In this episode of the Tongue Tie Experts Podcast, host Lisa Paladino, CNM, IBCLC, speaks directly to dentists — whether you’re already performing frenotomies or considering a laser purchase. Drawing on over a decade of experience supporting families and collaborating with dentists, Lisa outlines six essential considerations for best practices in tongue tie release.

Key Takeaways:

🔹 The Awesome Responsibility: Recognizing the holistic and profound impact of tongue tie release on families.

🔹 Key Questions to Guide Your Practice:

🔹 Beyond the Quick Fix: Understanding that frenotomy is more than a procedure — it’s part of a larger journey requiring follow-up care, bodywork, and ongoing support.

🔹 Empowering Families: Equipping families with resources and realistic expectations to foster confidence and informed decision-making.

Lisa also shares insights about her Professional’s Guide to Tongue Tie in the Breastfeeding Infant and Patient Education Resources — tools she’s honed to support both professionals and families in navigating this complex topic.

Resources & Links:

• Explore Lisa’s comprehensive Professional’s Guide to Tongue Tie: https://www.tonguetieexperts.net/Professional
• Patient Education Bundle for Professionals (now in Spanish & English): CLICK HERE

Connect:

Have questions or want to share your experience? Reach out to Lisa at info@tonguetieexperts.net or connect on Instagram @tonguetieexperts.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino, CNM, IBCLC, speaks with Patricia Berg, IBCLC and craniosacral therapist, about the power of combining bodywork and lactation care. They explore how craniosacral therapy supports breastfeeding, the importance of addressing birth trauma, and how collaboration and evidence-based practice enhance infant outcomes.

Key takeaways:

• Craniosacral therapy is gentle, holistic, and non-invasive.
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• Addressing birth trauma can support breastfeeding success.
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• Peer support and interdisciplinary teamwork matter.
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• Evidence-informed care enhances confidence and results.

Patricia Berg can be found here: 800lactate.com

Resources & Links:

🔹 Learn more about tongue tie & professional education: https://www.tonguetieexperts.net/

🔹Tongue Tie Experts Insiders

https://www.tonguetieexperts.net/Insiders

Patient Education Bundle for Professionals (now in Spanish & English): CLICK HERE

Special thanks to this week’s sponsor, CaboCréme

Learn more IG: cabo_creme FB: cabocremeusa

Receive 10% off with the coupon code TT2025.

Order here: https://cabocreme.com/products/extra-strength-cabbage-extract

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

Mentioned in this episode:

Cabo Creme Ad Link

In this engaging episode, Lisa Paladino highlights the power of interdisciplinary teamwork in healthcare, especially in tongue tie management and lactation consulting. Drawing from her nursing career, she emphasizes the value of nurturing environments for new providers, open communication amid controversies, and the continuous journey of professional development. Lisa offers actionable insights on building strong networks of resources and referrals, empowering practitioners to confidently enhance patient care.

Key Takeaways:

• Interdisciplinary Collaboration: Essential for effective healthcare and tongue tie management.
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• Mentorship & Support: Personal experiences shape a nurturing and positive work environment.
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• Education & Communication: Critical for addressing controversies and empowering new practitioners.
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• Building Networks: A strong referral system enhances patient care and professional growth.
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This episode is a must-listen for healthcare professionals looking to expand their skills, build robust networks, and transform patient care through collaboration.

Links mentioned: Insiders, educational materials link.

Resources & Links:

🔹 Learn more about tongue tie & professional education: https://www.tonguetieexperts.net/

🔹Tongue Tie Experts Insiders (mentioned in the episode) https://www.tonguetieexperts.net/Insiders

Patient Education Bundle for Professionals (now in Spanish & English): CLICK HERE

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode of Tongue Tie Experts, host Lisa Paladino speaks with pediatric therapy specialists Rachel Best and Jamie Smith. They discuss their pilot study on the timing of frenotomy and its impact on treatment outcomes. The conversation explores the importance of research in infant feeding therapy, the role of pre-frenectomy care, and how tissue changes influence interventions. They also address accessibility challenges, insurance barriers, and the need for collaboration among healthcare providers. Additionally, they emphasize educating parents, recognizing feeding difficulties, and taking a holistic approach to pediatric health.

