I have to say I don’t know that I agree with the idea of not revising/waiting to see if it’s really a problem. I definitely understand not messing with it if it isn’t necessary, but that thought process can really do a disservice to some families if their doctor doesn’t recognize there truly is a problem. My son had tongue and lip ties and was failure to thrive by 5 days old. His doctor was aware of the ties, but he seemingly latched really well and I researched so much that I handled breastfeeding so well that my postpartum nurses told me they never thought I was a first time mom till they read my chart, so his doctor decided I had low supply. He’s a DO and clearly practices as one which is why I chose and truly appreciate him for the fact that he does assess and truly consider benefit vs risk, but with this situation we didn’t have time for wait and see. The LC was too busy for me at the time and I mentally couldn’t handle the idea of her telling me I had low supply the older my son got. It took me 3 months to finally convince my son’s doctor to give a referral for a pediatric dentist based on concerns for speech (he had a tie all the way to the tip of his tongue). I dealt with constant clogs and having to hand pump (got the clogs better) frequently, so much so I got tenosynovitis in both wrists. It was excruciating. My son nursed all the time and he was still wanting 20-24 ounces of formula a day. His suck got SO much stronger after the frenectomies that it hurt because I wasn’t used to it. Within two weeks after, the most formula he would take was 8-10 ounces. I went from having multiple clogs a week to one, maybe 2, a month. Only if we went out and I gave formula and waited a little too long to nurse because I didn’t like to in public. Even though he looked like he was latching well, he couldn’t remove milk effectively before the ties were revised. My supply never fully recovered. The LC said I 100% could have exclusively breastfed if his ties had been revised early. His doctor being in this camp of not messing with it because he didn’t think it was a problem, and deciding he didn’t want to do anything from a breastfeeding standpoint, ruined my chances to EBF. 😩 My husband and I also both clearly have tongue ties and find it frustrating/annoying. I’m very confident it effects my posture, makes my neck feel tighter, and forces my tongue to sit more forward in my mouth (which makes my front teeth push out and has basically ruined the money my parents spent on braces) I have a lisp because I don’t have full range of motion of my tongue. Its not bad enough to have been noticed for speech therapy as a child, and I think it’s gotten worse in adulthood as well. It’s honestly really aggravating to know if I could just move the center of my tongue higher I wouldn’t have the lisp. I literally chose my child’s name based off names I could say without the lisp being heard. It also gets stuck between or rubs on my teeth which is annoying/painful at times. I have a lip tie as well and I hate how it pulls my lip up. I have to intentionally hold my lips shut. I was born when ties weren’t a common thing noticed or discussed and I often consider getting them revised now as an adult, but my insurance wouldn’t cover it. The way ties are handled in newborns overall needs to change. I personally feel newborns with ties should be automatically referred to the providers who actually handle revisions to be assessed by them, but in that same thought, the doctors who handle them should be well educated in breastfeeding and the motions required for it to do more full and extensive assessments. Fully checking motion and sucking capabilities, to know if it is truly needed, would help families like mine. It would saved me a lot of figurative and literal pain and heartache. I also feel your thoughts about therapies to improve functionality with the ties is good in theory and would do a lot for how many actually need revisions, but so many parents won’t know to push for this and so many doctors don’t think to educate or refer for these things. It’ll take the medical community cycling in the newer doctors who learned this information in school, or took it upon themselves to learn, forcing “old school” doctors to change and or lose patients before it becomes commonplace and that’s so unfortunate. So many things need to change in the ways you’ve discussed on this subject 😩
Absolutely agree with you and 100% feel your pain, im desperate to have my daughter's tie cut so that she won't suffer with orthodontic problems for a decade like i did
@@adrist8050 it’s so frustrating! If she’s still a baby definitely ask for referral for concerns outside of eating. My sons doctor absolutely refused to refer only for feeding concerns (which was the only way our insurance would cover it). He was absolutely sure I had low supply and feels doctors refer for ties too often. I was asking at literally every appointment from his first to his 2 month checkup, which happened at almost 3 months. His doctor refused till I decided to ask for a different reason. I found out ties can cause speech delays on top of struggles with the mechanics of speaking. It was clear my son was going have problems if it wasn’t revised. His doctor looked like he had an “oh 💩” moment because he hadn’t thought about how severe it was and how that would impact speech, so we immediately got the referral and less than a month later had our first consultation.
Thank you for this comment my 2 month old is suppose to get hers released tomorrow. We could have got it done but I did the wait and see because I wanted to make an educated decision it has been effecting ny breastfeeding
My situation is exactly like u. Me and my husband , we both have tongue ties but thankfully it’s in bottom. But my daughter has type 4 lip ties and my son has tongue tie and lip tie both. We didn’t know about tongue tie before my son born. So we didn’t notice our daughter’s lip tie before him. And now she is 7 and she just have one issue that is during sleeping time, she keeps her mouth open. We contacted private clinic where we don’t need any referral. This week they will do lesar surgery on my son’s lip and tongue tie. I hope after that he will able to drink more milk from breast. Our kids got it genetically.
You want to release any oral restrictions when it often impacts breastfeeding, aerophagia, colic, difficulty drinking the bottle, reflux, eating solids, airway issues/ snoring, form follows function, so the jaws stay narrow with a low tongue position. Palate high which gives to little space in the nose to breathe through. The pushing motion of tied tongue pushes the teeth out of line. You can go on and on....
My now 17yo was born with a tongue tie. He nursed well. We decided to wait. His speech came along fine. He NOW wants it snipped. He is the only student who can not till his "Rs" in AP Spanish. We're leaving it up to him and his dentist at this point.
In the old days (1970's) my brother had a tongue tie and my mom noticed he couldn't eat well when he started solid foods. My mom took him to his pediatrician and showed him. The pediatrician said, "oh yeah!" Then the doctor reached for a pair of surgical looking scissors and clipped it! My mom was shocked and so was my brother who was now screaming. My mom took my brother home, the tongue bled a little and healed quickly. He never had any further issue. Now I see all this tongue massaging, laser surgery, etc., and I always think of my brother and wonder how his tie would have been handled today.
That does sound shocking! Hopefully, a little more counseling would be provided today with options on how to proceed, especially before intervention happens. My passion for parent education is why I create these videos! Sometimes visits at the pediatrician can seem rushed but parental education is so so important
Thank you for this valuable information. My child has a lip and tongue tie but we faced no issues with breast feeding or solids but with all the talk around importance of clipping I was looking for more information. You helped clear my mind from doubt and worry.
My grandson is two and not talking properly yet .He saw a speech therapist today .He has a severe lip tie and a tongue tie. We are gratefull its something easily repairable
I had no idea I had a tongue tie until I was 25 years old. I just got it released and I no longer have neck and shoulder tension and jaw pain that was causing debilitating migraines. I can already tell that I swallow better (I used to choke on liquids and food all the time). My dentist was very dismissive but gave me an oral surgeon referral anyway. I'm glad I self advocated and can't wait to live with less pain
Thank you for clarifying on this topic. My baby have lip tie but there wasn't problem with breastfeeding. And she does speak kaka, baba. Be safe and take care.
