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Tongue and Lip Tie Resources

Inclusion in this Resource Guide is not an endorsement nor a guarantee of services, products, or information provided by those listed.


What are tongue and lip ties?

We all have frenula. A frenulum is a small piece of tissue that connects soft tissues (tongue, lips, gums, etc.) and helps hold them in place. The problems known as "tongue tie" and "lip tie" occur when these frenula are so tight or thick that they prevent the proper movement of the mouth.


Symptoms may include, but are not limited to:

  • Clicking noises while feeding

  • Tiring during feeding

  • Crying and other signs of distress during or just after a feeding

  • Difficulty latching (“nibbling” at the nipple)

  • Nipple pain and trauma (cracks, bleeding, etc.)

  • Difficulty transferring milk

  • Slow weight gain

  • Decreasing milk supply


Problematic tongue and lip frenula should be assessed by an IBCLC and may be formally diagnosed by a Pediatrician, ENT, or Pediatric Dentist. Assessment and diagnosis must be done in person (not by photos alone) and is based on the restriction of oral motor function. Treatment is typically done by an ENT, Pediatric Dentist, or Oral Surgeon. Always ask if the medical professional has training and experience specific to lactation and tongue ties.


An anterior tongue tie means that the part of the tongue in the front of the mouth is not free to move normally​. This means that the tip of tongue may not be able to reach the roof of the mouth or outside the lips.


A posterior tongue tie means that the part of the tongue that is towards the back of the mouth is not free to move normally. This means that the length of the tongue may not be able to form a good vacuum for safe and effective sucking and swallowing of milk or other foods.


An upper lip tie means that the upper lip is not free to move normally. This means that the lips may not form an effective seal for effective sucking.


A lower lip tie means that the lower lip is not free to move normally. This is not typically diagnosed as a problem, however, it may impact the effectiveness of a lip seal for sucking and could contribute to collection of food or saliva.


The anterior tongue tie and upper lip ties can often be clipped by a trained professional with a pair of surgical scissors. No anesthesia is needed and administration of anesthesia might prevent baby from being able to feed safely until it wears off.


You can expect that there will be some initial screaming (mostly due to discomfort with objects & fingers in the mouth). Also expect there to be some bleeding. This usually stops on it’s own once baby begins feeding. You should be able to feel a difference in the latch right away, but it takes time and practice for baby to fully adjust to the greater range of motion. Ask for post-procedure care instruction and stretching exercises.


A posterior tongue tie should be addressed by a medical professional with surgical training specific to tongue ties. Since this is a surgical procedure, anesthesia is usually administered. You can expect to have 2-3 visits to the medical practice treating a posterior tongue tie. The first appointment is usually a consultation during which the appropriate diagnosis will be confirmed and the procedure will be discussed. The second visit is often when the procedure occurs. This may take place at the same office as the first visit or at an outpatient surgical center. The actual surgery may be done with a scalpel or with a laser. Ask for post-procedure care instruction and stretching exercises.

Some practices require a third visit to check on the healing of the incision and the function of the mouth, while other practices use phone calls, emailed photographs, and communication with a local provider (IBCLC, Pediatrician, etc.) for follow up.



This is a great resource for understanding lip and tongue ties (Not affiliated with LVBC.)

http://www.drghaheri.com/blog/2014/2/15/how-to-examine-a-baby-for-tongue-tie-or-lip-tie


You may be interested in joining this Facebook support group (Not affiliated with LVBC.)
https://m.facebook.com/groups/581971701894105


Remember: Assessment of frenula and diagnosis of tongue tie or lip tie must be done in person (not by photos alone) and is based on the restriction of oral motor function.



The following are links to medical professionals who evaluate and treat Tongue Ties in Infants. LVBC has no affiliation with these practices and their inclusion here does NOT represent an endorsement of their services. ALWAYS ask questions before choosing a medical professional to diagnose and treat your child. Your Pediatrician or IBCLC may have recommendations on additional providers.


Disclaimer regarding provider lists: Inclusion in this list does not represent a guarantee of success. Practices and methods may vary from one practice to another. Parents are advised to make direct contact with the providers on this list to find out more about them, as well as to seek feedback from other parents on any providers they are considering. If you are uncomfortable or unsatisfied with your experience with any provider, we encourage you to seek another opinion.


PROVIDERS WHO RELEASE TONGUE AND/OR LIP TIES:


Pennsylvania

Rima Strassman, MD, FAAP, FABM @ St. Luke’s Baby & Me Support Center 1425 8th Avenue Bethlehem, PA 18018 484-526-BABY (2229) Fax: 833-816-5611 https://www.slhn.org/womens/obstetrics/baby-and-me/baby-and-me-support-center

Rima Strassman, MD, FAAP, FABM @ St. Luke's Quakertown Pediatrics
237 N West End Blvd
Quakertown, PA 18951-1272
267-985-5060
Fax: 833-214-0093
Dr. Strassman does the procedure with scissors, in the office, without anesthesia, usually at the first visit after a full exam. 100+ tongue tie procedures annually. 8 years experience with tongue tie procedures. 22 years providing lactation support.

