Specialized Speech Therapy in Richmond, VA

The medical term for the procedure to release a tongue or lip tie is “frenectomy.” Some may refer to it as a “clipping” in that until recent years the primary form of release was using scissors. Due to advances in medicine, the tie may now be released with a laser and the procedure is informally referred to as a “tongue tie release.”

Discover more about how our team can help with tongue ties by visiting our tongue tie service page or contacting us.

At The Center For Speech and Swallowing we take a conservative approach to frenectomy procedures. This is to allow the baby as much natural improvement as possible prior to considering release of oral ties. Using the Proximal-Distal Theory of Development, we strengthen baby from the core, improve oral strength, and release restricted fascia. These interventions, combined with expert latching strategies, help the baby to achieve normal feeding through these modalities alone. If struggles persist after measurable strengthening is achieved, we then consider releasing oral ties. In this way, the baby’s mouth is stronger and the baby is better prepared to bounce back from the procedure easily.

Many adults live with a tongue tie for years without even realizing it. Just as we do not grow out of a tongue tie, the problems resulting from a tie become worse as we get older. We may snore or develop sleep apnea, the tongue may push against the front teeth during speech or swallowing, we may clench or grind the teeth, to name a few symptoms. Oral myofunctional disorders such as these may be related to a tongue tie. During the evaluation we will determine weaknesses in the oral mechanism and what we can do to improve symptoms. It is never too late to start therapy to address an oral myofunctional disorder.

Infants: After the initial evaluation, a care plan will be developed based on the individual needs of the baby. This will include oral strengthening, manual therapy, latching strategies, and pre- and post-frenectomy care if a release of oral ties is needed. Therapy usually continues for 5-8 weeks, or until the baby is eating normally. Typically, we see improvement each week and base follow-up visits on the baby’s individual needs.

For older children and adults, the course of therapy takes longer because the mouth has had more time to habitually function in a less than optimal way. We will strengthen oral structures and retrain the lips, tongue, and jaw to operate normally. Retraining of correct breathing patterns will be addressed.

Yes! Teletherapy is an effective option for many clients. Virtual sessions use video conferencing platforms to deliver therapy, with activities tailored to your needs. Your speech pathologist will assess if teletherapy is appropriate for you or your child.

Many insurance plans cover speech therapy, especially if it’s deemed medically necessary. Coverage varies, so check with your insurance provider about benefits, co-pays, or required referrals. Our office can assist with verifying insurance or discussing payment options.

Absolutely! Adults can improve communication or swallowing skills affected by stroke, traumatic brain injury, dementia, voice disorders, or other conditions. Speech therapy can also help with professional communication, such as accent modification or public speaking.  At the Center For Speech and Swallowing, we help people of all ages with speech difficulties.

If your baby was nursing (with or without a nipple shield) or taking a bottle, it was probably assumed that everything was fine. Frequently new mothers get home and realize that feeding is not ideal. At that point it is beneficial to consult a specialist, particularly if sessions with the lactation consultant have proven unsuccessful. The earlier a tongue tie is identified and released, the sooner we can train baby to eat without difficulty.

During our initial evaluation I will examine the baby’s mouth and palpate the tie(s) to assess the level of restriction present. I will perform a feeding assessment to evaluate specific issues related to the tongue tie which may inhibit ease of feeding. The evaluation includes a craniosacral fascial treatment, after which I will have a better idea of the severity of the tie(s) and need for release. If we can overcome the feeding issues without having a release, that is the preferable route. If the obstacles to feeding are too great, a release may be necessary in addition to therapy.

There will be some soreness for a few days. Every individual reacts differently. Some infants and children do not even seem to notice, while others may be fussy and choose to avoid eating large amounts for a day or two. The most important thing to keep in mind after the release is that there are stretches that must be completed six times per day for the next four weeks. I will demonstrate the stretches prior to the procedure and reinforce them 2-3 days later during our next follow-up session. The stretches must be done thoroughly and completely so that the frenulum (tie) does not reattach. Our therapy includes supporting you every step of the way before and after the tongue tie is released.

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