Thank you for this video! I find that t’s hard to find unbiased specialists because it seems like all of the “savvy” professionals (at least in my area) are so adamant and pushy about how horrible it is to leave it unrevised, despite the lack of data as you shared! I feel constant guilt for not revising my daughter’s even though she has appropriate function at this time. This makes me feel better.
I think this is the key here. We really have to look at it as a function at that moment. I see sooooo many children with tongue ties and not everyone has issues, so I agree that revisions are not needed across the board.
@pedsdoctalktv9960 thank you for taking the time to provide us with such a sound discussion on Tongue & Lip Ties. My greatest disappointments are parents rushing into the procedure without exploring alternatives as well as health professionals such as Paediatricians in general not being involved in respectful conversations with the allied health professionals about these issues that affect families. This is what affects families the most here - we as clinicians need to work together with respect, to support the families that we care for. There is so much divisiveness around this issue within the medical profession, that families are mistrustful & seeking out their own information via sources such as social media which causes issues in itself. Thanks again for highlighting this important topic!
Mobility, suck training and myofascial release should be done BEFORE and AFTER a release. As an OT/CLC and infant feeding therapist I totally agree that a functional feeding evaluation needs to be done and therapy BEFORE going for a consult for a diagnosis. Pediatricians should refer for feeding problems for breastfeeding, bottle feeding babies the same when leaking is noticed and clicking sounds are made - especially when there is body tension. Often times with good therapy we can make an impact but there are times a baby may need a release. I see the problem as the baby not getting proper intervention BEFORE a release. Informative video- parents should always be in the driver's seat but also should know what happens with the tongue and how to guide feeding safely if they do not get a release.
My toddler at the age of three has been having a really bad gagging issue while eating solids, and would only want to eat soft foods and liquids. We were informed he had a class 4 tongue tie, and we never had any idea. After speech, and OT appoints and multiple dentist appointments, everyone but his pediatrician recommended the surgery. We just got it done two days ago. He’s able to stick his tongue out of his mouth. After the healing process I am confident he will want to eat more foods.
My daughter had very significant oral restriction from both a lip and tongue tie. Her lip tie inserted all the way to the papilla and her tongue tie was all the way to the tip of her tongue. She was never really able to latch and whe she did it was very painful and she wasn't able to transfer milk. On the bottle she could never form a good seal or suction. Milk would pour out of he sides of her mouth and she would be chewing on the end of the nipple instead of sucking. Her lower jaw would start to quiver during feeding which ai later learned was muscle fatigue from working so hard to transfer milk. She was not gaining weight appropriately and it would take over an hour to finish a 3 oz bottle. We had a revision at 5 weeks (a week ago now) and things have improved so much. She gained 6 oz basically just over the weekend. She will finish a bottle in a reasonable time and the best part of it all is that she is finally able to latch. It's still a work in progress but so so much better. I have lip and tongue ties that never obviously affected me like my daughter. I did have orthodontic issues and had a space between my front teeth. I had braces twice. It made me extremely self conscious growing up. I would def do it again if needed.
Get it clipped now, while she is a child! When your child become an adult, she will have great problems and the operation will be slightly complicated!
@@batmandestroys1978 I think in my post I mentioned we had a release procedure for both jer lip and tongue when she was 5 weeks old. She's 9 weeks now and we are still working on her coordination and strength. She's still not quite sure how to use her tongue which she can now move freely.
@@LauraAnn1980 Thank you for your reply! My sincere apologies for missing this. Well done, you have saved her from a dreadful operation in adulthood, which is quite painful!
I was added to what I describe as a "black market tie revision fb group" in which a LC was claiming that only her "preferred providers" were recommended rather than a pediatrician, ENT etc. This "preferred provider" concept had some people travelling hundreds of miles away and in the mean time these babies' caloric needs were possibly not being supplemented. The assumption was that pediatricians aren't "breastfeeding experts." (I know you're working on LC credentials also so which is pretty cool!)
One of the reasons WHY Im becoming an IBCLC is because I see many spreading misinformation. I think some of them don't understand the big picture of the baby and get tunnel vision. I think my training as a peds will GREATLY help in making me an amazing IBCLC!
Release the tongue. The tongue has more of a connection to the body than just breast feeding, speech issues, etc. The tongue is referred to the hip, digestive system, sinuses, teeth, etc. It causes many issues in the future. Prevention is better than the cure.
@skylerthomspainting7818 You are born with it or you're not. Open the mouth, and lift the tongue up. If you see a large band attached to the bottom of the mouth to tongue, it's tied down.
My baby ended up in hospital due to dehydration as he wasn't extracting enough milk. After telling everyone I actually had plenty of milk supply and he's just not getting enough so I had to start bottle feeding him so he won't die, they told me to just keep bottle feeding him. Apparently they don't believe in tongue ties. 🙄 And they put his drop from 50th to 2nd percentile, as well as prolonged jaundice and dehydration down to his reflux. 🙄 In the end the dentist found her couldn't move his tongue to the side, he had a very weak and poor suction which is why I didn't have any nipple pain because he couldn't keep a seal!! He was literally on death's door until I started bottle feeding but apparently the medical community thinks tongue ties are not a thing, to the point they don't include it in their differential diagnosis. To hell with such biased medical doctors. So they say there's no evidence treating tongue tie helps, but equally there is no evidence that not treating tongue tie doesn't harm. Parents aren't mental to want to treat a tongue tie, we are the last people who want to see our babies cry or in pain. We'll do everything to avoid it first and only seek a tongue tie revision if we tried everything else first.
Just FYI I got lots of breastfeeding help and they were happy with my latching techniques and different positions of feeding which were all excellent. I talked to three different providers to confirm I was latching him well as he wasn't gaining enough weight and really really weak and clearly starving until I started bottle feeding him. But it took six weeks to diagnose his tongue tie by which point we were in the hospital the next day. So don't assume I didn't get breastfeeding help. I also got osteo help and he was the one who noticed the tongue tie and I still waited three weeks for feeding to improve and seek more breastfeeding help before my boy ended up in hospital.
As a Tongue Tied Adult going through my tongue tie release journey, please get your child’s tongue tie released!!! The tongue tie has farther negative impact than feeding and speaking. It affects the formation of your skull as your tongue is not able to press on the upper palate of the mouth - resulting in a narrow upper palate which means narrow nasal cavity. Harder to breathe through the nose. Higher risk of sleep apnea. Grinding teeth in sleep. Gum recession. TMJ & facial pain. More frequent headaches and migraines. Neck and shoulder problems. The fascia is an electrical system of connective tissue and having a tongue tie restricts the fascia through the whole body. I’m getting my tongue tie release in my 30’s because no one diagnosed me until then!!! If you know your baby has a tongue tie, the best thing you can do for them is get it Released as soon as possible. If you don’t believe me, just go watch some adult tongue tie release stories and listen to these other people talk about how life changing this is. I wish my tongue tie was release as an infant!!!
