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Intent 2 Tongue-Tie & Tethered Tissues

Therapy Before and After Frenectomy

Why a functional assessment and myofunctional plan should be in place before a tongue- or lip-tie release — and what aftercare supports lasting change.

Direct answer

A frenectomy or frenuloplasty is performed by a dentist or physician. Therapy does not replace that procedure — it prepares the muscles and supports new patterns afterward.

Reviewed by Angie Lehman, RDH, COM — Founder, Oral Myofunctional Therapy of York · Last updated July 13, 2026

The goal is cohesive care: assessment and a treatment plan before release, then timely follow-up so the tongue learns where to rest and function.

Definition

  • Pre-release therapy can begin reversing unhealthy compensations and building awareness so the post-release window is used well.
  • Post-release, OMT helps create new muscle memory — teaching the tongue to elevate, rest on the palate, and participate in healthier swallow and speech patterns.
  • Bodyworkers (osteopaths, PTs, massage therapists) are often part of the team because tethered tissues and compensations are not limited to the mouth.
  • Published guidance associated with Angie's work recommends evaluating with a COM before release and following up promptly after (including within the early post-op window when clinically appropriate).

When to use this guide

  • Use this framework when a release has been recommended and you are deciding timing and providers.
  • Use it when a prior release did not fully change function and you are seeking a structured next step.

Failure modes

  • "Clip and hope" without functional prep or follow-through.
  • Returning to old habits because exercises feel unfamiliar after years of compensation.
  • Missing airway or habit drivers that still push the tongue low even after mobility improves.

Proof & sources

  • Tongue Tie brochure (© 2021): full functional assessment and plan should be in place before the procedure.
  • JAOS: OMT as a necessary adjunct to frenectomy post-care; evaluate with a COM before release and shortly after.
  • OMT of York's Tongue-Tie service line is built around collaborative, in-person care across York and Lancaster County.

Function check · educational

Tongue-tie is about function — not appearance alone.

Many providers only recognize severe ties visually. Diagnosis should be based on function: speech, Oral Rest Posture, growth, chewing, swallowing, breathing, and posture. This is not a diagnosis.

Knowledge check · 1/1

Why pair therapy with a frenectomy when one is indicated?

Action

Bring your questions about timing, providers, and therapy — we help map a clear before/after plan with your surgical provider.

Schedule a Functional Evaluation Back to Learning Center

Common questions

What is the key takeaway from "Therapy Before and After Frenectomy"? +

Pre-release therapy can begin reversing unhealthy compensations and building awareness so the post-release window is used well.

When should someone act on this? +

Use this framework when a release has been recommended and you are deciding timing and providers.

What can go wrong if this is ignored? +

"Clip and hope" without functional prep or follow-through.

Sources

  • OMT of York brochure: Tongue Tie (© 2021)
  • JAOS Winter 2015: "The Ortho Missing Link"