Intraoral frenulum issues

Cat 1 · 30 days

appointment within 30 calendar days. - Significant functional concerns with tongue tie impacting on breast feeding in infant under 2 months - Assessment and support for breastfeeding has been provided via Child Health or Lactation consultant AND evidenced based assessment of function has been completed. (i.e. Lingual Frenulum Protocol for Infants by Martinelli OR Hazelbaker Assessment Tool for Lingual Frenulum HATLLF) - A child currently in out of home care (OOHC) or at risk of entering or leaving OOHC, where they have previously been on a waiting list for this problem and were removed without receiving a service

Cat 2 · 90 days

appointment within 90 calendar days. - Significant functional impact on feeding impacting weight gain (assessment of feeding completed by Child Health or Speech Pathologist) - Significant impact on speech production as determined by speech pathologist using evidence based evaluation of speech production and oral motor ability (e.g. TAPP Fernando Protocol - Significant functional impact on feeding impacting weight gain (assessment of feeding completed by Child Health or Speech Pathologist) - Significant impact on speech production as determined by speech pathologist using evidence based evaluation of speech production and oral motor ability (e.g., TAPP Fernando Protocol)

Cat 3 · 365 days

appointment within 365 calendar days. - In children > 3 years showing reduced tongue mobility supported by evidenced-based assessment impacting on*: - Speech production, and the identified speech issues are unrelated to other developmental, oromotor or structural issues (e.g. hearing loss, GDD, verbal dyspraxia, Cleft palate etc) - concerns related to dental hygiene due to reduced food clearance - psychosocial concerns - Wide separation of the upper first teeth caused by an abnormal maxillary frenulum over the age of 2 years causing dental hygiene issues *Assessment by Speech Pathologist is required