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Dr. Haller doing a frenectomy on a 17-year-old young man who had speech problems his entire life.

resources

lactation

consultants

Releasing tongue and upper lip ties can eliminate a huge road block in a baby's ability to breastfeed.  However, breastfeeding difficulties can be from a combination of issues of which having a tongue tie may only be one.  We recommend that every mother whose baby undergoes a frenectomy followup with a professional, board certified, lactation consultant.  These trained professionals specialize in breastfeeding problems and understand the difficulties and frustrations new mothers can experience.  They are a treasure trove of knowledge, helpful hints, tips and ideas.

 

There are many breastfeeding consultants out there.  We recommend looking for ones who are International Board Certified Lactation Consultant (IBCLC) certified.

 

This is a list of IBCLC lactation consultants in the Miami-Fort Lauderdale area who Dr. Haller has interviewed and  personally recommends:

Delmar Bauta

www.spiralharbor.com

Pamela DiBosco, IBCLC, RLC

www.birthingandbeyondinc.com   

Jackie Adames, RN, BSN, IBCLC, RLC  

www.bocabfc.com

Yoly Castellanos, IBCLC

www.hypnoBirthingMiami.com   

Ana Urbasterra 

www.lovingstartlactationservices.com

Fatima Gonzalez, IBCLC 

www.mjlactationservices.com

Jodi Miranda, CLC, CLE

www.udderaccess.com  

Hollywood Birth Center

www.hollywoodbirthcenter.com

 

Sandy Lobaina

www.mymomglow.com  

Marina Langsfeld

www.mpowermom.com  

Post-frenectomy exercises and stretching are very important.  After the procedure, you need to keep the wound site open so that it does not heal closed or reattach.  Also, all wounds naturally contract when healing.  After going through all of this to expand the tongue's range of motion, stretching must be done for several weeks to maintain it.  Here is an excellent video for helping you do post frenectomy exercises with your baby.  It is done by Dr. Rajeev Agarwal who is a pediatrician who uses the same CO2 laser that I do.  

post frenectomy

exercises

All About Breastfeeding http://www.allaboutbreastfeeding.biz/rajeev_agarwal/

 

Lawrence Kotlow, DDS

www.kiddsteeth.com

Dr. Kotlow is a pediatric dentist and a leader in laser frenectomies.  In addition to many articles, he has published several books that are extremely helpful.

Tell Me About Tongue Ties! | Breastfeeding USA www.breastfeedingusa.org

 

Melanie Potock Expert Feeding Advice 

https://mymunchbug.com/picky-eater-advice/page/3/

Milk Matters

http://milkmatters.org.uk/2011/04/15/hidden-cause-of-feeding-problems-however-you-feed-your-baby/

 

Guideline on Management Considerations for Pediatric Oral Surgery and Oral Pathology

www.aapd.org/media/policies_guidelines/g_oralsurgery.pdf

This is the official statement put out by the Academy which notes that "laser technology for frenectomies has demonstrated a shorter operative working time, a better ability to control bleeding, reduced intra-and post-operative pain and discomfort, fewer postoperative complications (e.g. swelling, infection), no need for suture removal, and increased patient acceptance."

 

Bobbie Ghaheri, MD

Dr. Ghaheri's Blog posts are all terrific for explaining issues with breastfeeding and how releasing a tongue-tie and upper-lip tie can help infants to breastfeed more effectively. www.drghaheri.com

Infant Massage of South Florida

Kathy Lee Kondla, CEIM

http://bodybellybaby.com/

 

South Florida Music

Early childhood music classes from birth to 9 years

www.southfloridamusic.org

articles

Tongue-tie -- Exploding the Myths

http://www.infantgrapevine.co.uk/pdf/inf_009_exm.pdf

This article gives a good overview of tongue-ties and quotes from an article by McBride which states that "No strong evidence that more complex procedures confer any advantage over more simple techniques."

I recommend checking out his entire website for valuable information about tongue ties from a pediatrician's point of view. www.agavepediatrics.com

other helpful web links

chiropractic

myofunctional

craniosacal

additional 

therapies

recommended

Dr. Joe Coffman

www.vivifymiami.com

Dr. Beth Cooper

www.sunshinechiro.com   

Dr. Vivian Keeler 

www.amazingbirthsandbeyond.com

Theresa Gilmore

www.acupuncturemiamiflorida.com

Robert Murdocco

www.HeadacheandTMDPhysicalTherapy.com

Alison Carine

www.wisdomofthebody.org

occupational therapy

Hi Dr. Haller,

it was a bit of a rough week, but I am nursing and sleeping so much better now.  This makes my mom really happy so thank you.  I'll see you again when I have teeth!