My 15 month old had a traumatic birth so we thought that was why he had such a hard time sleeping, he spit up a lot and always choked when being bottle fed. He has a hard time biting down on something hard and he does have a speech delay. We didn’t find out he had tongue tie until his first dentist appointment, after that we scheduled an appointment with his pediatrician and she did nothing. He we are months later and my son has not had a good nights sleep since birth and I know it’s because of his tongue tie!! We have a appointment tomorrow and I’m not leaving until she sends a referral out!
My IBCLC did diagnose my baby with a tongue tie. It is not causing an issue for me and my baby is able to transfer milk. My IBCLC did notice he is having some restrictions, but she did not recommend a release since he is growing fine and he was able to transfer 4.4 oz of milk from me in around 15 minutes.
Hi , my son had toungue tie by he wasn’t treated , he drank breast milk till he was 4 years we did very well and now he is going to be 7 years . But now he has adenioids problem but he has a little problem with r problem . I am wondering of his continuous nose block and adenoids can be cos of the tongue tie ? I did read a research saying those kids having toungue ties might end up getting adenoids or poor sleep or mouth breathing . Please help a mom here . Please
I haven’t seen any specific studies about them being correlated. But an ent provider should be able to evaluate for both enlarged adenoids and a tongue tie and if they’re causing problems (like chronic congestion or speech delay, respectively) then they’ll be able to advise you on if surgery is recommended
Between 1950 and 1980 most babies in America bottlefed with formula because it was what was the “better choice” being pushed by doctors. Im wondering if symptomatic tongue tie wasn’t as prevalent bec of that trend and truly, many people would of had more feeding issues if they breastfed since breastfeeding is more difficult to perfect for the infant albeit natural.
This is awesome! The amount of parents I’ve seen say “I got my baby’s tongue tie clipped at 4 weeks and 6 weeks later he started breastfeeding better!” Is it really that inconceivable that your 10 week old would breastfeed better than your 4 week old that has had 6 weeks less practice and development? I definitely think that of course there would be ties that impact function but the number of infants receiving this surgical procedure is very alarming, not just because of the potential unnecessary pain but because of the risks you mentioned. It could be that after the tongue tie revision maybe parents are approaching feeding more positively and maybe focussing on latch etc after the tongue tie clipping because having the procedure done has piqued their awareness of this. As you said, without good data we can’t really know
Exactly. I also am getting my IBCLC and I have been doing more research and education on POSITIONING that can help tongue tie babies. We can help the baby adapt to their tongue tie. I truly wonder if we're not trying various methods and immediately going to an issue to blame. It is absolutely true that a tongue tie can cause tongue mobility issues which are important for latch, so a good lactation consultant is vital to help a momma reach this goal before going to a tongue tie release
Having a baby’s (or child’s, adult’s, or as soon as it is identified) tongue-tie fixed can help them to thrive and improve on things like nutrition, speech, sleep quality, and behavior. Having that tongue-tie treated properly by a knowledgeable provider for an average cost of $1,000 is an investment in your child’s future. In many instances, not treating can lead to financial, emotional, and health consequences.
My baby is 9 months we waited to see if she would be okay but it's starting to affect her. She's having trouble eating solids and only eating purees..after eating purees she gets very congested and most of the food ends up outside her mouth..they did a barium test and she does not have gerd and food is going down properly .. we have tried everything and only thing left to assume is that it's the tongue tie...does she sound like a candidate for it??
I’m having the same issue with my 14m old. She’s barely tolerating solids. Found out she has a posterior tie. She’s my third kid so I know what’s “normal” at this stage. I’ll be taking her in to her pediatrician to get opinions. Sounds like that may be helpful for you little one ❤️
My first born had a tongue tie, we fixed it when he was a newborn, he is 5years old and has a speech delay. My youngest son has a tongue tie we didn't fix, he is 3 years old and also has a speech delay
Thank you! Both of my kids have lip ties, and have a gap in their teeth. Luckily breastfeeding went great, hurt in the first few weeks, but went on over a year. The dentist for my first said we'd keep an eye on it, as it may fix itself by ~5 years.(before adult teeth come in) That is when we'll decide if we'll do something. My 2nd has her first dentist apt next month, so we'll see. :)
This is my point. That I do believe we have become so hyperfocused on the tie being the source of all issues when tongue ties have been around for centuries. I feel many are making a bigger deal now. IN olden times, babies adapted to it. They didn't starve
@@pedsdoctalktv thanks for making this video. I agree - I also wonder if it’s getting too much focus because women are taught to breastfeed a certain way and told it’s “wrong” if not. My babe was born in May and has ties. My midwife told me I should pump or give him formula. Instead of following her way of breastfeeding with the wide open latch I chose to let him latch the way he wanted to and instead focused on positioning for my comfort. Well it works perfectly well and he’s now 4 months and 18lbs!
@@kiksocks12 Yes! Im an IBCLC and position can help for sure and I imagine it's what generations did before tongue tie releases. Unfortunately there are too many people who get hyper-fixated on tongue ties!
@@pedsdoctalktv that’s good to know that you are an LC! I hesitated to hire one when I was struggling because I didn’t want to hear about his ties. Good to know there are LCs out there that assist with positioning etc and working with baby’s unique oral cavity and not push one way of feeding. 💕
@@kiksocks12 100% It's a balance of working with positions and recognizing if releases are needed. 100% if the latch is painful in most posiitons that its making the parent dread feeding, I will recommend releasing (i actually do them!)
Thank you so much for this video! I think my daughter has a tongue tie and I’ve been stressed about it for the last 6 months, but this video helped ease my mind a little. Breastfeeding was really painful for me for the first 8 weeks but then it got better so we chose not to pursue it and I’ve worried I made the wrong decision ever since. Recently I heard that sleeping with the mouth open can be related to ties - is that true, and if so is that something to be concerned about?
Great question. There is some discussion about this! BUT, there is no solid data. So I would say, if its impacting your child's sleep...theyre not sleeping well or you're having trouble settling them, consider the revision!
Get your daughter to have the operation now! It has affected my breathing, jaw and speech, when I became an adult. What this Doctor is not telling you, when your child becomes a adult, this is when the problem really starts, with TMJ. This doctor totally ignores the fact, when you are a child, it is not that bad! When you become a adult, it becomes a slightly complicated operation! I am having my tonged tie, clipped as an adult, which I am very angry about it. It should have been done, when I was a child! Get your child clipped now!
I was wondering also if these are getting diagnosed more because of an increase in breastfeeding? I feel like more people are trying to breastfeed now compared to when I was a baby. And so more people are hyper aware. No idea. Just a thought. Thanks for the video. Currently have a 3 month old and thought she had a tie and my pediatrician checked her out and said it was all good. Went to a LC who gave me some ideas on positioning and boom, problem solved :)
Absolutely can be! Im so happy you had an IBCLC who worked with you on latch. I am concerned we are not trying other methods to help that child adapt to their physicalities and some go straight to release to a point of obsession. "It MUST be the tie." It could be many things.
