many parents start looking for a provider they can feel confident about. The right team should have the training, technology, and patient-centered approach to explain the process clearly and help the procedure feel manageable for both the child and the family. 

Pediatric Dentistry of San Jose offers laser tongue-tie treatment for infants, toddlers, and older children throughout the greater San Jose area. Our board-certified pediatric dental team uses advanced laser dentistry technology to perform frenectomy procedures with precision and minimal discomfort, and we have spent more than 40 years building trust with families across the Alum Rock community and surrounding neighborhoods. Parents travel to us from Evergreen, Milpitas, Berryessa, and beyond because they want a team that treats their child the way they would want to be treated.

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What Tongue-Tie Treatment Involves

Tongue-tie, also called ankyloglossia, happens when the small band of tissue under the tongue is too tight or short for the tongue to move the way it should. For some children, this can make breastfeeding harder in infancy, affect speech as they get older, or influence how their mouths develop over time. A 2023 clinical report published in  NIH’s PubMed Central notes that tongue-tie affects about 4% of people and should be evaluated based on how the tongue functions, not how it looks alone.

When treatment is needed, a frenectomy releases the tight tissue so the tongue can move more naturally. For kids, how that release is done can make a big difference. Our team uses a laser instead of traditional scissors or a scalpel because it seals the tissue as it works. That usually means very little bleeding, less irritation afterward, and an easier recovery for many children.

A nine month old baby with a tongue tie and orthopedic shoes lays on her back with her tongue sticking out as much as possible as she holds the bar between her orthopedic shoes that she wore for a club foot.
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How It Helps

Our Approach to the Frenectomy Procedure

From the initial evaluation through post-procedure follow-up, our team guides families through every stage of the process with clear communication and individualized care.

The Evaluation Comes First

Before any procedure, we conduct a thorough evaluation of your child’s oral anatomy and function. We assess tongue mobility, the severity of the restriction, and if a frenectomy is the appropriate course of action for your child’s specific presentation. Not every restricted frenulum requires intervention, and we take a measured, evidence-based approach to that determination rather than recommending treatment reflexively. We want every family to leave their consultation with a clear picture of what we found, what it means, and their options.

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What Happens During the Procedure

Laser frenectomy at Pediatric Dentistry of San Jose is performed efficiently and comfortably. We apply a topical numbing agent before treatment begins, and the laser releases the frenulum within minutes. There is minimal bleeding, no sutures are required, and most children return to normal feeding or activity within the same day. 

For children who experience significant dental anxiety or have sensory or behavioral considerations, our team can discuss if sedation dentistry is an appropriate option to ensure the appointment goes smoothly. We also have deep experience with children who have additional health needs, and our approach to pediatric special-needs care reflects the same commitment to individualized treatment.

Coordinating Care After Treatment

Recovery from a laser frenectomy is typically brief, but what happens in the days following the procedure matters. We provide families with a clear set of stretching exercises to perform at home, which help the release site heal with full mobility rather than reattaching. The type of follow-up care we recommend depends on your child’s age and the reason for treatment, but commonly includes the following:

  • Infants: Coordination with a lactation consultant or feeding therapist to help re-establish effective nursing patterns after the release
  • Toddlers and younger children: Guided exercises and monitoring to support tongue mobility as speech and oral motor patterns develop
  • Older children: Continuation with a speech-language pathologist to address any speech patterns that developed around the restriction

Our team remains accessible throughout the recovery period and is happy to answer questions as they come up, so no family has to navigate the process alone.

Why Families Choose Pediatric Dentistry of San Jose

Choosing a provider for a child’s frenectomy is not a decision families make lightly, and we do not take that trust for granted. Dr. Hollander brings specialized training and genuine warmth to every appointment. We have spent over four decades serving the East San Jose community, earning the trust of multigenerational families and newer patients alike who travel from across the areas we serve specifically for our laser frenectomy services. We accept most PPO dental insurance plans, and our staff is here to help families navigate coverage so that cost is not a barrier to getting your child the evaluation they need.

Based in San Jose
Silicon Valley
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Ready to schedule tongue-tie treatment in San Jose? Book a calm, safe, and comfortable visit focused on your child’s needs.
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Location & Hours

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Hours

Monday - Thursday
8-5 pm

Friday
Closed

Saturday
8-12 pm

Sunday
Closed

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