On 1/8/2014 2:14 AM, vgthorley wrote:
> On the matter of lip ties and dental caries,

PTP.

Saw a new 12 mo old for a routine physical.
The kid is on artificial milks since 3 mo of age secondary to "some 
breastfeeding problems and low milk supply"
On dental evaluation - significant lip tie, very wide diastema and 
"white spots" (pre-caries) on the central upper incisors.
Interestingly enough - mom is diligent about dental hygiene and there is 
no bed-time bottle feedings as the older kid had a lot of caries.
Did not see older kid yet, but per mom- there is a positive family 
history of lip tie with one of her relatives requiring surgery in middle 
school for speech problems.

Alla

-- 
Alla Gordina, MD, IBCLC, FAAP
General Pediatrics
Breastfeeding Medicine
Adoption and Foster Care Medicine

Global Pediatrics and Family Medicine
NJ Breastfeeding Medicine Educational Initiative

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