Barb: I suggest Allison H's thesis paper on tongue tie for both a good overview of where we are and how we got here as well as an intro to the many implicaitons of tongue tie... From her analysis the move away in part eas due to some over zealousness that lead to death...cutting too much or incorrectly...the pendulum affect... As medicine has divercified the md. who is knowedgeable about either dental issues or speech concerns is not the primary care phy... the prim care is not aware that there can be dental prbs or speech prob and when the occur he refers out... Many dentists are very aware that the tongue is responsible for cleaning and if the tongue can not move, it can not clean... the secondary problem for us is that the dentists are not willing to venture into the mouth of an infant... think nothing of clipping an older child. periodontists fall also into this cat. The people who will clip when speech is an issue are also hesitant to touch an infant... The recent post re the ent resident is classic... he knows.. the incredible is that he would handle an infant... ent's may infact be our best source for clipping. I believe that tongue tongue often is hereditary. Worked with a baby recently whose mother was clipped TWICE! once as an infant... tied to the floor. could not feed at all. her mom was there when I saw them. She then was re-clipped at age 20... said she could not kiss! She too talked about the experiece of having the tongue so tired as to not want to eat or talk..... Patricia