Nah, I come from a third world country where most mothers breastfeed out of necessity. Baby formula is way to expensive and a luxury. I never heard about tongue ties. I blame it on all the toxins, chemicals and poisons the US uses on its people!
Hello I was about of a programmer at the u of Winnipeg from 2 to 7 I trying to figure out who I can’t spell or read well this has cause me better jobs though out the years but I would not say my tongue tie is the problem my situation Ground up .. my experience has moved me up to management and leadership positions my specialty is going into a toxic environment and able to make it beneficial for the owner to the community in a positive light.. yet I can’t go get my ceo management or psychology degree that I wanted to work with others . Wasn’t able to go for my bus lessons because I could not read the government words but yet after chatting to the teacher and I know …. I did teach my daughter to read and write and her at 12 writes better than I .. Atm I’m I not working due to disability .. so my veiw point is in a healthy family situation I am sure I would not had this much problem.. but I did start society and help others and thank you for this video cause now I can understand why how a well I can look at right professionals and with the work overcome these two things
How do you know that the thousand of children with tongue ties have no problem later on in life? In the birth clinic I was told it shouldn't be a problem, after 2 weeks of pain I'm considering to give up breastfeeding, got a lot of breastfeeding advice but baby is still not able to latch well. And the staff at the hospital will never know that.
I’d recommend having him evaluated by a lactation consultant if you have access to one. They can also help you with his latch. Or your pediatrician can also assess him for tongue tie. Best of luck ❤️❤️
Great content, thanks for all you do! We would love to connect , we are all about community education and would love to work together on sharing more information so that folks can make more informed decisions. For every missed diagnosis, there is a misdiagnosis and so it is with information that we will tip the scales in the favor of our patients getting the care they actually need, and not a bunch of procedures that may or may not be necessary. Knowing when NOT to operate is critical, and so thank you for sharing your fair perspective on the matter! Thanks again for all the great work, Cheers, TBI.
My first had a moderate tongue tie and we didn’t fix it. They said he would outgrow it or we could hurt him just for the sake of it. We opted to wait until it was a problem. Plenty of kids speak funny. He spoke on time and had problems with certain pronunciations like every kid, but none associated with his tongue tie. Our second didn’t have a tongue tie. We laugh at how loose his tongue is, it’s definitely getting vitamin D putting on a show. 😂 Think of it this way, are you going to circumcise your son because someone says they MIGHT get an infection, which COULD happen either way??? Just do something because it’s THE THING people do? That wouldn’t be health care.
Yes many kids have significant tongue ties that cause no issues so observation is warranted! With circumcision I think it’s a little more nuanced since sometimes the decision is cultural based and it actually does decrease risk of infection, although overall risk is low. But parents should be given actual risk/benefit info so they can make an informed decision and no parent should be shamed for the personal choice they make
It's just another way toget money from patients in America . I have that, my son, husband, my grandkids. My son couldn't pronounce R and G when a young child, we trained him how to do it, my grandson also, both never had any problems, before and now. It's just as I said, way to get money like it is in "transitioning" for young kids. Awful what's going on here with children, trafficking, "transitioning" sexual abuse . Just has to stop.
Thank you for this worse than useless information. This is actually MIS-information. This message pretends to be helpful, but completely ignores the reality that YES, many kids are seeing affected function in their breastfeeding quality, mouth breathing, sleep quality, teeth alignment, jaw development, speech, and supporting head and neck muscles. However, not every kid shows up with these things affected 100%. It's a spectrum. This message seems to consider it irrelevant that not every kid shows every symptom, during their entire developmental journey. STOP acting like the medical community makes decisions with full knowledge of their blind spots. I am a medical professional. I know we don't know much of what goes into the big picture. So instead we make decisions to safeguard the status quo.
I agree that the severity of symptoms is on a continuum. Some children have no symptoms (and therefore need no intervention) some have mild symptoms that may benefit from intervention, and some have severe symptoms and intervention will be life-changing. The aim of this video was to inform parents on when intervention is needed, and if so, what their options are. Sometimes frenulectomy is needed, but sometimes other interventions (lactation support, feeding therapy etc) can help so these options, if appropriate, that should be discussed with parents as well. Yes we don't know everything about tongue-ties (as we don't know everything about anything in the medical community) so it's important to continue to research the topic and stay up to date on where it stands👍
@@pedsdoctalktv so it’s confusing to me when the type of language used is “my baby has a tongue tie”… yeah we all do. Instead they should say something like “my baby has a tongue tie that is tighter than normal” or something like that.
The data is NOT lacking - you are not informed. There are major RCT’s proving effective’s. Also- ,clipping is NOT a an effective procedure to release effectively. As on OT/‘Slp and IBCLC you have e no idea what you are talking about, You need to understand that clipping is an INCOMPLETE HALF PROCEDURE. But there are indeed studies that show very clearly a clip is INEFFECTIVE procedure ! You are talking about a red herring. A full rekeaease allows proper orzo facial development by allowing. Normal function of the tongue. The lip tie has very little data to support Everything you are saying is your opinion- not fact or based in research data!!! You are sett8ng families up to fail with your lack of understanding for how milk supply is made, what AIR induced reflux ibis, what the normal Scar neutral is d Your own uneducated, uniformed views are not neutral.
Having a baby’s (or child’s, adult’s, or as soon as it is identified) tongue-tie fixed can help them to thrive and improve on things like nutrition, speech, sleep quality, and behavior. Having that tongue-tie treated properly by a knowledgeable provider for an average cost of $1,000 is an investment in your child’s future. In many instances, not treating can lead to financial, emotional, and health consequences.
Yes I agree some babies really benefit from a frenulectomy. But some babies may have a tongue tie that doesn’t cause any symptoms or problems and in that case no intervention is needed. It just depends on each individual case!
