04/07/2026
Please stop skipping the lactation assessment before a tongue tie release. 🤍
👅 I have had dozens of families recently contact me after going straight to a pediatric dentist without first having a thorough feeding and lactation assessment.
And honestly… this is becoming a huge problem.
A tongue tie release is not the first step.
If you cut a very tight or restricted tissue that is sitting underneath a weak, poorly coordinated muscle system, you may not be helping feeding the way you hoped.
In some cases, you can actually create more feeding frustration, more compensation, more tension, and more stress for baby and parents if the full picture was never assessed first.
Over the last couple of years, many providers in the holistic lactation, oral function, airway, and infant bodywork space have become much more cautious about recommending immediate release without first looking at:
• feeding function
• tongue strength and coordination
• suck pattern
• oral tension
• body tension
• nervous system regulation
• birth history
• latch and milk transfer
Because not every baby who looks “tied” is a baby who needs to be released right away. Depending on the classification of the frenulum, as well as many other factors.
Sometimes what looks like a tongue tie issue is actually being heavily impacted by:
• birth tension
• induction
• a very fast labor
• a long or difficult labor
• cesarean birth
• in-utero positioning
• nervous system dysregulation
• poor oral muscle function
Start with:
✔️ a thorough feeding assessment by an experienced IBCLC
✔️ evaluation of oral function, milk transfer, and latch
✔️ support for tension and nervous system regulation when indicated
✔️ then determine whether release is truly the next best step
Because lately, I am seeing far too many babies struggle after release and families scrambling for help the very next day.