Key Takeaways:

• Multidisciplinary collaboration is essential in pediatric therapy.
• Research, including their pilot study, helps validate treatment timing.
• Pre-frenectomy therapy can improve outcomes.
• Accessibility and insurance challenges limit care options.
• Effective communication with families is crucial.
• Open mouth posture and tongue position affect oral development.
• Mouth breathing can contribute to health issues.
• Colic often requires deeper investigation.
• Individualized care leads to better outcomes.
• Online resources can support families lacking in-person access.

Rachel Best is the founder and clinical director of Small Steps Therapy LLC, where she has built a multidisciplinary, multispecialty practice that provides comprehensive, whole-body care for families. As a Speech-Language Pathologist, Certified Orofacial Myologist, and IBCLC, she is one of the few clinicians worldwide to hold all three credentials. With 17 years of experience,

Jamie Smith is the Director of Occupational Therapy at Small Steps Therapy and one of Rhode Island’s few AOTA Board-Certified Pediatric Specialists. With over a decade of experience, she specializes in infant feeding, development, and torticollis management, emphasizing the connection between tongue tie, body function, and feeding success.

Together, Rachel and Jamie are passionate about advancing pediatric therapy, supporting families, public speaking, and mentoring professionals.

You can find Small Steps Therapy here: https://www.instagram.com/smallstepstherapy/

and connect to Rachel & Jamie here:

Rachel@SmallStepsTherapy.com

Jamie@smallstepstherapy.com

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino, CNM, IBCLC, explores the complex—and often controversial—challenges that lactation consultants face when assessing and managing tongue tie in infants. From inconsistent training and ambiguous assessments to provider disagreements and family pressures, Lisa breaks down the barriers to effective care and offers actionable strategies to overcome them.

Key Topics Covered:

• Inconsistent Training & Guidelines: Education on tongue tie varies widely, leaving many professionals with limited or conflicting knowledge. Lisa stresses the need for specialized, evidence-based continuing education and peer collaboration to build confidence and competence.
• Challenges in Assessment: Accurate diagnosis requires more than a visual check—functional assessment is key. Lisa highlights the importance of understanding oral mechanics and using supportive and proven assessment tools.
• Interprofessional Disagreements: Differing views among health care providers can confuse families and complicate care. Lisa advocates for respectful, evidence-informed communication and building a trusted referral network.
• Parental Pressure for Immediate Answers: Families often seek quick fixes amidst feeding struggles. Lisa emphasizes the value of compassionate education, managing expectations, and offering follow-up support.
• Limited Access to Qualified Providers: A shortage of experienced tongue tie professionals can hinder timely treatment. Lisa encourages exploring virtual consults, maintaining referral lists, and advocating for increased local training.

Takeaway:

Navigating tongue tie assessment and treatment is both controversial and challenging—but with the right tools, education, and collaboration, lactation consultants can support families more effectively and confidently.

Resources & Links Mentioned:

🔹Professional’s Guide to Tongue Tie : https://www.tonguetieexperts.net/Professional

🔹Tongue Tie Experts Insiders https://www.tonguetieexperts.net/Insiders

🔹ICAP: https://icapprofessionals.com/

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

“I can hardly believe it—we’ve made it to 100 episodes! When I first started the Tongue Tie Expert’s podcast, my goal was simple: to educate, support, and connect professionals working with tongue-tied infants and their families. But I never could have imagined the incredible journey it would become.

Reaching this milestone is no small feat—most podcasts don’t make it this far—and it’s all thanks to you: our dedicated listeners, expert guests, and the passionate community that continues to grow around this work.

So today, I just want to say thank you. Thank you for tuning in, for sharing, for learning alongside me, and for being part of this journey.

To celebrate, we’re offering a special discount—50% off all courses this week only! Use code 100THEPISODE at checkout.

