At the orthodontist’s

Doctor: Orthodontic Cabinet, how can I help you?

Patient: Hello, I would like to schedule an appointment for an orthodontic consultation. I have a referral from Doctor Nowak.

Doctor: Hello, of course. I can suggest Wednesday. What time suits you: morning or evening hours?

Patient: I can come only in the afternoon. I work until 4 p.m.

Doctor: I see. Let’s meet on Wednesday at 6 p.m. Is this time suitable for you?

Patient: Yes, it’s perfect. Thank you.

Doctor: My office is located on 3 Green Road, in that big white building.

Patient: Yes, I know. I’ve checked the address on the Internet.

Doctor: Good. So see you on Wednesday!

Patient: Goodbye!

Doctor: Goodbye!

On Wednesday

Patient: Good evening, I have the appointment at 6 p.m.

Doctor: Yes, please come in.

Patient: I went to Doctor Nowak with my problem, and he referred me to you. I have a gap between my teeth, which is very annoying. I want to do something about it, no matter what the cost is going to be.

Doctor: I see. Yeah. It will not be easy. It seems to me that a minor surgical procedure will be necessary.

Patient: Operation?

Doctor: It’s a little procedure. You will need to have the upper lip tie removed, which is located between the incisors. But at first, before I recommend anything, it is necessary to take some X-rays. I’ll also take teeth impression.

Patient: Are you going to do the surgical procedure?

Doctor: I’m not completely sure about the surgical procedure,  but if I make such a decision the upper lip frenum will be cut out by periodontologist, with whom I cooperate. But at first I have to have an X-rays picture and the model so I can provide you with a detailed treatment plan, its duration, and of course the costs. You will need to wear braces. I will also tell you about the possible complications.

Patient: All right.

Doctor: This is a referral letter to take some X-rays. Can we schedule the next appointment?

Patient: I’m going for a business trip tomorrow and I’ll be unavailable the whole week, so I’ll be able to take the X-rays the following Monday. So we can then make an appointment at the earliest on Tuesday, the 17^th.

Doctor: Good. Thus, on Tuesday, the 17^th, at 6 p.m. Suitable for you, too?

Patient: Absolutely. It is ideal.

Doctor: So until Tuesday.

Patient: Goodbye, Doctor!

Doctor: Goodbye!

 

VOCABULARY PRACTICE

Match terms with definitions

UPPER LIP TIE	LIP-TIED/TOUNGE-TIED	LINGUAL FRENUM
MAXILLARY LABIAL FRENUM	FRENECTOMY	FRENA

1. ______________– a surgical procedure during which a frenum in the mouth is removed.

2. ______________– frenulum which connects the tongue to the floor of the mouth.

3. ______________– frenulum which connects the inside of your upper lip to your gums just above your upper two front teeth.

4. ______________– informal term given to a condition in which a piece of skin under the upper lip is very short or thick and is pinned too tightly to the upper gum.

5. ______________– plural form of frenum. 

6. ______________– adjectives used to describe everything that relates with a lip-tie or a tongue-tie.

 

Put these words/phases in order to create sentences about upper lip tie

1. to the gums/the maxillary labial frenum/the upper two front teeth/the upper lip/attaches/ just above/.

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2. between upper teeth/can be/the maxillary labial frenum/a thin band of muscle/felt as/and upper lip/.

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3. between the upper two front teeth/a prominent maxillary/cause a large gap/labial frenum can/to occur/.

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4. of treatment/are braces which/the first measure/move them together/should help teeth/.

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5. if the teeth/if it is determined to be the cause of the gap/, then a maxillary labial frenectomy/after braces have moved them together/begin to drift apart again/can be considered/.

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6. in children and babies/frenectomy is sometimes used/the possibility of proper/as prominent frenum impairs/speech or feeding.

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7. if a marked frenum/adults who have no natural teeth remaining/may need/and require full dentures/a frenectomy in one or more locations/is tending to unseat a denture.

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8. a frenectomy/with a scalpel or a laser/may be performed/.

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9. the procedure only takes/in the traditional way/and stitches are placed/about 15 minutes/if it’s done/.

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10. to use a general anesthetic/if the patient is young/local anesthesia is quite sufficient/this may be necessary/but in the older patient/.

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11. frenectomy is a minor procedure/a serious risk of complications/and doesn’t constitute/in the healthy patient/.

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12. but the use of/minimize it/some blood loss is present/laser can/.

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Lesson 63 - answers