Infant Death Following Frenotomy Procedure Under Scrutiny
Published October 30, 2025 at 2:45 a.m.
Montreal – A disciplinary hearing is currently examining the circumstances surrounding the death of Jules beauchemin,an infant who passed away in June 2023 shortly after undergoing a frenotomy. The procedure,designed to release tongue and lip ties,was performed by Dentist Marie-Ève grégoire. The case has sparked intense debate within the medical community regarding the safety and necessity of frenotomies, especially in newborns.
Disputed Testimony and Conflicting Expert Opinions
Dr. Marie-Ève Asselin, head of pediatric dentistry at CHU Sainte-Justine, testified last week that the infant may have inadvertently inhaled water from the laser device used during the procedure. Her expert opinion suggests the possibility of water aspiration as a contributing factor to the tragedy. However, Dr. Grégoire vehemently contests this assessment, arguing that Dr. asselin’s report presents a one-sided view of the events.
The core of the dispute centers on the technique employed during the frenotomy. Dr.Asselin maintains that Dr. Grégoire’s method was potentially hazardous, citing the risk of water entering the infant’s airway. She typically utilizes scissors for this procedure, contrasting wiht Dr. Grégoire’s use of a laser and traditional suction. Dr. Grégoire, however, defended her approach, stating that the suction used was adequate given the small opening of the infant’s mouth and that she proceeded with intermittent laser applications, combined with suctioning.
Concerns Raised Over training and Remuneration
The hearing also revealed that Dr. Grégoire had performed over 800 frenotomies since 2016, with 80% of those on newborns, though she admitted to never having practiced the procedure on infants during her formal training. She did, though, practice on pig mandibles. Moreover, questions were raised regarding the remuneration structure for Marie-Ève Sturrock, a non-certified lactation worker who initially assessed patients. Sturrock’s pay was reportedly linked to the number of frenotomies performed, potentially creating an incentive to recommend the procedure.
This remuneration structure is under scrutiny by the Order of Dentists, with concerns raised about potential financial motivations influencing treatment recommendations.According to previous reports, the parents of Jules Beauchemin felt strongly encouraged to proceed with the frenotomy following sturrock’s assessment.
The Frenotomy Debate: benefits and Risks
Frenotomy, while generally considered a straightforward procedure, is not without potential risks. The Canadian Pediatric Society acknowledges that many infants with tongue-tie (ankyloglossia) experience no feeding difficulties and do not require intervention. The French National Academy of Medicine, in a 2022 statement, cautioned against the increasing prevalence of lingual frenotomy, characterizing it as an “aggressive and potentially perilous procedure” despite its seeming simplicity.
Did You Know? According to a 2023 study published in the Journal of Human Lactation, the rate of frenotomy procedures has increased significantly in recent years, prompting calls for more robust clinical guidelines and standardized training.
A summary of the key differences in approach is provided below:
| Aspect | Dr. Asselin’s Approach | Dr.Grégoire’s approach |
|---|---|---|
| Instrument Used | Scissors | Laser |
| Suction Method | Rapid Suction Pump | Traditional Pump |
| newborn training | Formal Training on Infants | practice on Pig Mandibles |
The disciplinary hearing is scheduled to continue in November, with the expectation of a coroner’s report and a pediatric pulmonologist’s opinion to shed further light on the tragic circumstances surrounding Jules Beauchemin’s death.
Understanding Frenotomy: A Guide for Parents
Frenotomy is a surgical procedure to release a tongue-tie, a condition where the tissue connecting the tongue to the floor of the mouth is too short. This can impact speech, breastfeeding, and oral hygiene. While frequently enough straightforward, it’s crucial to discuss the benefits and risks with a qualified healthcare professional. Parents should always seek a second opinion and ensure the practitioner is adequately trained and experienced in performing frenotomies on infants.
Pro Tip: Before considering a frenotomy, explore option feeding strategies and consult with a lactation consultant to address any breastfeeding challenges. Early intervention and proper support can frequently enough resolve minor tongue-tie issues without surgical intervention.
frequently Asked Questions About frenotomy
- What is a frenotomy? It’s a minor surgical procedure to release a tongue or lip tie, helping improve function.
- Is frenotomy always necessary? No, many infants with tongue-tie have no issues and don’t require intervention.
- What are the risks of frenotomy? Potential risks include bleeding, infection, and, in rare cases, damage to surrounding tissues.
- How can parents determine if their baby needs a frenotomy? consult with a pediatrician, lactation consultant, or pediatric dentist for a thorough assessment.
- What training should a provider have before performing a frenotomy? They should have specific training and experience in performing the procedure on infants.
- Are there non-surgical options for tongue-tie? Sometimes, specific feeding techniques or exercises can definitely help improve tongue function.
- Can a frenotomy affect breastfeeding? Yes, in certain specific cases, it can improve latch and reduce pain for the mother.
What are your thoughts on the ethical considerations surrounding medical procedures performed on infants? do you believe there should be stricter regulations regarding remuneration structures for healthcare providers?
Share this article with your network and join the conversation below!
