Karyn-Grace,
Frenotomy will lead to palate expansion in young breastfeeding babies, 
but not in older children. The bones are already more formed. But 
orthodontia is a "second chance" to widen the palate if the orthodontist 
uses maxillary expansion. Maxillary expansion needs to be done in the 
preteen years, before the bones of the palate fully knit together in 
midline, so your son can't make up his mind to do this later.

My own son bf adequately once we managed to get positioning and 
unlimited access down, but had speech articulation problems and sleep 
apnea by the time he was 10. Dr. Palmer sent me some articles on 
maxillary expansion for the palate to help the sleep apnea and other 
related problems, and we had that done at 11. It was not pleasant for my 
son, but it eliminated the sleep apnea and sleepiness in school. We also 
did a frenotomy and tonsilectomy simultaneously to give him a better 
airway while the maxillary expansion took place. His speech was perfect 
2 days after the frenotomy, after 7 years of speech therapy improved but 
failed to correct it! (And not one of his many speech therapists ever 
noticed his very obvious tt).

Catherine Watson Genna, BS, IBCLC  NYC

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