"After the treatment is completed, children can immediately begin nursing and the mothers’ have reported immediate relieve of pain, extended nursing and improved infant sleeping. Quality of life can be improved by an operation which is simple, brief, and virtually devoid of complications."
"While tongue-tie is the most common cause of nursing difficulties that may result in both infants and mothers not having effective and enjoyable nursing, there is another part of the oral structures that can also contribute to latch problems... the maxillary labial frenum."
Tongue Tie Clipping
Efficacy of Neonatal Release of Ankyloglossia: A Randomized Trial, by Melissa Buryk, David Bloom and Timothy Shope
"When frenotomy is performed for clinically significant ankyloglossia, there is a clear and immediate improvement in reported maternal nipple pain and infant breastfeeding scores."
Tongue Tie and Breastfeeding
Congential Tongue-Tie and Its Impact on Breastfeeding by Dr. Elizabeth Coryllos, MD, MSs, FAAP, FACS, FRCSc, IBCLC;
Catherine Watson Genna, BS, IBCLC;
Alexander C. Salloum, MD, MA
"Tongue-tie is a significant clinical entity, which, when symptomatic, should be treated as early as possible to minimize this breastfeeding problem. Surgical treatment is safe and effective. Complications are rare and general anesthesia is not required."
Tongue Tie and Dental Problems
The Influence of the Maxillary Frenum on the Development and Pattern of Dental Caries on Anterior Teeth in Breastfeeding
Infants: Prevention, Diagnosis, and Treatment by Dr, Lawrence A. Kotlow, DDS
"The purpose of this article is to alert health care professionals treating infants and nursing mothers that although nursing alone may not cause dental caries, nursing in conjunction with an abnormal maxillary frenum attachment may be a contributing cause of facial caries development in a nursing infant."
"Our study conclusively demonstrated that the symptoms of maternal pain and infant feeding dysfunction provoked by both anterior and posterior ankyloglossia,and which contributes to failure in breastfeeding, can be ameliorated by frenotomy."
"The results with the laser are similar to those with other techniques, but with the additional major benefits of reduced healing time, little-to-no tissue contraction post-operatively, little-to-no post-operative discomfort, and reduced use of anesthesia."
"A preterm, weak, breathing compromised, neurologically immature baby has many impediments to nursing, and any type of ankyloglossia might be enough to make it impossible, so we need to take it out of the equation."
Influence of Lip Tie on Breastfeeding The Influence of the Maxillary Frenum on the Development and Pattern of Dental Caries on Anterior Teeth in Breastfeeding Infants: Prevention, Diagnosis, and Treatment by Lawrence A. Kotlow, DDS, PC
"Early diagnosis and treatment of an abnormal frenum attachment with the simple and quick revision technique using the Erbium:YAG or Diode laser can prevent decay from occurring and do not present any risk to the infant."
"Inside the center of the upper lip is a small membrane between the lips and the gums that is called the maxillary labial frenum. When you look at this tissue, it actually is an attachment of the upper lip directly to the oral mucosa. It is does not function in any useful fashion and when revised is of little future significance. When it is attached very tightly and into the area where the teeth will eventually erupt or into the small area known as the *anterior papilla, it may also be a contributing factor in preventing a breastfeeding infant from developing a good latch while trying to flange his or her lips widely during breastfeeding."
"Myth: Tongue‐ties (ankyloglossia) do not have anything to do with problems related to breastfeeding. Fact: Breastfeeding depends on the ability of an infant to create a vacuum to express milk from the breast. The upward and downward motion of the posterior portion of the tongue creates this vacuum. If the tongue is prevented from making this motion, the infant may not be able to express milk painlessly and efficiently leading to many breastfeeding problems such as; failure to thrive, reflux, colic, non-‐nutritional breastfeeding, short episodes of breastfeeding, crying, gagging, obstructive sleep apnea, plugged ducts and mastitis."
Tethered Oral Tissue
TOTS – Tethered Oral Tissues:
The Assessment and Diagnosis of the
Tongue and Upper Lip Ties in Breastfeeding
by Lawrence A. Kotlow, DDS, PC
"The role of tethered oral tissues (TOTS) such as an infant’s tongue and upper
lip attachment is often overlooked or dismissed as cause of infant distress or
maternal discomfort during breastfeeding. Successful resolution of problems and
understanding of these two structures depend on simple, easy and safe methods
of diagnosis and treatment."
"Infant breastfeeding should not be considered as a
lifestyle choice, but rather as a basic health issue.” – American Academy of Pediatrics
Understanding Lip Tie and Breastfeeding
Diagnosing and Understanding the Maxillary Lip-tie (Superior Labial, the Maxillary Labial Frenum) as it Relates to Breastfeeding by Lawrence A. Kotlow, DDS, PC
"As breastfeeding rates increase in many countries, it is important to be aware of and able to recognize all of the problems that may prevent an adequate latch and make breastfeeding uncomfortable for the mother and inefficient for the infant."
"The delicate sensory input provided by the ALF can alter osteogenesis, addressing and relieving cranial strain patterns and promote proper transverse development of the jaws. As cranial nerve sensory input changes, and spontaneous corrective motor output follows, autonomic and neuro-hormonal brainstem circuits can reorganize as well."
Reprinted with permission Oral Health Volume 105 Number 3.