I think that much of the resistence to clipping frenula stems from the
one sentence in a popular pediatrics textbook about the subject, that
identifies tongue tie as a common parental concern that almost never
causes problems and should not be treated.  Of course this statement is
totally unreferenced.  This is the only mention of the lingual frenum in
well over a thousand pages.
Medicine is as much an apprentice-master culture as it is a science,
maybe more so.  Human beings are also superstitious, and will rely on
one bad experience as the norm for a procedure.  So if the doc's
teachers did not do frenotomy, or if there was one kid who had a little
more bleeding than usual, or one mistake with the procedure, the doc
might never do one again.  If a procedure is well entrenched, then it's
downsides are totally ignored, bad outcomes being identified as a "fluke".
So, first we need good information to be published, then we need those
docs who do perform frenotomy to get out there and TEACH it!
Catherine Watson Genna, IBCLC  NYC

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