Do You Need an Emergency Dentist?

We know that there are days where you may need to see a dentist as soon as possible! You may have been kept up all night from your toothache and want the issue to be resolved as soon as possible. At Pain Free Dentist Sydney, we always keep some spaces available in the appointment slots everyday for patients requiring an emergency dentist. 

Pain Free Dentist Sydney is located at two convenient locations in Rozelle and Hurlstone Park and we open 6 days a week and take emergencies on Sundays. 

Dental emergencies that we treat include: 

  • Tooth aches
  • Sports injuries 
  • Tooth or teeth being knocked out 
  • Denture repairs 
  • Crown chips
  • Fractured Teeth 
  • Broken filling
  • Jaw pain
  • Locked jaw 

In the situation that your tooth has been knocked out, please follow these first aid instructions: 

1. If the tooth is free from dirt, put the tooth straight back into the socket, making sure that you do not touch the root - only grip the crown of the tooth
2. If the tooth is dirt wash the tooth with milk or Hank's balanced salt solution and then place it back into the socket
3. If you can't place the tooth back into the socket - place it in between your back teeth and your cheek or in a container containing milk, saliva or Hank's balanced salt solution
4. Book an emergency appointment with your Dentist immediately.

If you or someone close to you have experienced a dental emergency, please do not hesitate to contact Pain Free Dentist Sydney on (02) 9818 8887 for urgent care. 

Adult Tongue Tie Revision

Symptoms of tongue tie before surgery

Tongue tie symptoms in adults is presents a broader set of conditions and diseases.

Here are the symptoms:

Lack of energy and sugar craving, brain fog

Sleep apnea or bad sleeper, snoring

Chronic Neck and Back pain

Pain In Jaw Joint


Mouth breathing and dry lips

Teeth sensitivity when drinking water




Am I Tongue Tied? How to identify oral restrictions

Does any of the above sound familiar?  If you suffer any of these conditions, let’s do a simple test that may reveal a tongue tie.

  • Do a finger swipe under your tongue, is there a catch? It should be a smooth transition. There should be no flap under the tongue.
  • Do you have a strong gag reflex?
  • Stick your tongue out, straight, now can you lift the tip without moving the rest of the tongue?  The tip should move independently to the rest of the tongue.
  • Open your mouth, as wide as it goes. Without moving or closing the jaw, can you reach the tip of your tongue to spot behind your upper front teeth? Your tongue should reach the spot behind your front teeth at FULL jaw opening.
  • Can your tongue comfortably wipe across the outer sides of your upper and lower back teeth and reach where the gums connect with the cheeks?
  • Can you move your lips side to side (lips closed) without moving the entire jaw? The lips should be able to move independently to the jaw. Lip tie restricts full lip movement.

*There are other signs on the face and body that a well trained professional can assess as well as several related issues that stem from tongue restriction. These include airway, posture, and sleep and a practitioner can assess you beyond just appearance of the tongue.


Adult Tongue Tie Surgery

Before Tongue Tie Surgery

As a trained Orofacial Myofunctional Therapist, Dr Lisa Chong and her great team at Pain Free Dentist Sydney will develop a program for you to assist in Nasal breathing, Correct tongue posture and swallowing function.

Tongue tie surgery types for adults

This treatment can be carried out without needing to have General Anesthetic and options are:

  • Release of the frenum by scissors with local anaesthetic.
  • Release of frenum by laser.


Tongue tie surgery complications

  • Recurrence of lingual frenum can occur, especially in growing children. This may mean a revision is necessary in certain cases.
  •  Always consult with your practitioner regarding potential risks and complications before surgery.


What is the cost of tongue tie surgery for adults? 

Prices generally vary from depending on the level of support and lead up treatment. 

If you have a question regarding adult tongue-tie release, please call and book at (02) 9558 8988.

How to Encourage Children to Have Good Oral Hygiene Habits

Maintaining healthy teeth starts at home. Prevention is key! This is why it is important to teach children from a young age to have good oral hygiene habits. If you are struggling to encourage your child to perform oral hygiene habits than these tips may help!

1.       Fun and Entertaining YouTube Video: Showing your child some fun and entertaining YouTube videos on how to brush teeth and possibly of their favourite cartoon character brushing their teeth will surely encourage them to do so as well.

2.       Become a Good Example: Children tend to mimic what their parents do, so it is important that you show your child that you also brush your teeth 2 times a day. Perhaps, you can brush your teeth together.

3.       Education: Instead of just telling them to brush their teeth, try to also explain why brushing their teeth is important. You can refer to bacteria growing in the mouth as ‘little monsters’ that will try to eat away their tooth!

4.       Choosing a Toothbrush: Involve your child in the process of choosing a toothbrush. If they like the toothbrush they have, they will be more excited to use it daily.

5.       Monitor: Always watch over your child as they are brushing their teeth and try to correct their technique. Overtime they will become more experienced and this will lay down the foundation a life time of good oral hygiene.

