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Dr. Musani on tongue ties

Dr. Musani on tongue ties


Exercise after the surgery

Cold laser lip tie release

Cold laser tongue tie release

Older Children

Upper Lip Tie - Cold Laser Surgery

Tongue Tie - Cold Laser Surgery

Tongue Tie - What Parents Need To Know?

Some babies with tongue ties and lip ties are able to attach to the breast and suck well. However, many of these infants have
breastfeeding problems. The following signs are common amongst infants with tongue and lip ties and their mothers. However, it is
important to note that these signs can be linked to other breastfeeding problems and are not solely related to ties.


Some babies with tongue ties and lip ties are able to attach to the breast and suck well. However, many of these infants have
breastfeeding problems. The following signs are common amongst infants with tongue and lip ties and their mothers. 

Infant & Mother Assessment Form
Has your infant experienced any of the following? Please check / circle / elaborate as needed.

____ Shallow latch at breast or bottle
____ Falls asleep while eating
____Slides or pops on and off the nipple
____ Colic symptoms / Cries a lot
____ Reflux symptoms
____ Clicking or smacking noises when eating
____ Spits up often? Amount / Frequency_______________
____ Gagging, choking, coughing when eating
____ Gassy (toots a lot) / Fussy often
____ Poor weight gain
____ Hiccups often
____ Lip curls under when nursing or taking bottle

_____Gumming or chewing your nipple when nursing
_____Pacifier falls out easily, doesn’t like, won’t stay in
_____ Milk dribbles out of mouth when nursing/bottle
_____ Short sleeping requiring feedings every 1-2hrs
_____Snoring, noisy breathing or mouth breathing
_____Feels like a full time job just to feed baby
_____ Nose congested often
_____ Baby is frustrated at the breast or bottle
How long does baby take to eat? ________________
How often does baby eat? ________________________

Child Assessment Form
Has your child experienced any of the following issues? Please check or elaborate as needed.


___ Frustration with communication
___ Difficult to understand by parents
___ Difficult to understand by outsiders
___ % Percent of time you understand your child
___ Difficulty speaking fast
___Difficulty getting words out (groping for words)
___ Trouble with sounds (which?)____________________
___ Speech delay (when?)___________________________
___ Stuttering
___ Speech harder to understand in long sentences
___ Speech therapy (how long)_____________________
___ Mumbling or speaking softly
___”Baby Talk”


___ Frustration when eating
___ Difficulty transitioning to solid foods
___ Slow eater (doesn’t finish meals)
___ Small appetite / Trouble gaining weight
___ Grazes on food throughout the day
___ Packing food in cheeks like a chipmunk
___ Picky eater/ with textures (which?)______________
___ Choking or gagging on food
___ Spits out food
___Won’t try new foods
___ Other:

Baby Mouth Massage Exercises
Baby Mouth Massage Exercises

Mouth massage exercises can promote jaw mobility, assist with strengthening oral musculature and bring awareness to oral structures. The massage routine serves as a “warm-up” for feedings so you can try them just before feeding or during a break from feeding towards the start of a meal. Massaging your baby’s mouth should be a pleasant and positive experience for your child. If he/she shows signs of irritability or seems uncomfortable with the massage, discontinue the exercise and either try a different one or try again another time. These exercises can be done a few times daily and completed in just a few minutes. It is important for you to be aware of your baby’s communication signs as some babies are more sensitive in and around the mouth. Mouth massage may be used during the first 2 years of life and beyond!

Cheek & Lip Circles

1. Massage your baby’s face by making circles with your index and middle fingers. Press firmly but gently into your baby’s cheeks, making 3-5 circles while moving towards the lips.
2. Make 3-5 smaller circles on the lips while moving toward the center of the lips.

Tongue “Tug-of-War”

1. Gently stroke your baby’s lower lip and allow your baby to suck your index finger into his/her mouth. Swipe the roof of the mouth gently to stimulate baby to suck if necessary. Do NOT push the tip of your finger into the center of your baby’s hard palate (the roof of the mouth) – this area is very flexible at birth, like the soft spot on your baby’s head.

Mouth Massage Exercises For Children
Mouth Massage Exercises For Children

The following exercises need to be done 4 times a day 

  • PAINT THE ROOF: Raise the tongue and scrape back and forth. Repeat 25 times.

  • SNAKE EXERCISE: Make a point with your tongue, extend the pointed tongue out of your mouth and pull it back in. Make sure the tip of your tongue does not touch the lips. Repeat 25 times.

  • LATERALISATION / TOUCH THE THREE SPOTS: Move the tip of your tongue from side to side, left, right and spot on the palate. Touch the spot on the palate with the tip of your tongue. Continue to move the tongue left and right and return it to the spot on the palate. Repeat 10 times.

  • GUMBALL / JAWBREAKER: With lips closed point the tongue into your left cheek. It should look like a jawbreaker in the side of your cheek. Hold for 10 seconds. Now move it to the right and hold for 10 seconds. Repeat 10 times.

  • CLICKING NOISES: Touch the tongue to the roof of the palate and produce clicking sounds. Repeat 25 times

  • PENCIL PULL: Hold the pencil across the front portion of your teeth. Direct the tongue over the pencil with the tip curling down. Hold foe 5 seconds. Direct the tongue under the pencil with the tip curling up. Hold for 5 seconds. Repeat 5 times.

1. Tongue Tie - What Parents Need To Know?


2. Infant & Mother Assessment Form


3. Child Assessment Form


4. Baby Mouth Massage Exercises


5. Mouth Massage Exercises For Children

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