{"id":55402,"date":"2021-04-01T10:00:41","date_gmt":"2021-04-01T14:00:41","guid":{"rendered":"https:\/\/blog-well.ca\/?p=55402"},"modified":"2026-06-30T16:29:10","modified_gmt":"2026-06-30T20:29:10","slug":"lactation-consultant-a-dentist-talk-tongue-lip-tie","status":"publish","type":"post","link":"https:\/\/well.ca\/blog\/lactation-consultant-a-dentist-talk-tongue-lip-tie\/","title":{"rendered":"A Lactation Consultant &#038; A Dentist talk Tongue &#038; Lip Tie"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_column_text]<span style=\"font-weight: 400;\">Tongue &amp; Lip Tie may be a term you\u2019re not familiar with at all, or maybe you\u2019ve been having trouble with breastfeeding and your Lactation Consultant assesses your infant\u2019s latch, witnesses their behavior while nursing and concludes your baby has a tongue or lip tie which is impacting their ability to feed.\u00a0 Either way, what is the next step for you and your little one? We sat down with Dr. Johal, Holistic Dentist specializing in Infant and childhood dental and airway development and Taya Griffin, International Board Certified Lactation Consultant to chat about what to do next.\u00a0<\/span><\/p>\n<h4><b>1.What is a tongue or lip tie?<\/b><\/h4>\n<p><b>Dr. Johal &#8211;\u00a0 <\/b>A tongue tie is a condition in which an unusually short, thick or tight band of tissue tethers the bottom of the tongue to the floor of the mouth. This can constrain not only the tongue, but mouth, neck, and connected muscles as well. A lip tie is when there is tissue connecting the upper lip to the upper gum restricting the mouth\u2019s mobility. \u00a0 I usually say, it&#8217;s not the structure I&#8217;m concerned with, it&#8217;s the function. Sticking out the tongue for an infant tells us they can probably lick ice cream, but that will not help with nursing because the tongue needs to elevate up against the palate to properly express milk.<br \/>\n<b><\/b><\/p>\n<h4><b>2.What are the symptoms of a tongue tie in nursing and bottle fed babies?<\/b><\/h4>\n<p><b>Taya Griffin, IBCLC &#8211;\u00a0 <\/b>The most common symptom that draws mothers to book a virtual, in home or clinic visit is painful nipples. \u00a0Mothers will feel significant discomfort and have damaged and misshapen nipples while nursing. Another symptom of oral ties is the inability of the baby to efficiently remove milk from the breast. \u00a0Babies may be labelled &#8220;lazy&#8221;, will have frequent feeds, long feeds and may not be taking in enough milk. \u00a0This can lead to lowered supply and the need for supplementation. \u00a0Breasts that are not well drained by the tongue-tied baby may experience blocked ducts, milk blebs and possibly mastitis. \u00a0Sometimes when the baby is feeding they cannot create a full seal at the breast meaning they will take in air and leak milk while they are drinking.\u00a0 Babies may also make a tell-tale clicking sound at the breast and may have blisters on their upper and lower lips.\u00a0 \u00a0Babies who are bottle fed may also lose milk outside of their mouth and have a hard time drinking well from the bottle. \u00a0Additional symptoms include gas, reflux and unrestful sleep<\/p>\n<h4><b>3.How did you both get interested in tongue ties?<\/b><\/h4>\n<p><b>Dr.Johal &#8211; <\/b><span style=\"font-weight: 400;\">\u00a0Breastfeeding was a horrible experience for me. I tried for 6 months with my oldest and only lasted 3 months with my youngest. I knew something was wrong, but all the professionals told me there was nothing wrong \u2014 and was even told, \u201cthe babies are large and you&#8217;re tiny\u201d. I was not enjoying my breastfeeding experience.\u00a0 When I wasn\u2019t breastfeeding, I was pumping.\u00a0 As a dentist, I should have known more. I started learning about tongue ties a few years after having my children, and came home crying because I learnt that both of my children were tongue tied. From that moment, I knew I had to help other mothers struggling with breastfeeding.\u00a0 I love my job and see patients of all ages at my clinic Family Dental Centre and Tongue &amp; Lip Tie Centre, in Guelph.