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      <image:title>Home - Ouchless options.</image:title>
      <image:caption>We understand that dental visits can be intimidating and even frightening for young children. Along with minimally invasive solutions, Dr. Lela’s specialized experience as a pediatric dentist, and as a parent, allows her to calm little nerves and make dental appointments a breeze. Call us to learn more.</image:caption>
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      <image:title>Home - Pain, pain go away.</image:title>
      <image:caption>We believe in making your child’s dental experience as comfortable as possible. From Nitrous to General Anesthesia, we have a range of options to manage your child’s physical and emotional comfort for a better experience. Call us for more information.</image:caption>
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      <image:title>Home - Teeth optional.</image:title>
      <image:caption>From frenectomies to first visits, it is important to get your little one in to see the Dentist as soon as possible. It’s recommended that a child’s first dental appointment be at six months or when the first tooth erupts — and no later than one year. Call us today to make your little one’s dental debut.</image:caption>
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      <image:title>The Doctor</image:title>
      <image:caption>Lela Matthes-Matos, DDS  Pediatric Dentist, Board-Certified The Breath Institute Ambassador</image:caption>
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    <loc>https://www.smilepediatricdentalcare.com/the-staff</loc>
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      <image:title>The Staff</image:title>
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    <loc>https://www.smilepediatricdentalcare.com/tonguetiecenter</loc>
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    <lastmod>2021-06-01</lastmod>
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      <image:title>Tongue Tie Center</image:title>
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      <image:title>Tongue Tie Center</image:title>
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      <image:title>Tongue Tie Center</image:title>
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    <image:image>
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      <image:title>Tongue Tie Center - What is a Tongue Tie? A tongue tie occurs when the thin membrane under the baby’s tongue (the lingual frenulum) restricts the movement of the tongue. All babies are born with some of this tissue, but for approximately 5% of newborns, it is so tight that they cannot move their tongue freely. This can affect their ability to breastfeed and lead to poor latch, nipple pain and trauma, decreased milk intake and a decline in milk supply over time. The medical term for tongue tie is “ankyloglossia” and studies show the defect is likely hereditary.</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5dc216152e7d9f055df335b5/1596124910894-YN2KNGNSU224FOAB2ARM/Pediatric-Dentist-Lip-Tie-Specialist</image:loc>
      <image:title>Tongue Tie Center - What is a lip tie? Many babies with a tongue tie, also have an abnormally tight membrane attaching their upper lip to their upper gums (the labial frenulum). This is called a lip tie. Babies with a lip tie often have difficulty flanging their lips properly to feed and can’t create a proper seal at the breast. This can cause them to take in excess air during breastfeeding, which often makes these babies gassy and fussy (colic).</image:title>
    </image:image>
    <image:image>
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      <image:title>Tongue Tie Center</image:title>
      <image:caption>- Release - For our infant frenectomies, we use a state-of-the-art CO2 dental laser that easily releases ties in a 10-15 second procedure per site, usually with minimal to no bleeding. (read more about our laser below) - Reunite - Babies go to mom following the procedure and are encouraged to nurse immediately. We welcome your lactation consultant to participate in the appointment to assist with the baby latching. Do not be discouraged if they do not latch immediately. Your baby is exploring the new movements of their tongue and/or lip and need to be taught how to properly use it. - Recheck - We’ll teach you exercises to do at home to help get the best results. Then, we’ll follow-up one week after the procedure. During this time, it is extremely important that you continue working with your lactation consultant to aid in the baby obtaining a proper latch.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Tongue Tie Center</image:title>
      <image:caption>- Release - We highly recommend treatment with an Orofacial Myofunctional Therapist prior to the procedure for optimal results and to minimize bleeding. We typically use a state-of-the-art CO2 dental laser that easily releases ties in a 10-15 second procedure per site, usually with minimal to no bleeding. (read more about our laser below) If the tie is determined to be deeper within the tissue, it is possible sutures will need to be placed (called a Frenuloplasty). For anxious children, nitrous oxide or oral conscious sedation is NOT recommended. Therefore, we perform the procedure with an anesthesiologist while the child is completely asleep. - Recheck - Although we’ll teach you exercises to do with your child at home, we highly encourage following up with an Orofacial Myofunctional Therapist to help get the best results. Then, we’ll follow-up one week after the procedure.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5dc216152e7d9f055df335b5/1586989133443-GQ4ZINY4MHW9OKRH2MZ9/Teens-Adults-Tongue-Tie-Pediatric-Dentist-New-Braunfels.png</image:loc>
      <image:title>Tongue Tie Center</image:title>
      <image:caption>- Release - We highly recommend treatment with an Orofacial Myofunctional Therapist prior to the procedure for optimal results and to minimize bleeding. We typically use a state-of-the-art CO2 dental laser that easily releases ties in a 10-15 second procedure per site, usually with minimal to no bleeding. (read more about our laser below) If the tie is determined to be deeper within the tissue, it is possible sutures will need to be placed (called a Frenuloplasty). For anxious individuals, nitrous oxide or oral conscious sedation is NOT recommended. Therefore, we perform the procedure with an anesthesiologist while the patient is completely asleep. - Recheck - Although we’ll teach you exercises to do at home, we highly encourage following up with an Orofacial Myofunctional Therapist to help get the best results. Then, we’ll follow-up one week after the procedure.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Tongue Tie Center - Lightscalpel CO2 Laser</image:title>
      <image:caption>Dr. Lela offers the best laser for her lip- and tongue-tie releases, the Lightscalpel CO2 laser. All lasers are not made the same. Each one cuts tissue differently and it’s important that you understand how they work. Ultimately, it boils down to water. Each laser’s light interacts with water differently. Lightscalpel CO2 Laser: short absorption depth in water-rich soft tissue, resulting in precise cutting/ablation and sufficient hemostasis (bleeding control). Diode Laser: extended absorption depth in water-rich soft tissue, resulting in burning tissue rather than cutting tissue. Diode lasers create extreme heat damage and kills tissue far beyond where you want the cut to be. Er-Yag Laser: very short absorption depth in water-rich soft tissue, resulting in insufficient hemostasis (bleeding control) in soft tissue.</image:caption>
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      <image:title>Tongue Tie Center</image:title>
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