Thank you for being part of this community. Here’s to the next 100 episodes! ”

In this episode of The Tongue Tie Experts Podcast, Lisa Paladino speaks with Dr. Justin Roche and Kate Roche, founders of the National Tongue Tie Center in Ireland. They discuss their unique approach to tongue tie treatment, emphasizing interdisciplinary collaboration, individualized care, and the development of a professional tongue tie toolkit.

The conversation explores early intervention’s impact on toddler development, sleep quality, and sensory integration. Justin and Kate share insights on patient-centered care, including the use of conscious sedation to reduce stress and improve outcomes. While treatment approaches may vary among professionals, the underlying principles remain the same—prioritizing function, feeding, and patient well-being. They also stress the importance of consumer awareness and professional education in improving outcomes for children.

Key Takeaways:

✔ Interdisciplinary collaboration enhances tongue tie treatment.

✔ Individualized care is key—no two patients are the same.

✔ Early intervention can unlock a child's potential.

✔ Sleep quality, not just duration, impacts overall health.

✔ Breastfeeding struggles can signal future health concerns.

✔ Healthcare professionals must continuously learn and adapt.

✔ Increased consumer awareness empowers parents and providers.

Resources & Links:

🔹 Learn more about tongue tie education: https://www.tonguetieexperts.net/

🔹Tongue Tie Experts Insiders https://www.tonguetieexperts.net/Insiders

🔹More about Dr. Roche & Kate Roche: National Tongue Tie Center

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino CNM, IBCLC calls on her experience and current literature to discuss the procedure for frenotomy for breastfeeding infants, focusing on the tools used, the types of providers who perform the procedure, and the associated risks and precautions.

She emphasizes the importance of understanding these aspects for professionals who work with infants and breastfeeding. Lisa also highlights the differences between scissor releases and laser releases, explaining the benefits of using a CO2 laser. She advises choosing an experienced provider and following proper aftercare instructions. Additionally, she stresses the importance of working with a lactation consultant before and after the release procedure.

Reference: Garrocho-Rangel A, Herrera-Badillo D, Pérez-Alfaro I, Fierro-Serna V, Pozos-Guillén A. Treatment of ankyloglossia with dental laser in paediatric patients: Scoping review and a case report. Eur J Paediatr Dent. 2019 Jun;20(2):155-163. doi: 10.23804/ejpd.2019.20.02.15. PMID: 31246095.

More on Frenotomy:

https://www.tonguetieexperts.net/blog

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode, Lisa Paladino shares her top five takeaways from the American Laser Study Club’s Breathe & Thrive Conference. While tongue tie is often discussed in the context of breastfeeding, this conference reinforced its lifelong impact on airway health, speech, sleep, and overall function. Lisa breaks down key insights from leading experts and discusses how professionals can improve outcomes for infants and beyond.

Key Takeaways:

1️⃣ Tongue Tie Is More Than a Breastfeeding Issue – It impacts oral development, airway health, and lifelong function, not just infant feeding.

2️⃣ Collaboration Is Essential – No single provider can fully treat tongue tie. Success comes from teamwork between lactation consultants, SLPs, bodyworkers, and release providers.

3️⃣ Function Over Form – A release alone isn’t enough. Pre- and post-procedure therapy are critical for proper tongue function.

4️⃣ Airway Health Starts Early – Mouth breathing, poor oral habits, and sleep issues often stem from oral restrictions that should be addressed in infancy.

5️⃣ Misinformation Still Exists – Many outdated myths persist, and ongoing education is essential to ensure families get the right care.

Resources & Links:

🔹 Learn more about tongue tie & professional education: https://www.tonguetieexperts.net/

🔹Tongue Tie Experts Insiders (mentioned in the episode) https://www.tonguetieexperts.net/Insiders

🔹 Learn about airway here: https://www.airwayrevolution.org/

Special thanks to this week’s episode sponsor, the Annabella Breast Pump.

Discover more at https://annabella-pump.com and use code TTE15 for Tongtai experts to receive 15 % off your purchase.

More From Tongue Tie Experts:

To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/Links

Use code PODCAST15 for 15% off all of our offerings.

A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.