\u00a0<\/span><\/p>\n<p><b>Taya Griffin, IBCLC<\/b><span style=\"font-weight: 400;\"> &#8211; I studied at the Newman Breastfeeding Clinic (now International Breastfeeding Centre). A world class learning ground, I could not have had a better foundation in lactation education. \u00a0We witnessed many incredible results after the release of oral ties alongside solid breastfeeding support. \u00a0\u00a0 Subsequently, it turned out both of my little girls required a tongue tie release within the first 5 days of their life.\u00a0 I have since participated in many more conferences and masterclasses around\u00a0 tongue tie and oral rehabilitation. I now work at Kidcrew Lactation Clinic in Midtown Toronto where, every week, we assess for and release tongue ties in babies who are having trouble nursing.\u00a0 I also see mothers virtually and at home.\u00a0 I couldn\u2019t love my job more!\u00a0\u00a0<\/span><\/p>\n<h4><b>4. Will my primary health care provider assess for a tongue tie?\u00a0<\/b><\/h4>\n<p><b>Taya Griffin, IBCLC<\/b><span style=\"font-weight: 400;\"> &#8211; Unfortunately, unless your health care practitioner (doctor, midwife, dentist) has had a personal experience with or taken a special interest in nursing and oral ties then they may know very little about how to assess for and address tongue ties. \u00a0There is very little education on oral ties in the traditional medical stream. \u00a0A\u00a0level of skepticism exists until they begin to see the results of how a release can help the breastfeeding dyad. \u00a0<\/span><\/p>\n<p><b>Dr. Johal<\/b><span style=\"font-weight: 400;\"> &#8211; As a dentist, we were taught very limited knowledge about tongue ties and the long-term effects. There is more research emerging in support of the benefits of getting a tongue tie released in infants.\u00a0Interestingly, in Brazil it is standard practice that tongue ties are screened for in newborns before leaving the hospital, and they have seen a substantial decrease in nursing issues. I am hoping this becomes standard practice everywhere! If you feel that your baby is tongue tied, advocate for them to be assessed by your health care practitioner or find someone who is educated on the topic to do an assessment.\u00a0<\/span><\/p>\n<h4><b>5. Do I need to get my baby\u2019s tongue tie released?\u00a0 If I do, where do I go?\u00a0\u00a0<\/b><\/h4>\n<p><b>Taya Griffin, IBCLC<\/b><span style=\"font-weight: 400;\"> &#8211; Parents need never release a tongue tie if they do not feel comfortable with the procedure. The key is to look at infant feeding goals, work with a skilled professional and to go with one&#8217;s gut.\u00a0 \u00a0If the decision is to release the tongue, the key is to work with a pediatrician or dentist that is highly experienced in the procedure. \u00a0The tool that is used, scissors or laser, really does not matter. \u00a0Rather it is the skill and experience of the provider. \u00a0In the case of breastfeeding challenges, it is vitally important that an IBCLC be present for the release for immediate breastfeeding support. Alternatively, connecting with an IBCLC as soon as possible is crucial.\u00a0<\/span><\/p>\n<p><b>Dr. Johal &#8211; <\/b><span style=\"font-weight: 400;\">If a tongue tie is present, it should be addressed. I release tongue ties in older children and adults.\u00a0 I see the long-term effects of tongue tie such as poor posture, speech impairment, small airway, sleep disordered breathing\u00a0 facial development and malocclusion.\u00a0 When looking for a professional to release a tongue tie, it is important to find someone professionally trained and who has experience with the procedure. In\u00a0 my office, I use a Co2 laser with no needles, and no bleeding. \u00a0 In addition, the procedure involves a thorough assessment to ensure that there are no other underlying issues. Most of my infant patients do not need pain medication after the procedure and heal very quickly. <\/span><\/p>\n<h4><b>6. Are there any guarantees that a tongue tie will solve all issues?