I have to say I don’t know that I agree with the idea of not revising/waiting to see if it’s really a problem. I definitely understand not messing with it if it isn’t necessary, but that thought process can really do a disservice to some families if their doctor doesn’t recognize there truly is a problem. My son had tongue and lip ties and was failure to thrive by 5 days old. His doctor was aware of the ties, but he seemingly latched really well and I researched so much that I handled breastfeeding so well that my postpartum nurses told me they never thought I was a first time mom till they read my chart, so his doctor decided I had low supply. He’s a DO and clearly practices as one which is why I chose and truly appreciate him for the fact that he does assess and truly consider benefit vs risk, but with this situation we didn’t have time for wait and see. The LC was too busy for me at the time and I mentally couldn’t handle the idea of her telling me I had low supply the older my son got. It took me 3 months to finally convince my son’s doctor to give a referral for a pediatric dentist based on concerns for speech (he had a tie all the way to the tip of his tongue). I dealt with constant clogs and having to hand pump (got the clogs better) frequently, so much so I got tenosynovitis in both wrists. It was excruciating. My son nursed all the time and he was still wanting 20-24 ounces of formula a day. His suck got SO much stronger after the frenectomies that it hurt because I wasn’t used to it. Within two weeks after, the most formula he would take was 8-10 ounces. I went from having multiple clogs a week to one, maybe 2, a month. Only if we went out and I gave formula and waited a little too long to nurse because I didn’t like to in public. Even though he looked like he was latching well, he couldn’t remove milk effectively before the ties were revised. My supply never fully recovered. The LC said I 100% could have exclusively breastfed if his ties had been revised early. His doctor being in this camp of not messing with it because he didn’t think it was a problem, and deciding he didn’t want to do anything from a breastfeeding standpoint, ruined my chances to EBF. 😩
My husband and I also both clearly have tongue ties and find it frustrating/annoying. I’m very confident it effects my posture, makes my neck feel tighter, and forces my tongue to sit more forward in my mouth (which makes my front teeth push out and has basically ruined the money my parents spent on braces) I have a lisp because I don’t have full range of motion of my tongue. Its not bad enough to have been noticed for speech therapy as a child, and I think it’s gotten worse in adulthood as well. It’s honestly really aggravating to know if I could just move the center of my tongue higher I wouldn’t have the lisp. I literally chose my child’s name based off names I could say without the lisp being heard. It also gets stuck between or rubs on my teeth which is annoying/painful at times. I have a lip tie as well and I hate how it pulls my lip up. I have to intentionally hold my lips shut. I was born when ties weren’t a common thing noticed or discussed and I often consider getting them revised now as an adult, but my insurance wouldn’t cover it.
The way ties are handled in newborns overall needs to change. I personally feel newborns with ties should be automatically referred to the providers who actually handle revisions to be assessed by them, but in that same thought, the doctors who handle them should be well educated in breastfeeding and the motions required for it to do more full and extensive assessments. Fully checking motion and sucking capabilities, to know if it is truly needed, would help families like mine. It would saved me a lot of figurative and literal pain and heartache.
I also feel your thoughts about therapies to improve functionality with the ties is good in theory and would do a lot for how many actually need revisions, but so many parents won’t know to push for this and so many doctors don’t think to educate or refer for these things. It’ll take the medical community cycling in the newer doctors who learned this information in school, or took it upon themselves to learn, forcing “old school” doctors to change and or lose patients before it becomes commonplace and that’s so unfortunate. So many things need to change in the ways you’ve discussed on this subject 😩
Absolutely agree with you and 100% feel your pain, im desperate to have my daughter's tie cut so that she won't suffer with orthodontic problems for a decade like i did
@@adrist8050 it’s so frustrating! If she’s still a baby definitely ask for referral for concerns outside of eating. My sons doctor absolutely refused to refer only for feeding concerns (which was the only way our insurance would cover it). He was absolutely sure I had low supply and feels doctors refer for ties too often. I was asking at literally every appointment from his first to his 2 month checkup, which happened at almost 3 months. His doctor refused till I decided to ask for a different reason. I found out ties can cause speech delays on top of struggles with the mechanics of speaking. It was clear my son was going have problems if it wasn’t revised. His doctor looked like he had an “oh 💩” moment because he hadn’t thought about how severe it was and how that would impact speech, so we immediately got the referral and less than a month later had our first consultation.
Thank you for this comment my 2 month old is suppose to get hers released tomorrow. We could have got it done but I did the wait and see because I wanted to make an educated decision it has been effecting ny breastfeeding
My situation is exactly like u. Me and my husband , we both have tongue ties but thankfully it’s in bottom. But my daughter has type 4 lip ties and my son has tongue tie and lip tie both. We didn’t know about tongue tie before my son born. So we didn’t notice our daughter’s lip tie before him. And now she is 7 and she just have one issue that is during sleeping time, she keeps her mouth open. We contacted private clinic where we don’t need any referral. This week they will do lesar surgery on my son’s lip and tongue tie. I hope after that he will able to drink more milk from breast. Our kids got it genetically.
You want to release any oral restrictions when it often impacts breastfeeding, aerophagia, colic, difficulty drinking the bottle, reflux, eating solids, airway issues/ snoring, form follows function, so the jaws stay narrow with a low tongue position. Palate high which gives to little space in the nose to breathe through. The pushing motion of tied tongue pushes the teeth out of line. You can go on and on....
Can’t tell you how helpful this was to watch!! Thank you!
My now 17yo was born with a tongue tie. He nursed well. We decided to wait. His speech came along fine. He NOW wants it snipped. He is the only student who can not till his "Rs" in AP Spanish. We're leaving it up to him and his dentist at this point.
Have you talked to any IBCLCs about what they see? You are really minimizing the effects.
In the old days (1970's) my brother had a tongue tie and my mom noticed he couldn't eat well when he started solid foods. My mom took him to his pediatrician and showed him. The pediatrician said, "oh yeah!" Then the doctor reached for a pair of surgical looking scissors and clipped it! My mom was shocked and so was my brother who was now screaming. My mom took my brother home, the tongue bled a little and healed quickly. He never had any further issue. Now I see all this tongue massaging, laser surgery, etc., and I always think of my brother and wonder how his tie would have been handled today.
That does sound shocking! Hopefully, a little more counseling would be provided today with options on how to proceed, especially before intervention happens. My passion for parent education is why I create these videos! Sometimes visits at the pediatrician can seem rushed but parental education is so so important
Thank you for this valuable information. My child has a lip and tongue tie but we faced no issues with breast feeding or solids but with all the talk around importance of clipping I was looking for more information. You helped clear my mind from doubt and worry.
Happy it was helpful!
My grandson is two and not talking properly yet .He saw a speech therapist today .He has a severe lip tie and a tongue tie. We are gratefull its something easily repairable
Aw I’m glad you were able to get some answers. Hopefully you’ll notice improvement in his speech with the intervention recommended!
I had no idea I had a tongue tie until I was 25 years old. I just got it released and I no longer have neck and shoulder tension and jaw pain that was causing debilitating migraines. I can already tell that I swallow better (I used to choke on liquids and food all the time). My dentist was very dismissive but gave me an oral surgeon referral anyway. I'm glad I self advocated and can't wait to live with less pain
Ah so glad you advocated for yourself and are already seeing positive results!
This is beautiful Laura! So happy for you!
Thank you for clarifying on this topic. My baby have lip tie but there wasn't problem with breastfeeding. And she does speak kaka, baba.
Be safe and take care.
Thank you for this video! I find that t’s hard to find unbiased specialists because it seems like all of the “savvy” professionals (at least in my area) are so adamant and pushy about how horrible it is to leave it unrevised, despite the lack of data as you shared! I feel constant guilt for not revising my daughter’s even though she has appropriate function at this time. This makes me feel better.
I think this is the key here. We really have to look at it as a function at that moment. I see sooooo many children with tongue ties and not everyone has issues, so I agree that revisions are not needed across the board.
