'My son was just a few weeks old and struggling to feed from both breast and bottle when we were referred to Dr. Krizman for assessment of his lip and tongue ties. His pediatrician had clipped both with scissors when he was one week (lip) and two weeks (tongue) old. I was never given post-procedure instructions and as a result both places reattached. Dr. Krizman saw us less than 24 hours after I made the initial phone call. I can 't emphasize enough how knowledgeable, gentle, and caring she is! I was very much at ease with her and her staff - I was very nervous to bring in my baby after the two unsuccessful procedures. She used the laser to release both tongue and lip ties in a very quick procedure. He healed so quickly and with the help of the arnica she prescribed, I believe he was relatively comfortable. Dr. Krizman gave extensive follow up instructions - unlike our (former) pediatrician. Our experience was amazing and I am so thankful to Dr. Krizman! '
'I had tried to breastfeed all of my babies but was never able get past a few weeks due to the pain. When I had my 4th baby I was determined to breast feed him. At 3 weeks old we found out he had a posterior tongue and lip tie. Dr. Krizman was fantastic! She took so much time with us and explained the procedure and after care so well! She is a mom who breastfed her babies and really empathized with my desire to keep nursing my son. I am happy to report he is 5 months old now and we are still breastfeeding! Such a wonderful feeling. Thanks Dr. Krizman!'
'My little baby boy was severely lip & tongue-tied from birth. It affected breastfeeding from the start. Though he latched he had to work extra hard to nurse. After 1 week, my nipples were open because of the hard suck and the force from that split them. It took 2 weeks to heal completely from that. Literally, immediately after the release, he nursed and it was pain free! OMG! Awesome. We did the tongue massages were done every 4 hours for 4 weeks.
He must be a fast healing, and it is unusual for a release to reconnect, it happened to us. I called Dr. Krizman when he was 2 months old because I felt the latch 'tightening' and he needed a re-released of his tongue. For the second release she did so without charge. He didn't tolerate the release as well as he did in his 1st week of life, and we had to syringe feed because he never had taken a bottle and he didn't want to use his tongue,that night and he was fussy, but it did make a big difference. I was consistent with the massages again and he re-connect a little bit but nothing that affected our breastfeeding relationship!
The only recommendations I have for other clients is get a 'pre-approval' from your insurance so you can submit the insurance voucher Dr. Krizman's gives her clients. totally worth it and I don't have time to drive to PHX to see Dr Agarwal and gladly footed the bill.
'We found out that our daughter hds both lip and tongue ties when she was about 6 weeks old. We are living in Albuquerque, NM at the time and no one here was able to release her ties with a laser. I called Krizmen Dental on a Monday and they wanted to get us in the very next day since Dr Krizman was going out of town on Wednesday. Since we lives 7 hours away, this wasn 't possible for us. But Dr. Krizman was willing to see us before she left for vacation on Wednesday morning! We got there and were greeted with the kindest staff. Jeanne evaluated our daughter and confirmed the ties. She explained how the procedure worked and the after care. Knowing that we were getting on the road to come back home right after, she gave us a small supply of coconut oil and a sample of Arnica. She even sent me a text to see how things were healing while she was on vacation!! She is an amazing Dr., and I can 't wait to see her when we move to AZ next year!'
'We brought my son to Dr. Krizman when he was about 2-3 months old when a Lactation consultant thought his poor latch and poor weight gain might be attributed to a tongue tie. He had a severe tongue and lip tie that had to be released in 4 places. Before his frenectomy, he was unable to latch without getting tons of air and discomfort for him and I during feedings. He also could not latch onto the bottle. Dr. Krizman was awesome!!! She uses a laser which causes minimal bleeding. She showed me his severe tongue and lip tie before surgery. After surgery, I noticed a huge difference with his first feeding! He could finally get a deep latch! He also could finally latch on to the bottle. Dr. Krizman gives you coconut oil to help with the tongue and lip stretches and some homeopathic drops for pain. The surgery was not a huge deal, my son had discomfort from it for the first day but was fine after. The hardest part about it all was the stretches that we had to do afterwards. After his tongue tie release, I immediately could see that he had far more mobility with his tongue and could touch the roof of his mouth with it. Something he definitely could not do before. I HIGHLY recommend Dr.Krizman. Her office is very clean, staff is very knowledgable and kind.'
