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Evidence Based Practice

We understand that the abundance of information available to parents today is oftentimes overwhelming. We are committed to operating under the most relevant evidence-based and clinically-based practices. Our practices are based on, but not limited to, the following research studies:

Baxter, R. (2018). Tongue Tied: How a tiny string under the tongue impacts nursing, speech, feeding, and more. Alabama, GA: Alabama Tongue-Tie Center.

Baxter, R., Merkel-Walsh, R., Baxter, B. S., Ashley, A., & Rendell,  N. R. (2020). Functional improvements of speech, feeding, and sleep  after lingual frenectomy tongue-tie release: A prospective cohort study.  Clinical Pediatrics,  000992282092805 


Boshart, C. (2015).  Demystifying tongue tie, methods to confidently analyze and treat a tethered tongue. Ellijay, GA: Speech Dynamics Inc.


Buck, L. S., Frey, H., Davis, M., Robbins, M., Spankovich, C.,  Narisetty, V., & Carron, J. D. (2020). Characteristics and considerations for children with ankyloglossia undergoing frenulectomy  for dysphagia and aspiration. 

Campaign SM, Fontes MJ, Camrgos PA, Freire LM (2010). The impact of  speech therapy on asthma and allergic rhinitis control in mouth  breathing children and adolescents. Jornal de Pediatria, May-Jun;86(3):202-8.doi:10.2223/JPED.1995. Epub 2010 May 6.   American Journal of Otolaryngology, 102393. doi: 10.1016/j.amjoto.2020.102393

Hand, P.,  Olivi, G., Lajolo, C., Gioco, G., Marigo, L., Castagnola, R., &  Cordaro, M. (2020). Short lingual frenum in infants, children, and  adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease  improvement after tethered oral tissues release. European journal of  paediatric dentistry, 21(4), 309–317.

Mariana Do Rêgo Barros De Andrade Fraga, Barreto, K. A., Lira, T. C. B.,  & Menezes, V. A. D. (2020). Is the Occurrence of Ankyloglossia in  Newborns Associated with Breastfeeding Difficulties? Breastfeeding  Medicine. doi: 10.1089/bfm.2019.0199 

Merdad H. & Mascarenhas, A, K. (2020). Ankyloglossia may cause  breastfeeding, tongue mobility, and speech difficulties, with  inconclusive results on treatment choices. Journal of Evidence Based Dental Practice, 10 (3); 152-153.  

Merkel-Walsh, R. (2020). Orofacial myofunctional therapy with children  ages 0-4 and individuals with special needs, International Journal of  Orofacial Myology and Myofunctional Therapy, 46 (1), 22-36.   

Messner, A. H., Walsh, J., Rosenfeld, R. M., Schwartz, S. R., Ishman, S.  L., Baldassari, C.,Satterfield, L. (2020). Clinical Consensus  Statement: Ankyloglossia in Children. Otolaryngology–Head and Neck  Surgery, 019459982091545. doi: 10.1177/019459982091545

Sfasciotti, G. L., Zara, F., Fioravanti, M., Guaragna, M., Palaia, G.,  & Polimeni, A. (2020). Frenulectomy with Diode Laser Technology in  Paeditric Patients: Quantitative and Qualitative Evaluations. Randomized  Double- Blind Clinical Trial. Applied Sciences, 10(12), 4114.  doi:10.3390/app10124114 

Slagter, K. W., Raghoebar, G. M., Hamming, I., Meijer, J., &  Vissink, A. (2020). Effect of frenotomy on breastfeeding and reflux:  
results from the BRIEF prospective longitudinal cohort study. Clinical  oral investigations, 10.1007/s00784-020-03665-y. Advance online  publication. 

Zaghi, S., Valcu-Pinkerton, S., Jabara, M., Norouz-Knutsen, L., Govardhan, C., Moeller, J., Sinkus, V., Thorsen, R.S., Downing, V., Camacho, M., Yoon, A., Hang, W.M., Hockel, B., Guilleminault, C. and Liu, S.Y.-C. (2019), Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases. Laryngoscope Investigative Otolaryngology, 4: 489-496.

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