Integrative Care For
Oral Restrictions


Office Policies

Oral restrictions, tongue and lip ties, are when the lingual (tongue) or labial (lip) frenulum restricts function. We are committed to resolving and even preventing the negative effects these restrictions have on growing children! Some examples of ways tongue and lip ties impede quality of life are:

Trouble with breastfeeding or bottle feeding


  • Persistently shallow latch
  • Clicking, chomping, grinding
  • Air swallowing (gulping, gas, reflux)
  • Low weight gain or weight gain that declines
  • Blisters on the lips
  • Short frequent feedings or very long feedings
  • Spilling milk out of the sides of the mouth
  • Poor breast emptying (plugs, mastitis, low supply)
  • Inflammation (oversupply, vasospasms, aching)
  • Cracked or blistered nipples

Chronic Tension


  • Neck tension, torticollis
  • Tension headaches
  • TMJ issues F
  • acial strain (especially in lips)
  • “Golfball” chin

Trouble with solid food


  • Gagging on certain foods
  • Pickiness about textures
  • Chipmunking (piling food in cheeks)
  • Choking easily (aspiration)
  • Food falling out of mouth while eating

Airway/Sleep Issues


  • Sleep apnea
  • Enlarged tonsils and/or adenoids
  • Snoring
  • Grinding teeth
  • Night terrors
  • Frequent waking
  • Prolonged Enuresis (bed-wetting)
  • Mouth breathing

Trouble with speaking


  • Hard to make certain sounds
  • Delays in initiating speaking
  • Speech fatigue late in day

Dental & Orthodontic Issues


  • Crowded teeth
  • Flared front teeth
  • Underbite
  • Overbite
  • Deep bite
  • Decayed teeth

“Drainage” issues


  • Poor sinus drainage/sinus congestion
  • Chronic stuffy nose
  • Sinus pain/headaches
  • Ear infections

Kidstown Dental believes in an integrative model of care for people struggling with tongue tie. Dr. Luedemann and her team are committed to doing their best to ensure that bigger picture needs for families are met when it comes to resolution of all symptoms of tongue and lip ties. This means a thorough assessment for an accurate diagnosis and plan, that babies and parents are properly prepared for the procedure, and that families are supported in all aspects of the recovery. We utilize the Three Pillar Approach™ to include function and structure in assessments, as well providing complete, tissue guided laser releases, and multiple tools for healing. This model, at Kidstown Dental, includes…

  • No Pediatrician referral needed
  • We recommend Lactation/ Feeding / Speech / Airway Assessment required prior to frenectomy, which can be provided in office or obtained privately (We have providers to recommend if needed and are happy to work with an IBCLC or SLP you are already working with in community.)
  • Dental PPO insurance filed on your behalf, codes given for medical filing
  • Hands on instruction via class for post procedure wound care and functional exercises
  • IBCLC instructor for class, present at each release, and help with latch after (no extra cost)
  • Osteopathic “Body Worker” assessment and adjustment day of as needed (at no extra cost)
  • Support group included in revision clinic
  • Ongoing support post procedure through multiple mediums
  • Further support with lactation and bodywork available on site or referrals given as needed

Dr. Luedemann has an open-door policy when it comes to collaborating with and welcoming other professionals to explore the Revision Clinic. In fact, she hosts an interdisciplinary study club on the topic of infant feeding, whose members include many specialists such as: MDs, DDSs, IBCLCs, SLP,s DOs, DCs, RNs, OMs, RDHs, Midwives and Doulas, and she is continually reaching out to the community of providers involved in supporting Mothers and Babies with breastfeeding and bottle feeding issues. Moms, please do share this information with your private providers and encourage a connection in care. For Providers in our community, please feel free to reach out with any interest in coming to the clinic to observe or joining our interdisciplinary study group!