Pediatrician Discusses: Tongue & Lip Ties

There are a lot of strong opinions out there about tongue ties and lip ties.

Some people feel that they are the cause of many issues, while others think releases are being overdone.

Unfortunately, the data is not completely there to support the need for tongue tie and lip tie releases. But, we do need to look at function over appearance.

In this video, I discuss why the advice is confusing in hope that you can make the choice you desire for your child.

Here is what you will find in this video:
0:43-Why is there so much division in regards to recommendations?
1:17-Why is the diagnosis of tongue ties going up?
1:39-Do we need to clip all ties?
3:04-When should we consider releasing tongue and lip ties?
3:16-JAMA Otolaryngology- Head and Neck Surgery Research about the need for tongue tie releases in BF infants (resources listed below)
4:46-Is not releasing a tongue or lip tie destined for a suboptimal outcome?
5:36-AAPD’s stance on tongue ties and lip ties (resources listed below)
6:14-Images/classifications of maxillary lip ties
7:37-Images/classifications of tongue Ties
8:42-Tongue ties and Breast feeding
9:11-Managing a tongue tie that doesn’t impact Breast feeding
9:38-Tongue tie and speech associations
10:30-Are releases really needed for speech and feeding later in life?
11:34-Oral health and tie associations
11:59-The benefits of second opinions
13:06-Options for release
14:20-An important discussion on why we need to really evaluate a true need for these procedures

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Further reading:

An article discussing places who charge a lot of money for this procedure. Is it really necessary?
https://blogs.bmj.com/bmj/2020/10/02/posterior-tongue-tie-the-internet-phenomenon-driving-a-lucrative-private-industry/

Are we overdoing tongue tie releases?
https://www.forbes.com/sites/ninashapiro/2019/09/12/tongue-tie-surgery-for-infants-may-be-overused/?sh=513c0b7d2f2f

AAPD Tongue statement on tongue and lip ties
https://www.aapd.org/globalassets/media/publications/archives/kupietzky-27-1.pdf
https://www.aapd.org/research/oral-health-policies--recommendations/managment-of-the-frenulum-in-pediatric-dental-patients/

JAMA Otolaryngology-Head and Neck Surgery 2019 study
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2737712

*****The information in this video is intended to serve as educational information and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. If a parent or guardian is concerned about their child, it is their responsibility to seek medical attention with the child’s healthcare provider.*****

Видео Pediatrician Discusses: Tongue & Lip Ties канала PedsDocTalk TV