Difficult breastfeeding is a common frustration, with several potential causes. One of the most common is a condition known as tongue tie or lip tie, which inhibit a babys ability to latch. Fortunately, this is easily corrected with a frenectomy, which is a simple oral surgery available at Tucson Biological Dentistry in Tucson, AZ.
Inside the mouth, there are small tissue bands, known as frena. They are found inside the lip and under the tongue. When healthy, they both support and limit movement. However, it is common for a baby to be born with an abnormally thick or tight frenulum, which can cause discomfort and problems nursing. If not corrected, it can inhibit speech development. This condition is commonly known as tongue tie or lip tie. Frenectomy is a very minor oral surgery that removes excess tissue, restoring proper functionality of the frena.
When the frenulum below the tongue is too tight, its mobility is limited. You might notice a heart shape or cupped appearance when the babys tongue is lifted. A child with this problem has difficulty getting his or her tongue under the nipple when nursing, which is necessary to create suction.
In older children, tongue tie may interfere with chewing, because moving food around the mouth may be difficult. it can also cause articulation problems, meaning the child may not properly pronounce words.
The lip is not able to move freely when the frenulum behind it is too stiff or thick. This can prevent an infant from flanging the upper lip when nursing. Additionally, the upper lip might appear unnaturally taut or stiff.
As teeth erupt, untreated lip tie can increase the risk of cavities. That is because milk becomes trapped behind the lip, effectively holding it against the teeth. When the frenulum affects the palette or is attached too close to the ridge, it can impact tooth development. This condition sometimes causes a gap between the front teeth, known as diastema.
It is normal to see the frenulum below the tongue or inside the lip when you look in a babys mouth. This connective tissue is naturally present and usually not problematic. In some cases, even an infant with tongue or lip tie does not experience negative symptoms.
Laser frenectomy is typically a very straightforward, uncomplicated and fast procedure. Dr. Krizman and her team make every effort to deliver comfortable care for patients of all ages, with a special emphasis on gentleness when treating infants. Before beginning treatment, we will apply a numbing gel topically to minimize discomfort.
We perform the procedure in our dedicated laser treatment room, and it takes just a few moments. Your child is returned to you immediately after treatment. You are free to bottle-feed, nurse, cuddle, or otherwise comfort your baby.
The procedure is well tolerated and quick healing for most babies, though some crying, and fussing is normal. In some cases, there may be a small amount of bleeding, which is harmless. However, you should be aware that infants who inadvertently swallow a bit of blood might have brown stools or spit-ups.
Recovery is generally fast, because oral tissues can heal very quickly. However, that rapid healing can cause reattachment, resulting in new mobility limitation and a return of symptoms. In order to prevent this, you will need to perform simple stretching exercises with the infant.
Begin with clean hands. Optionally, use coconut oil (a natural anti-microbial and anti-inflammatory) during stretches. Position the baby on your lap, with his or her feet pointed toward your knees and head toward your hips. We recommend making a fun game of it or singing as you perform stretches.
Although complications are rare, it is important to have a follow-up examination and ensure that healing is trouble-free. Dr. Krizman believes in integrative medicine and a coordinated team approach. She will see your baby one week after the procedure for a check-up, and she advises seeing a lactation consultant prior to and after treatment.
Dr. Krizman and her team strive to blend the benefits of advanced technology, biological dentistry, and patient-centric general dentistry. In addition to multiple degrees, board certification, and licensure, Dr. Krizmans credentials include motherhood. With two breast-fed children, she fully understands the frustrations, pain, and concerns that accompany breastfeeding problems.
'From a young age, I knew I wanted a career in health care. I chose dentistry, because its one of the few fields in health care where the doctor can spend more than 5 minutes with his or her patients. I want my patients to feel that I care, and that they are not just a number in the health care system.'
It was at The Arizona School of Dentistry and Oral Health where Dr. Krizman earned her DMD. She also performed a residency in Advanced General Dentistry. In dental school, she was honored to receive the 'Excellence in Implant Dentistry' award. She also has a Masters degree in Public Health with a concentration in Environmental and Occupational Health from The University of Arizona College of Public Health. Dr. Krizman believes that both her public health masters degree and her education at a dental school that stresses whole-person health care, gives her a unique perspective in dental care.
'I care about my patients overall health, and believe that preventative medicine begins in the mouth. Patients need to be aware of the correlation between poor oral hygiene and some diseases, such as cardiovascular disease, diabetes, and cancer. I tell my patients, 'your mouth is the window to your overall health '.'
