Why Is My Baby Still Clicking After Frenectomy?

If your baby is still making those clicking or popping sounds while feeding even after a frenectomy, it can definitely be a bit worrying, especially when you thought the procedure would fix everything. However, it’s pretty normal for babies to keep clicking as they get used to their new tongue mobility. In this blog post, we’ll talk about why clicking might keep happening and share some tips on how you can help your baby have a better feeding experience. Knowing what to expect during recovery can really help ease your worries and steer you in the right direction to support your little one’s progress.

Reasons for Continued Clicking After Frenectomy

Clicking sounds during feeding are fairly common and often happen when a baby breaks the suction seal while nursing or bottle-feeding. This can occur for several reasons, even after a frenectomy:

• Tongue Mobility and Coordination Challenges: After a frenectomy, your baby’s tongue may need time to adjust to its newfound mobility. While this simple procedure releases restrictions, it doesn’t instantly provide perfect muscle strength or coordination. Initially, your baby may struggle to control their tongue’s movements effectively, which can impact feeding. This adjustment period is common as your baby learns to use their tongue for latching, sucking, and maintaining a proper seal. Patience is key during this phase, as consistent practice will gradually strengthen their tongue muscles and improve feeding efficiency. Encouraging gentle exercises recommended by your pediatric dentist can support your baby’s progress.
• Poor Latch or Positioning: A proper latch is essential for effective feeding and preventing clicking sounds. If your baby struggles to latch deeply, it can cause a break in suction, which often results in a clicking noise. A shallow latch typically happens when your baby is not well-aligned with the breast or bottle, making it harder to maintain a secure seal. To improve latching, try different feeding positions, which can provide better support and encourage a deeper, more comfortable latch. Addressing latching issues early on can help your baby feed more effectively and reduce the frustration that both you and your baby might feel. 
• Reattachment of the Frenulum: After a frenectomy, it’s crucial to follow post-operative care guidelines to ensure proper healing. In some cases, if stretches and wound care are not done correctly, the frenulum may reattach. This can reduce tongue mobility and bring back issues like clicking sounds during feeding, as the tongue may struggle to maintain suction again. Regular stretching exercises can help prevent reattachment.  

If you notice persistent clicking or feeding difficulties, consider consulting a lactation specialist or your pediatric dentist to ensure your baby’s feeding journey gets back on track.

When Does a Baby Stop Clicking After a Frenectomy?

The timeframe for when clicking stops after a frenectomy can vary from baby to baby. Generally, as your baby adjusts to their new tongue mobility, the clicking sounds should gradually decrease. This adjustment period can take anywhere from 1-3 weeks. During this time, your baby is learning how to use their tongue correctly for feeding. Be patient as they strengthen their oral muscles and relearn proper latching techniques. If clicking persists beyond a few weeks, consider consulting a lactation specialist for additional guidance.

Breastfeeding Positions to Stop Clicking Noises

To help reduce clicking noises during breastfeeding, certain positions can enhance latching and improve your baby’s ability to maintain a proper seal on the breast. Here are some effective breastfeeding positions to consider:

• Cross-Cradle Hold: This position offers excellent control, making it easier to guide your baby into a deep latch, which is crucial for effective feeding. To start, sit comfortably in a supportive chair with pillows if needed. Hold your baby across your lap, ensuring their tummy faces yours. Use your non-dominant arm to cradle their body while your dominant hand supports the back of their head. Align your baby’s nose with your nipple—this encourages them to open wide. The cross-cradle hold allows you to adjust your baby’s position easily, ensuring they latch deeply and effectively.
• Laid-Back Position (Biological Nursing): This natural breastfeeding position uses gravity to encourage a deep and comfortable latch. To get started, find a cozy spot where you can recline slightly, like on a bed or a recliner. Lean back and place your baby tummy-to-tummy on your chest. In this relaxed position, your baby can naturally find your nipple, which promotes better latching and reduces clicking sounds. This method also allows your baby to use their instincts to nurse more effectively, making feeding smoother and less stressful for both of you. The laid-back position can also slow down any fast milk flow, making it easier for your baby to feed comfortably without gulping or making clicking noises.
• Football Hold (Clutch Hold): This position is particularly helpful for moms with larger breasts or those recovering from a C-section since it avoids placing pressure on the abdomen. To use this hold, sit comfortably with a pillow under your arm for support. Position your baby beside you, tucking them under your arm like a football, with their legs pointing toward your back. Ensure their body is well-supported and aligned, with their nose at nipple level. This hold gives you better control over your baby’s head, helping them latch securely and reducing the risk of clicking sounds during feeding. This hold allows you to see your baby’s latch clearly, making adjustments easier if needed.
• Side-Lying Position: This position is especially comforting for both you and your baby, making it ideal for nighttime feedings or when you’re recovering from a C-section. To use this position, lie on your side with your baby facing you. Make sure your baby’s body is aligned with yours so that their ear, shoulder, and hip form a straight line. Use your top arm to gently support and guide the lower breast towards your baby’s mouth for latching. This position allows you to rest while feeding, making it a lifesaver for late-night nursing sessions. This close, side-by-side contact provides comfort, encouraging a deeper bond with your baby while also helping them latch more effectively.
• Cradle Hold: This classic breastfeeding position is a go-to for many moms. To use it, sit back comfortably and hold your baby across your lap with their head resting in the bend of your elbow. Make sure your baby’s body is fully facing you, with their tummy touching yours. This alignment helps them latch more effectively. Guide your baby to latch onto the areola, ensuring they get a deeper latch rather than just the nipple, which can help prevent sore nipples and ensure a more effective feeding session. The cradle hold works especially well as your baby grows and gains more head control. This position allows you to maintain eye contact with your baby, promoting bonding while they feed.

