COMING SOON - Maxillary lip “tie”: Fact or Fiction?


COMING SOON! This module addresses the widespread but non-evidence-based maxillary lip-tie phenomenon. What do we know about lip-tie? Does it affect infant breastfeeding? Can it cause dental issues? This module addresses these questions and more by reviewing the scientific evidence and providing guidance professionals will utilize in making ethical, evidence-based clinical decisions.

CEUs: 1.5 L-CERP/1.5 CE

Course Price: $50.00 (USD)

Learning Objectives

The learner will be able to:

  • Discuss the maxillary lip-tie phenomenon.
  • Elaborate on the alleged impact of maxillary lip-tie on infant breastfeeding.
  • Interpret the scientific evidence regarding the maxillary frenum.
  • Characterize the strength of the evidence for treating the maxillary labial frenum with surgery.

Topics Covered

  • History of the maxillary lip-tie.
  • Lip-tie defined.
  • Fetal development of the maxillary labial frenum.
  • Classification of maxillary labial frena morphology.
  • Examination of the evidence for maxillary lip-tie and its impact on infant feeding and dental issues.
  • Assessment issues.
  • Surgical correction discussion.
  • Examination of harm from surgical correction.
  • Suggestions for future research.

Course/Module Description

Most commonly, infants receive a maxillary labial frenum revision concurrent with a lingual frenotomy/frenectomy. Why does this occur? What justification exists when there is no evidence to support surgical intervention? Does lip-tie exist, or is it a fad diagnosis? If it does exist, what method and criteria do professionals use to assess and treat accurately? How does lip-tie affect breastfeeding infants? Can it cause dental issues? Does revising the maxillary labial frenum cause harm? What are the long-term consequences of revising the labial frena? In this module, Dr. Hazelbaker reviews the scientific evidence to answer these questions and to provide professionals with guidelines for making appropriate and ethical clinical decisions.


Dr. Alison Hazelbaker

Dr. Alison Hazelbaker