Dear Jan - It sounded like you had a tough day! I was working on a note to post on weaning and dental caries, but when I read your note on the case on a tight frenulum, I thought I would jump in to pick up your spirits. After my presentation at the ILCA Conference in Kansas City - NOBODY, not even the physicians, WILL EVER be able to say to you: "It shouldn't be a problem"! I will be showing cases where frenums have a devastating effect on the dentition, on speech, on digestion, and can even be a contributing factor to a very serious and sometimes deadly condition - obstructive sleep apnea (OSA). Frenums are very destructive to the dentition - causing mal-occlusions (and all the consequences of that) and open bites. A couple of years ago I had a lady in her mid forties state she had been on medications ALL OF HER LIFE for gastric problems and nobody could help her. I recommended she be evaluated by a surgeon to consider a frenectomy - she had the surgery and has not taken a pill since. I have an elderly patient who has serious sleep apnea - a contributing factor is his frenum. NOBODY can tell you "It shouldn't be a problem"! Re: - article on dental caries and weaning. Can someone post the name and source of the article you have been talking about. I will read and give you my comment. I have some interesting data to tell you already, but I want to read the article before posting. I will identify myself each time I post with the phrase "Dental Note" followed by the topic I will discuss. I have several I would like to discuss with you. I just need to find the time. See you in Kansas City July 11-14. Brian Palmer, D.D.S. bpalmer@[log in to unmask]