Collaborative Care for Infant Tongue & Lip Ties in Ephrata

Pawsitive Pediatric Dentistry

Hours
HOURS
Referral needed - Appointments on Thursdays | Calls accepted 8am-3pm Monday-Thursday
Directions
PARKING
Convenient free parking available with easy building access

Working Together to Help Little Smiles Thrive

At Little Smiles Co., we specialize in tethered oral tissues (TOTs) because we understand that oral function is closely tied to feeding, speech, breathing, and overall well-being. We believe that lasting outcomes require a comprehensive approach, which is why we work closely with lactation consultants, speech-language pathologists, occupational therapists, myofunctional therapists—and proudly collaborate with bodyworkers and chiropractors. By combining early intervention, parental education, and a team-based model, we aim to provide whole-child care that supports functional growth well beyond the procedure.

Meet the Doctor

Dr. Milca Mendez-Ceballos

Board-Certified Pediatric Dentist | Founder of Little Smiles Co. Dr. Milca is committed to providing care that reflects each child’s individual needs. As a board-certified pediatric dentist with additional training in tethered oral tissues and oral function, she founded Little Smiles Co. to support families seeking clarity and treatment options related to tongue and lip ties.Her goal is to help identify how oral restrictions may be affecting feeding, sleep, speech, or growth—and to offer families clear options and guidance.

Whether you’re exploring the possibility of a frenectomy or have already been referred for treatment, Dr. Milca provides thoughtful care in a calm and supportive environment.Little Smiles Co. is an extension of the care she offers at Pawsitive Pediatric Dentistry, created to focus specifically on oral function and tethered oral tissues. Through education, collaboration, and procedural support, Dr. Milca partners with families and providers to help little ones thrive.

Collaborative Advocate

Believes in team-based care for the best outcomes.

Believes in in Early Intervention

Focuses on addressing issues before they affect development.

Gentle Treatment Expert

Uses advanced CO2 laser technology for comfortable procedures.

Have Questions? We Have Answers!

What is a tongue tie?

A tongue tie happens when the thin strip of tissue under the tongue (called the lingual frenulum) is too tight. This restricts tongue movement and can affect how a child eats, speaks, and develops. Similar restrictions can happen with the lip (lip tie) or the tissue connecting the cheeks to the gums (buccal tie).

What signs might indicate my child has a tongue or lip tie?

You might notice several challenges if your child has a tongue or lip tie:

  • Feeding problems
  • Trouble latching, painful nursing, clicking sounds while feeding, reflux, or slow weight gain
  • Speech issues
  • Delayed speech development or trouble making certain sounds
  • Sleep disruptions
  • Snoring, breathing through the mouth, or restless sleep
  • Eating difficulties
  • Gagging on foods, avoiding certain textures, or trouble chewing and swallowing

How do you treat tongue and lip ties?

We use a gentle CO2 laser to release restricted tissues in a quick procedure that causes minimal discomfort. This approach offers less bleeding and faster healing than traditional methods. Before scheduling any procedure, we first recommend a functional assessment with specialists like lactation consultants or speech therapists. This comprehensive evaluation helps confirm that the tie is causing symptoms and allows us to develop a complete care plan tailored to your child's needs.

Financial Information

We believe in keeping things simple and transparent. Our laser frenectomy costs $600, which includes care both in the office and time our team takes to coordinate with your referring provider through our collaborative support.

  • We do not directly participate with insurance
  • Ask us for a detailed superbill to submit to your insurance
  • We provide all necessary medical and dental codes to help with your claim