We hope this helps! Good luck and if you have any more questions or are concerned about your child’s oral hygiene, call us on (02) 9558 8988 to book an appointment with one of our friendly dentists!

Tongue and Lip Tie: Frequently Asked Questions

If my child has a lip tie, what are the chances that they also have a tongue tie?

  • There is a very high chance that your child may also have a tongue tie 
  • This does not mean that both the tongue tie and lip tie need to be treated.
  • Treatment will depend on the signs and symptoms

What is better, using a laser or scissors for tongue tie release?

  •  In the hands of an experienced clinician it should not matter what method is used to release the tongue/lip tie
  • Both procedures will produce excellent results if done correctly

What do you do after the tongue/lip tie procedure?

  • The Dentist will inform parents about certain exercises (e.g. stretches) that they should perform on the child.
  • This will prevent reattachment and promote healing. 
  • They can be done while the child is awake or asleep 
  • The child should also be brought in for a review appointment to assess that everything is going to plan and healing well.  

Can a tongue tie cause speech problems?

  • Not everyone who has a tongue tie will have speech problems - it is usually case based. That being said, it is very common though. 
  • The most affected letters are CH, TH, SH, S, L and R sounds 
  • There is an improvement in speech following tongue tie release

When can I expect to see Improvements in breastfeeding?

  • Typically you will see an improvement straight away following release, however it could take as long as a week to show
  • We recommend that you also seek assistance from a lactation nurse after the procedure
  • At Pain Free Dentist Sydney we can recommend a lactation nurse for you if you do not have one already

Are stitches necessary following a tongue or lip tie release?

  • For children stitches are not necessary however for adult tongue tie release they may be needed.
  • It all depends on the degree of tongue tie that will be released. You will be informed whether or not you will need stitches at your initial consultation  

We hope that this has helped answer some of your questions! If you have any other questions in regards to tongue or lip ties, please do not hesitate to call us on (02) 9558 8988.

Adult Tongue Tie

You are probably aware of what a tongue tie is if you have read our previous blog posts. It is essentially a condition that you are born with where your tongue has limited movement due to a shortened piece of skin which connects the underside of your tongue to the floor of the mouth. This is usually an issue that is apparent in infants; however it is also prevalent in the adult population. Many adults have gone through life with an un-diagnosed tongue tie. This may seem as an irrelevant issue; however you would be surprised to know just how many different symptoms it could cause ranging from social to sleeping and dental problems such as:

  • Inability to open mouth widely which affects pronunciation of certain letters and inability to speak clearly when talking fast or loud.
  • Pain or clicking in one or both jaw joints
  • Headaches or migraines.
  • Chronic neck, back and shoulder pain.
  • Increased risk for developing gum inflammation and cavities.
  • Mouth breathing leading to frequently dry mouth.
  • Sleep apnea which affects the quality of your sleep. You may be waking up tired often and have an increased need to take afternoon naps.
  • Crooked teeth

 A good way to test whether or not your tongue is tied is by opening your mouth to it's full extent and then extending the tip of your tongue to the roof of your mouth just behind your front teeth. If you are unable to do this, then there is a possibility that you are tongue tied and you should probably book an appointment with your Dentist for a full examination. 

Treatment of the adult tongue involves a procedure using a laser where the piece of skin restricting the tongue movement is released. At Pain Free Dentist Sydney, in the hands of our experienced clinician you are guaranteed to have a pain free experience. Post operative care involves performing a range of simple exercises for a period of time to prevent re-attachment and scaring. 

If you have any questions in regards to adult tongue ties or suspect that you may have this condition feel free to call us on (02) 9558 8988 to book a consultation appointment.

Causes of Clicking during Breastfeeding

Have you noticed that your baby makes a clicking sound while they are nursing? This usually indicated that the seal or suction is being broken numerous times as the baby feeds. There are many reasons as to why this issue occurs and you must evaluate the symptoms that you and the baby are experiencing and inform your lactation nurse.

When the mother is comfortable (i.e. she is not experiencing any nipple soreness or pain) and the baby is growing and gaining adequate weight relative to their age then there is probably no reason to worry about this. However, if the mother is experiencing discomfort as a result of breastfeeding, and the baby is losing weight than the underlying issue must be identified.

Some causes of clicking during breastfeeding include poor positioning, poor latching, breast milk oversupply, fast let down, teething, ear infections and intraoral infections such as thrush.

Anatomical variations in the baby’s mouth can also cause clicking however this is a less common reason. Such variations include, tongue and lip tie as the baby will not be able to maintain adequate seal during feeding. Furthermore, highly arched palates and clefts of the soft palates can also be a reason of clicking during breastfeeding.

In conclusion, if you find that your baby is clicking during feeding, do not worry. It is always a good idea to consult your lactation nurse to rule out any problems. 

If you have any questions or would like to book an appointment please call us on (02) 9558 8988

Breastfeeding and How it is Affected by Tongue Ties

There are various reasons as to why your baby is failing to breastfeed. Sometimes it is due to anatomical reasons such as tongue and lip ties that are preventing the baby from latching appropriately.

