Improving the lives of our littlest ones is one of our main focuses at Untethered, as early intervention can truly change someone’s health trajectory.

At the same time, it goes without saying that dealing with some of these issues can be scary for parents. The idea of tongue/lip tie releases, open airways and the general notion of the mouth’s connection to whole-body health is historically a hard concept to grasp. Navigating this journey can be emotional and overwhelming at times.

As moms and aunts ourselves, our Untethered team can truly empathize with all of these feelings: we’ve been there too!

On this page, we address some common questions that we regularly discuss.


In this informational series, Dr. Graham discusses some of the most important tongue tie topics.


Curated videos from Dr. Graham's colleagues at The Breathe Institute


Hover on the question cards to reveal the answers

  • Insufficient weight gain

  • Blisters on lips

  • Noisy feeding, sometimes described as a “clicking” sound

  • Curling tongue while feeding

  • Behaviors similar to acid reflux

  • Persistent fussiness

  • Pain for the mother during nursing

  • Consistent mouth breathing where the lips are apart, even slightly

  • Chapped lips

  • Crowded teeth

  • Front teeth that don’t touch

  • Thumbsucking

  • Restless, tossing and turning quality of sleep

  • Snoring, clenching and grinding teeth while sleeping

  • Enlarged tonsils and adenoids, including sinus and ear infections

  • Dark circles under the eyes and signs of daytime tiredness

  • Tongue thrust and/or Over-exertion used when swallowing

  • Bed wetting, Picky eating, or Allergies

  • Daytime sleepiness

  • Hyperactivity or signs of ADD/ADHD

"What are some of the problematic tongue-tie symptoms I should be looking for in my child?"

Of course, your children are perfect as they are! While we do not intend to change how a child looks, there is a benefit to positively influencing facial development in the early years of life. By the time a child reaches puberty, the bulk of their facial development will be complete.

In addition to aesthetics, facial growth plays a major role in airway, which is an essential factor of health and development. Without proper nasal breathing, lip seal and tongue positioning, the craniofacial structure changes negatively. This can result in something called mid-face deficiency and lead to an overly-long face.

"My baby has a sweet face and I don’t want to change how they look, so 
what will changes to facial growth mean?"

"​My parents never had to take this kind of approach with me, so can’t these kind of things just work themselves out over time?”

As parents, we all want what is best for our children. That means a balance of finding the most effective interventions that make them healthy and happy. But that needs to be balanced with practical matters: time, expense, mental/emotional capacity and more. In the case of disordered breathing and airway development, it’s critical to understand that proactivity matters. So many lifelong struggles can be avoided with relatively easy, early action on the part of parents.

By examining, diagnosing and treating our youngest patients, we can achieve many benefits:

  • Set the stage for proper facial growth,

  • Avoid more complex, costly issues in adulthood (sleep apnea, dental complications, jaw surgery),

  • Prevent crowded and crooked teeth, avoiding unnecessary and harmful extractions.


Many things have changed since we were kids. We now know more, and we know better. In addition to more comprehensive research on the topic, a variety of physiological, nutritional and environmental changes over time have influenced airway development. So no, your parents likely did not think of these things when you were a child, but that doesn’t mean we shouldn’t address the pressing needs of our children as they present themselves today.


Curated videos from Dr. Graham's colleagues at The Breathe Institute