@pedsdoctalktv9960 thank you for taking the time to provide us with such a sound discussion on Tongue & Lip Ties. My greatest disappointments are parents rushing into the procedure without exploring alternatives as well as health professionals such as Paediatricians in general not being involved in respectful conversations with the allied health professionals about these issues that affect families. This is what affects families the most here - we as clinicians need to work together with respect, to support the families that we care for. There is so much divisiveness around this issue within the medical profession, that families are mistrustful & seeking out their own information via sources such as social media which causes issues in itself. Thanks again for highlighting this important topic!
Mobility, suck training and myofascial release should be done BEFORE and AFTER a release. As an OT/CLC and infant feeding therapist I totally agree that a functional feeding evaluation needs to be done and therapy BEFORE going for a consult for a diagnosis. Pediatricians should refer for feeding problems for breastfeeding, bottle feeding babies the same when leaking is noticed and clicking sounds are made - especially when there is body tension. Often times with good therapy we can make an impact but there are times a baby may need a release. I see the problem as the baby not getting proper intervention BEFORE a release. Informative video- parents should always be in the driver's seat but also should know what happens with the tongue and how to guide feeding safely if they do not get a release.
My toddler at the age of three has been having a really bad gagging issue while eating solids, and would only want to eat soft foods and liquids. We were informed he had a class 4 tongue tie, and we never had any idea. After speech, and OT appoints and multiple dentist appointments, everyone but his pediatrician recommended the surgery. We just got it done two days ago. He’s able to stick his tongue out of his mouth. After the healing process I am confident he will want to eat more foods.
My daughter had very significant oral restriction from both a lip and tongue tie. Her lip tie inserted all the way to the papilla and her tongue tie was all the way to the tip of her tongue. She was never really able to latch and whe she did it was very painful and she wasn't able to transfer milk. On the bottle she could never form a good seal or suction. Milk would pour out of he sides of her mouth and she would be chewing on the end of the nipple instead of sucking. Her lower jaw would start to quiver during feeding which ai later learned was muscle fatigue from working so hard to transfer milk. She was not gaining weight appropriately and it would take over an hour to finish a 3 oz bottle. We had a revision at 5 weeks (a week ago now) and things have improved so much. She gained 6 oz basically just over the weekend. She will finish a bottle in a reasonable time and the best part of it all is that she is finally able to latch. It's still a work in progress but so so much better. I have lip and tongue ties that never obviously affected me like my daughter. I did have orthodontic issues and had a space between my front teeth. I had braces twice. It made me extremely self conscious growing up. I would def do it again if needed.
Get it clipped now, while she is a child! When your child become an adult, she will have great problems and the operation will be slightly complicated!
@@batmandestroys1978 I think in my post I mentioned we had a release procedure for both jer lip and tongue when she was 5 weeks old. She's 9 weeks now and we are still working on her coordination and strength. She's still not quite sure how to use her tongue which she can now move freely.
@@LauraAnn1980 Thank you for your reply! My sincere apologies for missing this. Well done, you have saved her from a dreadful operation in adulthood, which is quite painful!
I was added to what I describe as a "black market tie revision fb group" in which a LC was claiming that only her "preferred providers" were recommended rather than a pediatrician, ENT etc. This "preferred provider" concept had some people travelling hundreds of miles away and in the mean time these babies' caloric needs were possibly not being supplemented. The assumption was that pediatricians aren't "breastfeeding experts." (I know you're working on LC credentials also so which is pretty cool!)
One of the reasons WHY Im becoming an IBCLC is because I see many spreading misinformation. I think some of them don't understand the big picture of the baby and get tunnel vision. I think my training as a peds will GREATLY help in making me an amazing IBCLC!
Release the tongue. The tongue has more of a connection to the body than just breast feeding, speech issues, etc. The tongue is referred to the hip, digestive system, sinuses, teeth, etc. It causes many issues in the future. Prevention is better than the cure.
How does one prevent tongue tie? Thanks
@skylerthomspainting7818 You are born with it or you're not. Open the mouth, and lift the tongue up. If you see a large band attached to the bottom of the mouth to tongue, it's tied down.
Are there no native Spanish speakers who have this issue? (One must wonder...)
Can I cut it by myself?!
@@zebazo1127 No. A dentist could do it for you.
My baby ended up in hospital due to dehydration as he wasn't extracting enough milk. After telling everyone I actually had plenty of milk supply and he's just not getting enough so I had to start bottle feeding him so he won't die, they told me to just keep bottle feeding him. Apparently they don't believe in tongue ties. 🙄 And they put his drop from 50th to 2nd percentile, as well as prolonged jaundice and dehydration down to his reflux. 🙄 In the end the dentist found her couldn't move his tongue to the side, he had a very weak and poor suction which is why I didn't have any nipple pain because he couldn't keep a seal!! He was literally on death's door until I started bottle feeding but apparently the medical community thinks tongue ties are not a thing, to the point they don't include it in their differential diagnosis. To hell with such biased medical doctors. So they say there's no evidence treating tongue tie helps, but equally there is no evidence that not treating tongue tie doesn't harm. Parents aren't mental to want to treat a tongue tie, we are the last people who want to see our babies cry or in pain. We'll do everything to avoid it first and only seek a tongue tie revision if we tried everything else first.
Just FYI I got lots of breastfeeding help and they were happy with my latching techniques and different positions of feeding which were all excellent. I talked to three different providers to confirm I was latching him well as he wasn't gaining enough weight and really really weak and clearly starving until I started bottle feeding him. But it took six weeks to diagnose his tongue tie by which point we were in the hospital the next day. So don't assume I didn't get breastfeeding help. I also got osteo help and he was the one who noticed the tongue tie and I still waited three weeks for feeding to improve and seek more breastfeeding help before my boy ended up in hospital.
As a Tongue Tied Adult going through my tongue tie release journey, please get your child’s tongue tie released!!!
The tongue tie has farther negative impact than feeding and speaking. It affects the formation of your skull as your tongue is not able to press on the upper palate of the mouth - resulting in a narrow upper palate which means narrow nasal cavity. Harder to breathe through the nose. Higher risk of sleep apnea. Grinding teeth in sleep. Gum recession. TMJ & facial pain. More frequent headaches and migraines. Neck and shoulder problems. The fascia is an electrical system of connective tissue and having a tongue tie restricts the fascia through the whole body.
I’m getting my tongue tie release in my 30’s because no one diagnosed me until then!!!
If you know your baby has a tongue tie, the best thing you can do for them is get it Released as soon as possible.
If you don’t believe me, just go watch some adult tongue tie release stories and listen to these other people talk about how life changing this is. I wish my tongue tie was release as an infant!!!
This is the best video!! Thank you for creating it
You're so welcome!
