>>My question: on talking about frenulums and suck training for a second time with mom,she mentioned that her upper frenulum (lingual?) was causing the gap between her teeth and at one time discussion was made in her youth of possibly needing to cut it.<< Denise, I'm not the expert here in the least, but I have been studying this issue informally myself. As a matter of fact, I had *my* frenum surgically removed when I was about 7 or 8 because it was separating my front teeth. I have another friend, LLL Leader, who has had a good 3 out of 5 babies with that "hard to flange" upper lip. While it may not be as impairing as a tied tongue, it does seem to contribute in severe cases to poor latch and maternal pain. IMO, the person to do the clipping would be the same as for a frenotomy: a pediatrician, nurse practitioner, dentist, oral surgeon..... preferably someone experienced, or at least with some knowledge! If Alison is still on Lactnet, I hope that she speaks up! -Lisa Marasco, LLLL, IBCLC [log in to unmask]@slonet.org