Firstly, tongue and lip ties prevent a baby from opening his or her mouth widely enough, and thus will result in the baby not latching onto the nipple properly and possibly chewing on it. Additionally, due to the tension caused by the short frenum the tongue is unable to protrude horizontally past the gum ridge/lips and thus it unable to protect the nipple from injury. This will cause severe pain and discomfort for the mother. You may also notice that milk is dribbling from the mouth while the baby is sucking. This is due to the baby’s inability to make a good seal around the breast with his/her lips. This can sometimes also be caused by the presence of a lip tie, which limits the mobility of the upper lip.

Inappropriate breastfeeding technique not only affects the mother, but it also affects the baby. The baby will not be receiving the required nutrient intake and thus will lead to weight loss.

To summarise, some signs and symptoms to look out for include:

  • Nipple damage: cracking, bruising, blistering, misshapen nipple after breastfeeding
  • Pain: most common symptom that a mother experiences. Painful breastfeeding is usually not normal.
  • Incomplete Breast Drainage: can be caused by various reasons which includes inability to draw enough negative intraoral pressure due to poor seal and inadequate use of tongue
  • Decrease in milk supply over time
  • Clicking sound while breast feeding (this is not always linked to tongue ties- perhaps you can consult a lactation nurse about the other reasons that cause this issue)

If you have any information or would like to book your child in for an examination please do not hesitate to contact us on (02) 9558 8988.

Pain Free Dentist Sydney: G01A, 570 New Canterbury Road, Hurlstone Park NSW 2193

Tongue Tie

So you are probably wondering what a 'tongue tie' is. It is pretty much a condition that a child is born with, where there is a thin piece of skin under the baby's tongue, that restricts movement. This can affect the way a baby feeds as they have trouble latching on and possibly painful breastfeeding, reflux and failure to thrive. 

Tongue tie may have a genetic predisposition, however it can be congenital as well, meaning that a baby is born with it but it is not genetic. There is some research that links a mother with a MTHFR gene mutation to a child with tongue tie. Further research is required to confirm this association. 

If you have been informed that your child may have a tongue tie, there is no reason to worry. There is a simple treatment available to resolve this tongue tie. Firstly, a dentist can release the tie with surgical scissors. This procedure can be done without anesthesia in the surgery. If the procedure is done properly with the right hands, the baby will not be in pain. Immediately after the procedure is conducted, the baby will be able to latch on for breast feeding. 

Another treatment method involves using a laser to release the tongue tie. There is a bit more preparation involved when using the laser, such as safety procedures e.g. laser protective eye wear. Generally, the pre-operative preparation is a bit more lengthy and the baby might become restless. However, both procedures will procedure the same results, it is a matter of what the clinician determines is best practice. 

Once the procedure has been conducted, the parents are encouraged to follow some post operative practices. This involves  conducting exercises to the area daily to prevent re-attachment of the tissue, as there is a high chance of the tongue tie re-occuring. The dentist will provide further instructions on the post operative care on a case by case basis. 

Please talk to your dentist about any risks or adverse reactions that may occur. 

This article is contributed by Dr. Lisa Chong of Pain Free Dentist Sydney (Hurlstone Park). For more information contact on (02) 9558 8988 or 

Facial Slimming with Anti-Wrinkle Injections

Have you noticed that your face has started to look more square on the lower jaw line? You could have hyperactivity of your Masseter muscles. This could be from grinding your teeth or bruxism in dental terms. 

It could lead to damages such as teeth chipping or TMJ pain, headaches and migraines. This can be resolved by using botox to relax the muscles. With the correct dosage, your facial muscles will slim down giving you a more visually appealing appearance. 

Shown above is an example of a facial slimming case. 

Do You Grind Your Teeth?

If you have noticed pain, headaches or even teeth that seem to have worn down then you are probably grinding. Grinding is not part of normal chewing and must be treated as soon as possible to avoid permanent damage to the jaw joints (also known as the TMJ or temporomandibular joint) 

The cause of grinding is different from person to person. It may be caused by: 

  1. Stress, tension and anxiety 
  2. Sleep disorders 
  3. Abnormal anatomy of the teeth that cause an improper bite (example: high spots) 
  4. Physical stress (example: chewing gum too much) 

Often, individuals do not realise they are grinding until they begin to experience symptoms such as chronic tension headaches, flattened teeth surfaces or even broken teeth

If you suspect that you have been grinding your teeth (while you’re alert or even sleeping) than it is essential to visit your Dentist as this will help you avoid further complications and lengthy treatments. 

Your Dentist will usually recommend for you to wear an Occlusal splint (also known as night guards) to prevent further wearing down of teeth. Occlusal splints are custom made from a hard plastic to fit your upper or lower teeth. Patients with severe grinding will often use a combination of the splint and other treatments such as muscle relaxants. Both treatment options mentioned above increase an individuals comfort by eventually reducing or eliminating pain.














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