My 15 month old had a traumatic birth so we thought that was why he had such a hard time sleeping, he spit up a lot and always choked when being bottle fed. He has a hard time biting down on something hard and he does have a speech delay. We didn’t find out he had tongue tie until his first dentist appointment, after that we scheduled an appointment with his pediatrician and she did nothing. He we are months later and my son has not had a good nights sleep since birth and I know it’s because of his tongue tie!! We have a appointment tomorrow and I’m not leaving until she sends a referral out!
Aw that's frustrating to feel something was missed that could have helped your child. I hope you get the answers and results you're looking for ❤
My IBCLC did diagnose my baby with a tongue tie. It is not causing an issue for me and my baby is able to transfer milk. My IBCLC did notice he is having some restrictions, but she did not recommend a release since he is growing fine and he was able to transfer 4.4 oz of milk from me in around 15 minutes.
Thank you for tackling this truly touchy subject. I am so grateful for the evidence based information.
Absolutely. With so many things there is NO evidence, so I think it's important to think of it in a common sense way
Hi , my son had toungue tie by he wasn’t treated , he drank breast milk till he was 4 years we did very well and now he is going to be 7 years .
But now he has adenioids problem but he has a little problem with r problem .
I am wondering of his continuous nose block and adenoids can be cos of the tongue tie ?
I did read a research saying those kids having toungue ties might end up getting adenoids or poor sleep or mouth breathing .
Please help a mom here .
Please
I haven’t seen any specific studies about them being correlated. But an ent provider should be able to evaluate for both enlarged adenoids and a tongue tie and if they’re causing problems (like chronic congestion or speech delay, respectively) then they’ll be able to advise you on if surgery is recommended
You are a God sent! These were my feelings exactly!
Between 1950 and 1980 most babies in America bottlefed with formula because it was what was the “better choice” being pushed by doctors. Im wondering if symptomatic tongue tie wasn’t as prevalent bec of that trend and truly, many people would of had more feeding issues if they breastfed since breastfeeding is more difficult to perfect for the infant albeit natural.
Prior to 1950, many babies were still unfortunately dying at a higher rate than they were/are for other reasons. Maybe it just wasn’t caught then too.
This is awesome! The amount of parents I’ve seen say “I got my baby’s tongue tie clipped at 4 weeks and 6 weeks later he started breastfeeding better!” Is it really that inconceivable that your 10 week old would breastfeed better than your 4 week old that has had 6 weeks less practice and development? I definitely think that of course there would be ties that impact function but the number of infants receiving this surgical procedure is very alarming, not just because of the potential unnecessary pain but because of the risks you mentioned. It could be that after the tongue tie revision maybe parents are approaching feeding more positively and maybe focussing on latch etc after the tongue tie clipping because having the procedure done has piqued their awareness of this. As you said, without good data we can’t really know
Exactly. I also am getting my IBCLC and I have been doing more research and education on POSITIONING that can help tongue tie babies. We can help the baby adapt to their tongue tie. I truly wonder if we're not trying various methods and immediately going to an issue to blame. It is absolutely true that a tongue tie can cause tongue mobility issues which are important for latch, so a good lactation consultant is vital to help a momma reach this goal before going to a tongue tie release
Having a baby’s (or child’s, adult’s, or as soon as it is identified) tongue-tie fixed can help them to thrive and improve on things like nutrition, speech, sleep quality, and behavior. Having that tongue-tie treated properly by a knowledgeable provider for an average cost of $1,000 is an investment in your child’s future. In many instances, not treating can lead to financial, emotional, and health consequences.
My baby is 9 months we waited to see if she would be okay but it's starting to affect her. She's having trouble eating solids and only eating purees..after eating purees she gets very congested and most of the food ends up outside her mouth..they did a barium test and she does not have gerd and food is going down properly .. we have tried everything and only thing left to assume is that it's the tongue tie...does she sound like a candidate for it??
I’m having the same issue with my 14m old. She’s barely tolerating solids. Found out she has a posterior tie. She’s my third kid so I know what’s “normal” at this stage. I’ll be taking her in to her pediatrician to get opinions.
Sounds like that may be helpful for you little one ❤️
My first born had a tongue tie, we fixed it when he was a newborn, he is 5years old and has a speech delay. My youngest son has a tongue tie we didn't fix, he is 3 years old and also has a speech delay
Thank you! Both of my kids have lip ties, and have a gap in their teeth. Luckily breastfeeding went great, hurt in the first few weeks, but went on over a year. The dentist for my first said we'd keep an eye on it, as it may fix itself by ~5 years.(before adult teeth come in) That is when we'll decide if we'll do something. My 2nd has her first dentist apt next month, so we'll see. :)
For the gap how big is it? And how does it fix itself over the years? So the gap goes away?
What I want to know is how did people feed their babies before all this tongue tie revision?
This is my point. That I do believe we have become so hyperfocused on the tie being the source of all issues when tongue ties have been around for centuries. I feel many are making a bigger deal now. IN olden times, babies adapted to it. They didn't starve
@@pedsdoctalktv thanks for making this video. I agree - I also wonder if it’s getting too much focus because women are taught to breastfeed a certain way and told it’s “wrong” if not.
My babe was born in May and has ties. My midwife told me I should pump or give him formula. Instead of following her way of breastfeeding with the wide open latch I chose to let him latch the way he wanted to and instead focused on positioning for my comfort. Well it works perfectly well and he’s now 4 months and 18lbs!
@@kiksocks12 Yes! Im an IBCLC and position can help for sure and I imagine it's what generations did before tongue tie releases. Unfortunately there are too many people who get hyper-fixated on tongue ties!
@@pedsdoctalktv that’s good to know that you are an LC! I hesitated to hire one when I was struggling because I didn’t want to hear about his ties. Good to know there are LCs out there that assist with positioning etc and working with baby’s unique oral cavity and not push one way of feeding. 💕
@@kiksocks12 100% It's a balance of working with positions and recognizing if releases are needed. 100% if the latch is painful in most posiitons that its making the parent dread feeding, I will recommend releasing (i actually do them!)
Thank you so much for this video! I think my daughter has a tongue tie and I’ve been stressed about it for the last 6 months, but this video helped ease my mind a little. Breastfeeding was really painful for me for the first 8 weeks but then it got better so we chose not to pursue it and I’ve worried I made the wrong decision ever since. Recently I heard that sleeping with the mouth open can be related to ties - is that true, and if so is that something to be concerned about?
Great question. There is some discussion about this! BUT, there is no solid data. So I would say, if its impacting your child's sleep...theyre not sleeping well or you're having trouble settling them, consider the revision!
Get your daughter to have the operation now! It has affected my breathing, jaw and speech, when I became an adult. What this Doctor is not telling you, when your child becomes a adult, this is when the problem really starts, with TMJ. This doctor totally ignores the fact, when you are a child, it is not that bad! When you become a adult, it becomes a slightly complicated operation! I am having my tonged tie, clipped as an adult, which I am very angry about it. It should have been done, when I was a child! Get your child clipped now!
They have sleep apnea because of tongue or lip ties and ppl who have sleep ties they live 10/15 years less. So it should b treated
@@monirasultana1933where are these numbers sourced from? I’d love to read more on this. Thank you.
