Do I need to do stretches on my baby’s tongue after a tongue tie release? There are many conflicting answers, and it seems like every dental job or ENT practice has a different answer, which gets really confusing for parents. The biggest concern is tongue reattachment after it’s been released, defeating the purpose of release. For some babies it means needing it released again.

From my speech pathology/IBCLC background, to give one answer to all families is a disservice to the unique nature of each tongue that is released and how each body heals (which is as distinct as the individual). We have to consider that this is wound care and we need to understand what that specific tongue did before and after the revision. When you have a tongue that is strong (good muscle tone) with good range of motion, but was only limited because of the frenulum, the stretches, exercises and wound care management are different than a tongue that is super weak and with disorganized movement. I have found in my practice that tongues that are super strong pre-release do much better post release and tend to need much less wound care management to keep the tongue from reattaching. They also need fewer oral motor exercises to get baby back to breast. The tongue was already functioning as it should, it was just anchored by the frenulum. When you have a weak tongue where range of motion was poor to begin with, they tend to need much more suck training/exercises, and without stretching, the tongue will reattach because of how the tongue rests on the floor of the mouth instead of up on the palate during healing. Body work is essential for these babes as the tension and weakness is usually though the whole system. When prescribing wound care management we need to consider what does the tongue do.
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Here’s a phenomenal video of Dr Chelsea Pinto teaching stretches after frenectomy CLICK HERE

For more information on wound care after tongue tie release, Dr Ghaheri has amazing information and videos. CLICK HERE