<\/b><\/h4>\n<p><b>Taya Griffin, IBCLC<\/b><span style=\"font-weight: 400;\"> \u2013 Just releasing a tongue tie for nursing issues without consulting a lactation consultant is not recommended.\u00a0 Working on latching, feeding management and other nursing challenges will mean better results post tongue tie release. \u00a0 It is also important to remember that when a baby has an oral tie they are generally tight in other areas of their body. \u00a0Despite a tongue tie release they may continue to hold onto their tightness and dysfunction.\u00a0 Best practices would be to have baby see a bodywork practitioner such as an osteopath, pediatric chiropractor or cranial sacral therapist.\u00a0 Ideally this would happen both before and after the tongue tie release.\u00a0 Adding tummy time and rhythmic movement is important. Avoiding swaddling babies also gives them ample opportunity to move their body which is very important.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><b>Dr. Johal &#8211; <\/b><span style=\"font-weight: 400;\">I completely agree with Taya! A collaborative approach is the best for the baby and mom.\u00a0 Some babies will need to see a body work practitioner in addition to a lactation consultant.\u00a0 While not\u00a0 all results are immediate, some mom\u2019s will feel and see the difference when they feed immediately after the release!\u00a0 Along with all the other benefits, a tongue tie release can affect the shape of the baby&#8217;s head. We have gotten some amazing results working with physical therapists, osteopaths, chiropractors, and cranial sacral therapists to help with baby&#8217;s head shapes. The bodywork will help loosen tightness all over the body from head to toe, especially in our torticollis babies, where the baby tilts their head more to one side.\u00a0<\/span><\/p>\n<p><b>Taya Griffin, IBCLC<\/b><span style=\"font-weight: 400;\"> \u2013 In conclusion,\u00a0 if you find that things are not going well with your nursing experience it is important to seek out help. \u00a0 If you do not feel that you are getting the answers you need and you are still in pain, your baby is still not getting enough at the breast then seek out additional help. Achieving your infant feeding goal IS possible.\u00a0 \u00a0 Both Dr.Johal and I are available to answer any questions or concerns you may have. You can book virtual consultations via Well.ca from the comfort of your own home.\u00a0 Happy Nursing!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Taya Griffin<\/b><span style=\"font-weight: 400;\"> is an International Board Certified Lactation Consultant, practicing in the Toronto area. Looking for support on your Breastfeeding journey? <\/span><a href=\"https:\/\/intakeq.com\/booking\/xzmjvc?categoryId=cf4b0b09-186c-4e9c-b8a6-1c6fa8b02b75\"><span style=\"font-weight: 400;\">Virtually connect with Taya through Well.ca Services<\/span><\/a><span style=\"font-weight: 400;\">!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Dr. Mandeep Johal<\/b><span style=\"font-weight: 400;\"> is a Holistic Dentist.\u00a0 She practices at her clinic Family Dental Centre and Tongue &amp; Lip Tie Centre, and can virtually connect with you through Well.ca Services. <\/span><a href=\"https:\/\/intakeq.com\/booking\/xzmjvc?categoryId=e7107165-5a71-4841-91e3-4b4ce753fbd5\"><span style=\"font-weight: 400;\">Try a discovery call today<\/span><\/a><span style=\"font-weight: 400;\">!<\/span>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_column_text]Tongue &amp; Lip Tie may be a term you\u2019re not familiar with at all, or maybe you\u2019ve been having trouble with breastfeeding and your Lactation Consultant assesses your infant\u2019s latch, witnesses their behavior while nursing and concludes your baby has a tongue or lip tie which is impacting [&hellip;]<\/p>\n","protected":false},"author":46,"featured_media":55403,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"cybocfi_hide_featured_image":"","footnotes":""},"categories":[1800],"tags":[],"class_list":["post-55402","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-family"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Lactation Consultant &amp; 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