Our Services

General Anesthesia

• All Dental Treatment is done under General Anesthesia at Hapy Bear Surgery Center. General Anesthesia was completed in our accredited Ambulatory Surgery Center. This is a safe and predictable option to treat children’s oral health concerns when they cannot be completed in a dental office.

• Hapy Bear Surgery Center qualified & licensed Anesthesia Providers to offer our patients expert & attentive care throughout their treatment. Our patients are given 100% of the Anesthesia Provider’s & Dentist’s attention at all times during their care.

• Hapy Bear Surgery Center is a state-of-the-art Ambulatory Surgery Center and is accredited by The Joint Commission. We have achieved the national Gold Seal of accreditation by The Joint Commission which requires following the highest safety standards for patient care in an Ambulatory Surgery Center. Our highest priority is always the safety of our patients.

• Our goal is to complete all dental treatments in one visit.

Dental Care

• Posterior Crowns

• Anterior Crowns: Esthetic & Stainless Steel Crowns are offered

• Dental Fillings

• Extractions

• Spacer Maintainers

• Pulpotomies & Pulpectomies (Children’s Root Canal Treatment)

• Frenectomy/Frenotomy (Tongue-Tie Release Procedure)

• Biopsy

• Simple & Surgical Extractions

• Orthodontic Expose & Bond procedures

• Removal of Wisdom Teeth & Mesiodens (extra teeth)

• Vital Pulp Treatment

• Root Canals

• Oral Appliances (example: thumb sucking appliance)

• Sealants

• X-Rays

• Cleaning & Fluoride

• Our goal is to complete all dental treatments in one visit.

Tongue Tie

What does it mean to be Tongue-Tied?

Being Tongue-Tied (TT) or having a Lingual Tethered Oral Tissue (TOT) is a condition at birth where a child’s skin under the tongue (also known as the Lingual Frenum) holds the tongue too tight to the bottom of the mouth. The proper medical term for this is Ankyloglossia. This condition causes reduced mobility of the tongue, can create speech problems and may interfere with breastfeeding.

The same can happen with the little piece of skin that attaches the upper lip to the gums (the Labial Frenum). This is called Labial Tethered Oral Tissue (TOT). This can also cause difficulty in breastfeeding and, in adulthood, it can cause the two front teeth to have a gap between them.

The procedure to fix these issues is called a Frenectomy, either Lingual or Labial. At Hapy Bear Surgery Center this procedure is usually done without General Anesthesia on infants. The infant usually cries and fusses during and after the procedure, however, it only takes about 3-5 minutes from start to finish. Mom can breastfeed immediately following the procedure to soothe the baby… skin to skin is optimal.

If needed, a Lactation Consultant will assist with any breastfeeding questions or difficulties immediately after the procedure is completed.

Post-Surgery Instructions:

There will be minimal bleeding, however, a little pressure to the area for a few minutes helps stop any bleeding that might occur. There will be a red diamond shape where the procedure was done either on the lip or the tongue. (See the pictures in this brochure) The area where the Frenum was cut will be red for few days, then it will turn yellowish white as the area heals. Since the oral cavity heals quickly, it is very important that you do the following exercises each day as instructed, for the best results and healing.

It is easiest to do these massages with your child’s head in your lap looking up at you with their feet pointing away from your body.

• Gently massage and stretch the incision area 4 times per day for 3weeks.

Lip Release Massage after a Labial Frenectomy

1. Gently place your finger under the lip on the side of the mouth

2. Slide your finger toward the front of the mouth, while lifting up on the lip, until you meet resistance

3. Massage the area of the incision with gentile circular motions as you lift/stretch the lip upward. Gently sweep back and forth for several seconds with your finger under the lip

​​​​​​​Tongue Release Massage after a Lingual Frenectomy

1. Insert both index fingers under the tongue on the sides of the child’s mouth. Then lift the tongue up towards the roof of the mouth and hold for 2-4 seconds. Repeat several times.

2. Prop the mouth open with one finger, then, with the other finger, gently massage the area of the incision in a circular motion for several seconds. This will help assist with maximum stretching and healing.

3. Continuing to breastfeed successfully will support the tongue stretching as well as maximizing healing.

Additional Techniques

Another technique that can relax your infant making the muscles less tense is Infant Massage, back rubbing, and relaxed cuddling. It is highly recommended that you follow up with your Lactation Consultant for successful breastfeeding.

Should you feel it necessary, you can give your child age & weight appropriate Baby Tylenol using the dropper in the manufactures packaging.