What I have learned to be some of the reasons that most clinicians do not
recommend frenotomies is because their text books state this and there is no
money in doing this procedure.  Slowly there is more information being
published on why a tight frenulum can be a problem for infant feeding, later
speech and even much later dental.  Along with the literature more and more
clinicians are learning how to do this procedure and insurance is covering
it.
Even if the tight frenulum does not cause a breastfeeding problem I think the
parents should know all the information of the normal function of the tongue
and what might happen because the tongue is now limited in it's use.
When I was at the conference given by Robin Glass and Lynn Wolf.  Lynn said
that tight frenulums was a problem for breastfeeding but not bottle feeding
and therefore she did not recommend clipping unless the mother was
breastfeeding.  When I went to talk to her about this she was not aware of
Dr. Palmer's work.  She said she knew of one adult who sought out to have his
tongue tie clipped because he wanted to be able to stick out his tongue.  And
I said "what is wrong with wanting to be able to use the tongue in it's
normal function?"
Those of us on this list can help with the continued education of the public
and health care field.  KEEP UP THE GOOD WORK!
Ann Perry RN, IBCLC
Boston, MA

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