Providing the best, most informative care to patients, is of critical importance. Therefore, Dr. Krizman completes over 100 hours of continuing education every year. In 2016, she received her Integrative Medical Degree for Denstristy (IMD) through the American College of Integrative Medicine and Dentistry. She has a Master Certification in implant placement and advanced surgical procedures through Loma Linda University School of Dentistry. She has completed general and advanced ozone training with the American College of Integrative Medicine and Dentistry, and the American Academy of Ozonotherapy.
It was the recruitment of the Women's Golf Team at The University of Arizona that prompted Dr. Krizman's move from South Bend, Indiana. She has been inducted into the Hall of Fame at the University and was also a member of the 1996 NCAA Womens National Championship Golf Team. A scratch golfer, Dr. Krizman has also performed at the professional level as a triathlete, achieving top 15 finish in one of her three Ironman Hawaii World Championship runs. To this day, Dr. Krizman maintains her love of golfing, running, biking and swimming. Most of the time, she is either with patients or chasing her two sons.
'Like many people, I dont like to go to the dentist, so I try to make it an enjoyable, non-stressful experience. I respect your schedule, and try to do the best job I can for my patients, as efficiently as I can. I take great pride in my work and patient satisfaction.'
Dr. Preetiza Dixit Gyawali offers General Dentistry services including removable and fixed prosthetics, restorations, and periodontal procedures at Tucson Biological Dentistry. She has a Doctor of Dental Surgery degree from University of Colorado in Aurora, Colorado. She also has Bachelor of Dental Surgery (BDS) and Master of Dental Sciences degrees (MDS) in Prosthodontics and Oral and Maxillofacial Prosthetics from Manipal College of Dental Sciences in India. She worked as a consultant prosthodontist and as a lecturer at two dental schools. After moving to the United States and while waiting to acquire her dental license in the United States, her dedication towards dentistry led her to work as a dental assistant in private clinics in Oklahoma and Arizona, and she was able to learn about the practice of dentistry in the United States.
Dr. Gyawali believes that oral health goes hand in hand with ones overall health. Therefore, she believes that it is important to consider integrative and holistic health aspects in Dental Care. She is a certified member of International Academy of Oral Medicine and Toxicology (IOAMT). She takes pride in her work and always puts her best efforts towards patient satisfaction. Dr. Gyawali has a calm demeanor and is very personable and believes all relations are built over mutual respect. She respects her patients schedules and responds promptly to patient concerns during and after patient visits.
Dr. Gyawali has previously organized and participated in several dental camps and school health programs in India and Nepal. Through these camps she has served more than 2000 patients by providing treatments such as extractions, restorations, fabrication of complete and partial dentures etc. At these camps, she realized that there was limited awareness of preventative care and good oral hygiene practice. Therefore, she emphasizes the importance of good oral hygiene for the well-being of an individual.
Dr. Gyawali is trilingual. She speaks Hindi, Nepali and English. She has engaged in Dentistry Internationally (Nepal and India) and within the United States (Michigan, Oklahoma, Colorado and Arizona). The breadth of her experiences helps her relate and empathize with her patients at a personal level. When not practicing dentistry Dr. Gyawali enjoys hiking, swimming, gardening and spending time with family.
Margaret always knew she wanted to be a dental hygienist since 9th grade. She earned her Associate of Dental Hygiene degree at Indiana University Northwest. She has been a clinical dental hygienist for 10+ years. Her enjoyment of dentistry together with alternative healthcare as part of her own values assures she understands patients desire for natural and holistic dental care. She applies patient care to the systemic link between mouth and whole body health.
Monica is a graduate of Apollo College from the Dental Assisting program. She graduated with Honors and her enthusiasm for dentistry shows in her care for patients. She always helps each patient feel comfortable and treats them with utmost care.
She is a proud mother of two children, son and daughter. In her spare time, she spends time reading, going to the movies, and spending time with her granddaughter. She is a native Tucsonan and is a baseball enthusiast. (Go Wildcats and Diamondbacks)
Nina earned her Dental Assisting certificate from Carrington College, where she was recognized with honors. She has always had a lifelong interest in dentistry. She provides the best care possible to every patient she comes in contact with. Ninas long range goal is to attend dental school to become a dentist.
Rating: 5 Top notch staff and services. I'm so happy to have found Dr Krizman and her team of highly skilled professionals who are genuinely interested in helping people with their dental and overall health. They treat the whole person and use the latest technology and techniques to do this. I feel well cared for in each visit.