Here are some additional tips for better latching:

• Make sure your baby’s head is slightly extended (not tucked) to maintain a strong latch.
• Gently rub your nipple on your baby’s lips to encourage them to open wide before latching.
• Use pillows for support to elevate your baby to the right height, making feeding more comfortable for both of you.
• Stay relaxed, as a calm environment can make feeding easier for your baby.

These adjustments can help improve your baby’s feeding experience, reduce clicking noises, and make breastfeeding more enjoyable for both of you.

Bottle Feeding Positions to Stop Clicking Noises

To minimize clicking sounds during bottle feeding, try these different positions and techniques to help improve your baby’s latch and comfort. 

• Upright Position: The upright position is excellent for bottle feeding, especially if your baby struggles with clicking sounds or swallowing too much air. To use this position effectively, sit in a comfortable chair and hold your baby upright against your chest or on your lap. Support their back and neck with one hand while the other hand holds the bottle. Slightly tilt their head back—this not only keeps their airway clear but also allows for a deeper, more secure latch. By keeping your baby upright, gravity helps control the milk flow, preventing it from flooding the mouth too quickly. This reduces the risk of gulping air, which can lead to clicking noises and discomfort. It also helps prevent milk from pooling in the mouth, which can cause choking or spitting up. This position is particularly helpful if your baby has reflux or gas issues, as it helps keep their digestive system more upright. With patience and practice, this position can make feeding times more pleasant and efficient.
• Side-Lying Position: The side-lying position is ideal for creating a relaxed, comfortable feeding experience, especially during late-night or nap-time feedings. To use this position, lie on your side with your baby facing you, ensuring their body is fully aligned with yours (their ear, shoulder, and hip should form a straight line). This alignment helps your baby latch more comfortably, reducing the chance of swallowing air. Hold the bottle horizontally, allowing your baby to control the flow of milk at their own pace. This gentle angle prevents excessive milk flow, minimizing the risk of clicking sounds and helping your baby feed more calmly. Additionally, this position can be soothing for babies who are fussy or easily overstimulated, as it creates a cozy and secure environment. This side-lying method is particularly helpful for parents recovering from a C-section or those looking for a restful way to bond during feeding times.
• Cradle Hold: The cradle hold is a classic and supportive feeding position, offering great control and comfort. To use this position, sit back comfortably and hold your baby across your lap with their head resting in the crook of your arm. Make sure your baby’s head is slightly elevated and aligned with the bottle nipple. This slight elevation helps prevent air intake, reducing the chance of clicking sounds during feeding. Ensure your baby is snug against your body, helping them feel secure. The cradle hold is great for providing stability while feeding, especially for younger infants who may still need extra support for their neck and head. It’s a comforting position that can also make feedings feel more relaxed and natural.
• Paced Bottle Feeding Position: The paced bottle feeding position is designed to mimic breastfeeding, helping babies control their milk intake and avoid gulping. To use this method, hold your baby in a semi-upright position—this angle helps them manage the flow of milk and prevents air intake. Tilt the bottle just enough so that only a small amount of milk fills the nipple. This encourages your baby to suck and swallow at a comfortable pace, allowing them to take breaks and breathe as needed. By letting babies control the flow, it reduces the risk of overfeeding and promotes healthy eating habits. This position is especially beneficial for transitioning between breastfeeding and bottle-feeding, as it closely mimics the natural rhythm of nursing.

Here are some additional techniques to reduce clicking noises:

• Use a Slow-Flow Nipple: Opt for a nipple designed for your baby’s developmental stage to prevent gulping. A slow flow helps them control their suck.
• Avoid Overfilling the Bottle: Leave a bit of air space in the bottle to reduce excess pressure, which can lead to clicking sounds.
• Frequent Burping: Pause periodically during feeding to burp your baby, releasing any trapped air that may cause clicking.
• Encourage a Proper Latch: Gently press your baby’s chin while they suck to help them achieve a deeper latch, reducing clicking noises.
• Experiment with Different Bottles: If clicking continues, try different nipple shapes and bottle designs to find one that suits your baby best.

By implementing these strategies, you can create a more comfortable feeding experience, reducing frustration for both you and your baby.

When to Seek Help from a Lactation Specialist

If your baby continues to struggle with feeding after a frenectomy, consulting a lactation specialist can be very helpful. Signs that you may need additional support include ongoing clicking sounds, latch issues, poor weight gain, pain during nursing, or if your baby seems frustrated during feedings. Lactation specialists can provide hands-on guidance, helping your baby achieve a deeper latch and a more comfortable feeding experience.

