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Jessica Giametta

Harmonizing Perspectives: Navigating Tongue Ties with Compassion and Wisdom

Welcome to a conversation about oral tethers also known as Tongue Ties —a topic that's been generating quite a buzz lately. Whether you're a concerned parent navigating your child's developmental milestones or a healthcare provider keen on offering the best care, I invite you to explore this balanced perspective together.


Every child is unique, and so are their anatomical features, including the lingual* and labial** frenulums (*Definitions at the bottom!). It's natural for variations to exist, and it's equally natural for parents to seek clarity on how these differences may impact their child's speech and feeding abilities.


As a parent, it's understandable to have questions and concerns, especially when faced with conflicting opinions. Likewise, healthcare providers, including doctors, are tasked with the responsibility of ensuring the best outcomes for their patients while navigating the complexities of oral tethers.


While acknowledging the diversity in frenulum lengths, it's essential to look beyond mere anatomy and delve into the functional aspects. Is the oral tether significantly impacting your child's speech or feeding abilities? This is where a thorough assessment comes into play.

Rather than rushing into surgical interventions, I advocate for a more conservative approach that emphasizes exploring alternative strategies. Parents, rest assured that there are various techniques and therapies available that can help address any challenges posed by an oral tether.


At the same time, I understand the concerns of healthcare providers who may be wary of aggressive tongue tie recommendations. By adopting a balanced approach that prioritizes function over anatomy, we can ensure that every decision is made in the best interest of the child.

In cases where there is a consensus among healthcare professionals regarding the functional impact of an oral tether, collaboration is key. Together, we can embark on a journey that includes pre-release assessments and preparations aimed at optimizing outcomes and minimizing risks.


Ultimately, our goal is the same: to provide the best possible care for every child. By fostering open communication, mutual understanding, and a commitment to evidence-based practices, we can navigate the complexities of oral tethers with confidence and compassion.


  1. *Lingual Frenulum: This is the band of tissue that connects the underside of the tongue to the floor of the mouth. It helps stabilize the tongue's position and movement.

  2. **Labial Frenulum: This refers to the band of tissue that connects the inside of the upper lip to the gums just above the front teeth or the inside of the lower lip to the gums just below the lower front teeth.

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