I was wondering also if these are getting diagnosed more because of an increase in breastfeeding? I feel like more people are trying to breastfeed now compared to when I was a baby. And so more people are hyper aware. No idea. Just a thought. Thanks for the video. Currently have a 3 month old and thought she had a tie and my pediatrician checked her out and said it was all good. Went to a LC who gave me some ideas on positioning and boom, problem solved :)
Absolutely can be! Im so happy you had an IBCLC who worked with you on latch. I am concerned we are not trying other methods to help that child adapt to their physicalities and some go straight to release to a point of obsession. "It MUST be the tie." It could be many things.
Nah, I come from a third world country where most mothers breastfeed out of necessity. Baby formula is way to expensive and a luxury. I never heard about tongue ties. I blame it on all the toxins, chemicals and poisons the US uses on its people!
Hello I was about of a programmer at the u of Winnipeg from 2 to 7 I trying to figure out who I can’t spell or read well this has cause me better jobs though out the years but I would not say my tongue tie is the problem my situation
Ground up .. my experience has moved me up to management and leadership positions my specialty is going into a toxic environment and able to make it beneficial for the owner to the community in a positive light.. yet I can’t go get my ceo management or psychology degree that I wanted to work with others . Wasn’t able to go for my bus lessons because I could not read the government words but yet after chatting to the teacher and I know ….
I did teach my daughter to read and write and her at 12 writes better than I ..
Atm I’m I not working due to disability .. so my veiw point is in a healthy family situation I am sure I would not had this much problem.. but I did start society and help others and thank you for this video cause now I can understand why how a well I can look at right professionals and with the work overcome these two things
How do you know that the thousand of children with tongue ties have no problem later on in life? In the birth clinic I was told it shouldn't be a problem, after 2 weeks of pain I'm considering to give up breastfeeding, got a lot of breastfeeding advice but baby is still not able to latch well.
And the staff at the hospital will never know that.
I'm a 2nd time mom and unsure if my 3 month old has a tongue tie or not. I'm having problems with him properly latching.
I’d recommend having him evaluated by a lactation consultant if you have access to one. They can also help you with his latch. Or your pediatrician can also assess him for tongue tie. Best of luck ❤️❤️
Currently happening with my 12wk granddaughter. Getting evaluated now
Great content, thanks for all you do! We would love to connect , we are all about community education and would love to work together on sharing more information so that folks can make more informed decisions. For every missed diagnosis, there is a misdiagnosis and so it is with information that we will tip the scales in the favor of our patients getting the care they actually need, and not a bunch of procedures that may or may not be necessary. Knowing when NOT to operate is critical, and so thank you for sharing your fair perspective on the matter! Thanks again for all the great work, Cheers, TBI.
Does it mean there is tongue tie if there is lip tie?
I have both tongue and lip tie
My first had a moderate tongue tie and we didn’t fix it. They said he would outgrow it or we could hurt him just for the sake of it. We opted to wait until it was a problem. Plenty of kids speak funny. He spoke on time and had problems with certain pronunciations like every kid, but none associated with his tongue tie. Our second didn’t have a tongue tie. We laugh at how loose his tongue is, it’s definitely getting vitamin D putting on a show. 😂
Think of it this way, are you going to circumcise your son because someone says they MIGHT get an infection, which COULD happen either way??? Just do something because it’s THE THING people do? That wouldn’t be health care.
Yes many kids have significant tongue ties that cause no issues so observation is warranted! With circumcision I think it’s a little more nuanced since sometimes the decision is cultural based and it actually does decrease risk of infection, although overall risk is low. But parents should be given actual risk/benefit info so they can make an informed decision and no parent should be shamed for the personal choice they make
It's just another way toget money from patients in America . I have that, my son, husband, my grandkids. My son couldn't pronounce R and G when a young child, we trained him how to do it, my grandson also, both never had any problems, before and now. It's just as I said, way to get money like it is in "transitioning" for young kids. Awful what's going on here with children, trafficking, "transitioning" sexual abuse . Just has to stop.
Thank you for this worse than useless information. This is actually MIS-information. This message pretends to be helpful, but completely ignores the reality that YES, many kids are seeing affected function in their breastfeeding quality, mouth breathing, sleep quality, teeth alignment, jaw development, speech, and supporting head and neck muscles. However, not every kid shows up with these things affected 100%. It's a spectrum. This message seems to consider it irrelevant that not every kid shows every symptom, during their entire developmental journey. STOP acting like the medical community makes decisions with full knowledge of their blind spots. I am a medical professional. I know we don't know much of what goes into the big picture. So instead we make decisions to safeguard the status quo.
I agree that the severity of symptoms is on a continuum. Some children have no symptoms (and therefore need no intervention) some have mild symptoms that may benefit from intervention, and some have severe symptoms and intervention will be life-changing. The aim of this video was to inform parents on when intervention is needed, and if so, what their options are. Sometimes frenulectomy is needed, but sometimes other interventions (lactation support, feeding therapy etc) can help so these options, if appropriate, that should be discussed with parents as well. Yes we don't know everything about tongue-ties (as we don't know everything about anything in the medical community) so it's important to continue to research the topic and stay up to date on where it stands👍
Don’t we all have tongue ties? I mean I don’t understand. Our tongues are all tied to our mouth.
Correct we all have frenulums (the tissue that connects the tongue to the floor of the mouth) but some are tighter than others
@@pedsdoctalktv so it’s confusing to me when the type of language used is “my baby has a tongue tie”… yeah we all do. Instead they should say something like “my baby has a tongue tie that is tighter than normal” or something like that.
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The data is NOT lacking - you are not informed. There are major RCT’s proving effective’s. Also- ,clipping is NOT a an effective procedure to release effectively. As on OT/‘Slp and IBCLC you have e no idea what you are talking about, You need to understand that clipping is an INCOMPLETE HALF PROCEDURE. But there are indeed studies that show very clearly a clip is INEFFECTIVE procedure ! You are talking about a red herring. A full rekeaease allows proper orzo facial development by allowing. Normal function of the tongue. The lip tie has very little data to support
Everything you are saying is your opinion- not fact or based in research data!!! You are sett8ng families up to fail with your lack of understanding for how milk supply is made, what AIR induced reflux ibis, what the normal
Scar neutral is d
Your own uneducated, uniformed views are not neutral.
Don't release it at any cost. Let your baby get adjust to it
Having a baby’s (or child’s, adult’s, or as soon as it is identified) tongue-tie fixed can help them to thrive and improve on things like nutrition, speech, sleep quality, and behavior. Having that tongue-tie treated properly by a knowledgeable provider for an average cost of $1,000 is an investment in your child’s future. In many instances, not treating can lead to financial, emotional, and health consequences.
Yes I agree some babies really benefit from a frenulectomy. But some babies may have a tongue tie that doesn’t cause any symptoms or problems and in that case no intervention is needed. It just depends on each individual case!