Sri Kiran Chennupati, MD, FAAP
Section Chief, Pediatric Otolaryngology
Lehigh Valley Children’s Hospital
1210 S Cedar Crest Blvd., Suite 1100
Allentown, PA 18103
Phone: 610-402-7999
Fax: 610-402-7995
www.lvhn.org

Kenneth Toff, DO, FAAP, IBCLC
Lehigh Valley Breastfeeding Center
1517 Pond Rd
Allentown PA 18104
610-366-7676 lvbreastfeeding.com

Dr. Paul Bahn, III, DMD
Infant Laser Dentistry
2301 East Allegheny Avenue Suite 204
Philadelphia, PA, 19134
Phone: (215) 282-9901
info@infantlaserdentistry.com
www.infantlaserdentistry.com

Lori Cockley, DDS FAGD
Fellow of the Academy of General Dentistry
Member: IATP (International Affiliation of Tongue Tie Professionals)
East Berlin Smiles
418 West King St
East Berlin, PA 17316
717-259-9596
www.EastBerlinSmiles.com 

Robert E. Wolf, MD
Waters Edge
1857 Center Street
Camp Hill, PA 17011
717-763-7333

Raymond J. Voller, DMD, MAGD, FADI, FACE
www.vollersmiles.com

Office #1:
135 North Grant Avenue
Kittanning, PA 16201
724-543-4948 Office #2: 563 Epsilon Drive Pittsburgh, PA 15238 412-406-8100

New York


Dr. Scott A. Siegel, M.D., D.D.S., F.A.C.S., F.I.C.S., F.A.A.P
Board of Governors, IATP Laser Surgeon
Clinical and scientific research: reflux associated with tongue and lip tie in infants and children.
www.drscottsiegel.com 

Office #1
NYC Center for Tethered Oral Tissue
23 West 45th Street
New York, New York 10036
212.204.7923 Phone
631.470.8265 Fax 

Office #2
Huntington, Long Island:
775 Park Avenue, Suite 340
Huntington, New York 11743
631.465.0300 Phone
631.470.8265 Fax


Dr. Lawrence Kotlow, DDS, PC (ITAP, ADL)
340 Fuller Rd
Albany, NY 12203
Phone: 518-489-2571
www.kiddsteeth.com
same day consultation prior to procedures

Dr. Denise Cohen, DMD
1315 Broadway, Suite A
Hewlett, NY 11557
www.DrDeniseCohen.com
(516) 459-8828
DrDeniseCohen@gmail.com

Dr. Geri-Lynn Waldman, DDS
Hudson Valley Pediatric Dentistry
75 Crystal Run Rd Suite 235
Middletown, NY 10941
845-458-8500
office@hvkidsmiles.com
www.hvkidsmiles.com


Dr. Tansy Schoonmaker, DDS
Dr. Cosmina Nolan, DDS
Little Jaws Big Smiles
Dewitt, NY
http://littlejawsbigsmiles.com/

Dr. Elizabeth Billiot, DDS
2062 College Ave
Elmira Heights, NY 14903
(607) 734-7787

Dr. Benjamin Dancygier, DDS
office@valleypediatricdentistry.com
www.valleypediatricdentistry.com Office #1 3630 Hill Blvd St 101 Jefferson Valley, NY 10535 914.245.7100 Office #2 1557 Route 82 Suite 2 Hopewell Junction, NY 12533 845.226.8577

New Jersey


Dr. Andrea Mann, DMD
Smile Works Pediatric Dentistry
150 N Finley Ave Ste 101
Basking Ridge, NJ 07920-686
Phone: (908) 340-4848
http://smileworksnj.com/


Dr. Narpat Jain, DMD, MAGD
East Madison Dental
101 Piermont Road
Tenafly, NJ 07670
Phone: 201-501-8282
info@emdental.com
http://www.em-dental.com/

Dr. Amy Schecter, MD, MS, IBCLC
Breastfeeding Medicine of NJ
1140 Bloomfield Ave., Suite 216
West Caldwell, NJ 07006
973-826-9226

Maryland

Joshua P. Weintraub, D.D.S., P.A.
10407 Stevenson Rd.
Stevenson, MD 21153
http://www.stevensonsmiles.com
410-764-8500 

Robert Marcus, DDS LLC
Pediatric Dentistry
409 Main Street
Reisterstown, MD 21136
410-526-5050 office
410-585-4727 cell
robertmarcusdds@gmail.com
www.robertmarcusdds.com

Michael T. Virts, DDS
Board Certified Pediatric Dentist
Diplomate, American Board of Pediatric Dentistry
Fellow, American Academy of Pediatric Dentistry
Member: IATP (International Affiliation of Tongue Tie Professionals)
Mt. Airy, MD- Mt. Airy Children's Dental Associates
michael.virts@gmail.com
www.mtairysmiles.com

James M Ryan, DDS, MS
Diplomate, American Board of Oral and Maxillofacial Surgeons
Fellow, American Association of Oral and Maxillofacial Surgery
Fellow, American College of Oral and Maxillofacial Surgery
Past President, DC Society of Oral and Maxillofacial Surgeons
Member: Academy of Breastfeeding Medicine
19851 Observation Dr. Suite 320
Germantown, MD 20876
301-916-6000
240-449-5966 cell
http://www.evolutionoralsurgery.com
http://www.tonguetiemd.com

Updated November 2019


BODYWORK PROVIDERS & ORAL FUNCTION SPECIALISTS LIST IN FILE BELOW

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Lehigh Valley Breastfeeding Coalition,
Nov 25, 2019, 9:20 AM
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