Whole body, whole health
state-of-the-art dentistry

Conveniently located at the
intersection of 117 & 495

563 Main Street • Bolton, MA

Orthopedic
Orthodontics

    Would you like a new smile?

    Call or email us and we'll get you started!

    (978) 779-2888
    email us

    Classes of Lip Tie and Tongue Tie

    Tongue Tie

    Tongue ties have classifications that confuse many. They are classed class 1, 2, 3, 4 and submucosal. These classifications are not in indication of need to treat or severity. The simplest way to describe the tongue ties is either normal, anterior or posterior.

    Normal - No lip or tongue tie
    Normal
    Anterior Tongue or Lip Tie
    Anterior
    Posterior Tongue Tie
    Posterior
    After treatment there are often significant changes to tongue elevation and extension that is observable to the parent. See the example of an immediate tongue tie release:
    Anterior Tongue Tie before treatment
    Before Treatment
    Anterior Tongue Tie after treatment
    After Treatment – improved elevation
    Lip Ties
    There are times when the lip alone or many times in concert with a tongue tie do prevent the proper ability of the mouth to open and flange on a breast or on a bottle. Many instances of baby snorting, bobbing on and off of the breast in frustration, lip blisters (not always a reason for concern) noisy breathing, puffiness under the eyes due to restricted tear duct flow into the nose that the compress lip can block, are just a few of the lip related tie concerns. There are also many times when a mother has minimal to no breastfeeding symptoms and weight gain is “fine” because she has such a great milk “letdown” that an efficient latch is not necessary. Yet, there are still baby symptoms for spitting, gagging and fussiness. (This is another reason for a thorough evaluation by the appropriately trained professional). You may hear that the lip will cause spacing and tooth decay in the future and many want this treated early. Here again there needs to be a proper diagnosis of a current problem to justify treatment. The reasons for infant tie treatment is for the feeding, swallowing and breathing related issues only.
    Classifications
    Some of the classification types of lip tie (which are only a simple anatomical description and not a diagnosis for severity):
    Class 1 Lip Tie
    Class 2 Lip Tie
    Class 3 Lip Tie
    Class 4 Lip Tie
    Notice the different tie shapes in a single classification:
    Class 4 Lip Tie - Fibrous
    Class 4 Lip Tie - Fleshy
    Class 4 Lip Tie - Thick
    Class 4 Lip Tie - Thin
    How should the lip look after treatment? The images below represent a sequence through a procedure:
    Lip tie treatment - start
    Start of Procedure
    Lip tie treatment - midway
    Midway
    Lip tie treatment - finished
    End of Procedure

    Testimonial 13

    “The entire staff is outstanding. I always feel like I’m getting together with friends when I go there.” — Teresa C.

    Testimonial 3

    “Loren was excellent as always, greeting me, helping me fill out medical history forms, and explaining financial options. Karen is a great hygenist and a very pleasant person to talk to during my cleaning.”
    — John B.

    Testimonial 23

    “My fears were not minimized but dealt with in a compassionate manner. I felt reassured and that my team would treat me respectfully and with kindness. They respect my fear and will help me cope with it.”
    — Ellenore P.

    Testimonial 9

    “Everyone in this office is very friendly and professional, I love it there. Keep up the good work.”
    — Kirenia C.

    Testimonial 5

    “Everyone was extremely friendly and Dr. David was so helpful. She was able to correct a problem that no other dentist even acknowledged, so I was very happy!”
    — Gisella B.

    Testimonial 10

    “Everyone always makes me feel comfortable!”
    — Claudette C.

    Testimonial 25

    “I love the educational movies you have available and your courteous, educated staff.”
    — Stan S.

    Testimonial 22

    “Everyone was very friendly and I have never been walked around a dentist’s office before. Love the proper use of technology.”
    — Alison M.

    Testimonial 6

    “The girls at the front desk are the best, they are soo personable… You are very lucky to have them….I wouldn’t change anything. Overall all is great, love the staff, they truly make your visit & got out of their way to help you..”
    — Diane B.

    Testimonial 14

    “The entire staff was pleasant to speak with. The office was clean and bright with flowers.”
    — Mark T.

    Testimonial 12

    “You guys are wonderful”
    — Carol P.

    Testimonial 18

    “I will look forward to returning! I had the feeling that everyone was pleased to see me and admire the efficient yet relaxed manner in which my appointments were conducted. The environment was peaceful and everyone was very accommodating. Thanks for a really good experience.”
    — Anne C.

    Testimonial 26

    “I highly recommend Dr. David and her team to anyone who is contemplating having any type of dental procedure done, whether it be something very simple or preventative or the more advanced and extensive as I have experienced.”
    — Ronald B.

    Testimonial 20

    “Always great attitude from all your staff.”
    — Hazel H.

    Testimonial 19

    “Dr. David was throrough and is the nicest dentist I have met.”
    — Dan H.

    Testimonial 8

    “Relaxed and friendly people. You guys are fabulousssssssss”
    — Adrienne B.

    Testimonial 11

    “Office staff ,hygienist, and dentist were all amazing”
    — Barry N.

    Testimonial 15

    “You guys are great with new moms. It is nice that I can bring my baby to the appointment.”
    — Margaret T.

    Testimonial 21

    “You know I hate getting my teeth cleaned, etc. But, your office understands and allows me to joke, laugh and relax. That’s why I come back.”
    — Jayne M.

    Testimonial 1

    “Everyone is so pleasant and upbeat. The entire office made me feel welcome. That goes a long way toward making the entire experience comfortable and less stressful. I noticed the staff attitude also made other clients more friendly towards one another.”
    — Anne C.

    Testimonial 17

    “I really enjoyed the way I was greeted and the time that was taken to show me around the office. Thank you for making me feel at home.”
    — Joan A.

    Testimonial 7

    “Lovely people that care about their clients.” — Patricia B.

    Testimonial 2

    “I really enjoyed the way I was greeted and the time that was taken to show me around the office. Thank you for making me feel at home.”
    — Joan A.

    Testimonial 4

    “K was great and very thorough, my daughter had a good experience with Alicia. This was a great first visit. The entire staff is very engaging and positive. It’s obvious they enjoy what they do and are interested in the patients.”
    — Brigham B.

    Testimonial 24

    “I am always greeted with a smile and treated more like a family member than a customer. Your personal service is outstanding.”
    — Carol R.

    Testimonial 16

    “Staff is very friendly, welcoming, and reassuring. A dental visit is not high on my list of fun things to do, but one at Dr. David’s office is as pleasant as it can possibly be.”
    — Beverly P.

    Dentistry by Dr. David, Bolton, MA logo
    Address 563 Main St.
    Bolton, MA 01740
    Phone (978) 779-2888
    Email send us an email
    Hours
    M 8:00am - 6:00pm
    Tu 8:00am - 5:00pm
    W 8:00am - 4:00pm
    Th 8:00am - 5:00pm
    F 8:00am - 4:00pm

    Exceptional dental care is a lot closer than you think.

    Located in Bolton at the intersection of 495 and Rt. 117, easily accessible from MetroWest Boston.