At Camp Smile Pediatric Dentistry & Orthodontics, we collaborate with lactation consultants, speech and occupational therapists, and other health professionals. This teamwork ensures your baby receives comprehensive, supportive care tailored to their needs. Early intervention can greatly improve feeding outcomes, so don’t hesitate to reach out if you have concerns.

Exercises to Improve Tongue Function

After a frenectomy, it’s crucial to perform specific exercises to improve tongue function and ensure optimal healing. These exercises help retrain the tongue and surrounding muscles, promoting better oral function, including feeding and swallowing. Here are some recommended tongue exercises:

• Finger Sucking: Gently place the back of your clean finger against your baby’s chin, with the tip under their nose. Allow your baby to latch and suck on your finger naturally. This encourages proper tongue movement and helps them practice using their tongue effectively. Try to include this exercise a few times before feeding sessions to support their recovery and enhance their feeding skills.
• Down and Out Stroking: Turn your finger over so that the pad is facing down. Gently press down on the back of your baby’s tongue and slowly pull your finger outward toward their lips. This movement helps encourage the tongue to extend and move correctly, which is essential for improved feeding and swallowing. Repeat this exercise a few times during each session to help your baby adapt to their new tongue mobility after a frenectomy.
• Lateralizing Side to Side: Start by gently stroking your baby’s lips until they open their mouth. Once their mouth is open, use your finger to lightly stroke along their gums from one side to the other. The goal is to get the tongue to follow your finger’s movement, which helps strengthen the muscles needed for effective feeding and swallowing. Repeat this exercise 5-10 times per session to promote flexibility and coordination in your baby’s tongue movements.
• Tug-of-War: Place a clean finger into your baby’s mouth, allowing them to latch onto it. Gently pull your finger back while your baby instinctively tries to suck it in. This movement helps develop tongue strength and suction skills, which are crucial for effective feeding. Repeat this exercise 5-10 times during each session to gradually build your baby’s oral muscle strength. Be gentle and ensure your baby is comfortable throughout the process.
• Tongue Around the World: Encourage your child to move their tongue in a circular motion around the inside of their teeth, as if tracing the outline of their mouth. Make sure their lips stay closed and their jaw remains still during the exercise. Begin with five circles in each direction and, as they get more comfortable, aim for 10 circles per direction three times a day. This exercise promotes flexibility and control, supporting effective tongue movement.
• Lip Lickers: Have your child lick their lips in a full circle as if trying to lick off something sticky. Encourage them to make smooth, continuous circles around the lips while keeping their jaw steady. Start with 10 circles in one direction, then switch to the other direction, repeating twice a day.
• Peanut Butter Scrapes: Have your child open their mouth wide and place the tip of their tongue right behind their upper front teeth. Then, instruct them to “scrape” their tongue backward along the roof of their mouth toward the throat. Start with 10 scrapes in each session, twice a day.
• Frenum Massage: Have your child move their tongue to the roof of their mouth while opening wide. Then, gently massage along both sides of the frenulum (the band of tissue that was released) from bottom to top. Focus on 10 gentle strokes in the center and 10 on each side. Repeat this exercise three times a day. This massage promotes better healing, improves tongue mobility, and helps maintain the results of the procedure.
• Tongue Push-Ups: Gently hold your baby’s lower jaw steady with one hand. Use a spoon or a tongue depressor to extend the tongue. Encourage your baby to extend their tongue outward and push against the spoon as firmly as they can. Hold each push for 3-10 seconds, aiming for 15 repetitions per session. Perform this exercise three times a day. This helps build tongue strength and coordination, promoting better oral function over time.
• Caves Exercise: Encourage your baby to move their tongue to the roof of their mouth while opening wide. Hold this position for about 5-10 seconds. Repeat this exercise 10 times per session, aiming to practice it three times a day. This exercise helps enhance tongue mobility, which can be particularly beneficial after a frenectomy, as it promotes healing and improves oral muscle function. 

Perform these tongue exercises consistently, ideally before or during bottle-feeding or breastfeeding sessions when your baby is calm. These exercises are vital in preventing reattachment of the connective tissue and ensuring that new oral motor patterns are established effectively. Engaging playfully during these exercises can help make it less stressful for both you and your child.

Monitoring Your Baby’s Progress

After a frenectomy, keeping an eye on your baby’s progress is important to ensure they’re healing well and adapting to their new tongue mobility. Look for positive changes such as improved feeding, reduced clicking sounds, a more comfortable latch, and no nipple pain during feeding. Remember, every baby heals at their own pace, and some may take a little extra time to adjust, so be patient. Keep track of any changes in their feeding behavior, sleep patterns, or weight changes (very slow weight gain or weight loss). If you notice persistent feeding issues or unusual fussiness, don’t hesitate to reach out for support.

At Camp Smile Pediatric Dentistry & Orthodontics, we’re here to support your child’s journey. We collaborate with lactation consultants, speech therapists, and other healthcare providers to provide well-rounded care. For more personalized advice, schedule a visit with us today!