Oral Tease

🛑 ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻

Oral Tease
Ties - Part I, assessment and planning
Lactation Solutions of Princeton, Plainsboro, NJ , United States 908-715-5454 leslie@lactationsolutionsofprinceton.com
As information about tongue ties becomes more well-known, there are so many families asking if their baby has a tongue tie. Ties are tight connective tissues (called a frenulum, or frenum) in the mouth - they can be under the tongue (tongue tie), lips (lip ties), or cheeks (buccal ties). Ties cause oral tension , and make it difficult for a baby to feed effectively (as well as many other potential issues later in life).
But sometimes oral tension is not from ties but from tight/asymmetric muscles or connective tissues, post-birth head molding, oral motion dysfunction, immature nervous system, and much more. Because of this, the topic of oral tension is very complex!
The first step in “unwinding” this process is a full functional evaluation (note - this post is not a substitute for that thorough evaluation!). An IBCLC (International Board Certified Lactation Consultant) or SLP (Speech Language Pathologist) with extensive oral/body tension training are excellent practitioners to consult for this functional evaluation - which is a thorough assessment of:
Baby’s latch to breast and/or bottle
How the baby processes suckling-swallowing (breast or bottle)
Baby’s oral and body range of motion, muscle tone, symmetry
How this affects your experience - pain, milk intake, challenges with milk supply, how often to pump and bottle feed (and balancing it all!), baby’s comfort during and after feedings, and much more!
Many people join local Tongue Tie Facebook groups (see below for some) - and these can be great places to get support and to find suggestions for IBCLCs, SLPs, PTs, (etc) in your area. Keep in mind, though, that many people will share pictures of their baby’s mouths on these groups. This can be helpful but it’s so important to know that a tie, or any kind of oral tension or oral dysfunction, can not be properly evaluated through a picture or video ! For example - sometimes a photo will make it look like a baby has a tie, but what you are really seeing is a functional (but easily seen) frenulum. Only a thorough evaluation can truly determine the source of your issues.
At the bottom of this post I’ve listed many resources to learn about ties and related issues (click this link to skip to the those resources). But, if you have a few minutes to bear with me - I’d like to talk about the most up-to-date approach for unraveling the topic of ties and oral/body tension.
A baby with ties (or oral/body tension) may have a variety of symptoms. And, parents may be working overtime to keep the baby satisfied and growing, ease their baby’s tummy upsets, maintain their milk supply, and deal with many other issues.
Symptoms of ties may include any of the following:
or the opposite - a latch that feels too light (breast or bottle is always falling out out of babies mouth, or milk is spilling))
endless nursing sessions that don’t satisfy the baby
fatigue or constantly falling asleep at the while feeding (breast or bottle)
leaking/spilling milk while feeding (breast or bottle)
clicking, gulping, sputtering or choking (breast or bottle)
reflux-like symptoms (from air intake)
tense/asymmetric body or head positions
asymmetric head shape, or cranial molding from birth that never resolves
snoring/airway issues/open mouth breathing
(Of course many of these may occur for reasons other than ties and oral/body tension/asymmetry, but this is a list of very common ones that we see)
Sometimes babies seem to have a great latch but still may have oral dysfunction. For example some babies get milk easily from their parent’s fast flow or a fast-flowing bottle nipple. For nursing - if milk supply starts to decline (which can be a natural process called “regulating”, but can also be caused by a baby’s less-effective latch) - that’s when latch/feeding issues become more obvious - because now the baby has to work harder for the milk. The same can occur with bottle feeding - the baby may start to get fussier and fussier.
A tie is like a resistance band and causes fatigue!
Another example is a baby that has a good latch for a few minutes but then starts to narrow latch, or chomp or fall asleep (breast or bottle), etc. It’s like doing exercise with a resistance band - you start off easily, but then get tired more quickly (compared to exercise without the resistance band) - and then eventually you just can’t do it anymore. For a baby, the resistance they feel will cause them to use the wrong muscles (compensating with their lips, cheeks, jaws, etc) and then result in latch pain, air intake (breast or bottle), lip blisters, fussiness, and so many other issues.
In the early weeks/months, all babies need to “unwind” or “de-uterize” after pregnancy and birth (the uterus is a tight place and birth is a bumpy ride!). So when a baby has oral/body tension, I think of it as a “which came first, the chicken or the egg” scenario - are tight muscles (anywhere near the mouth, face, or neck) causing the muscles under and around the tongue, lips and cheeks to appear and feel tight or asymmetric and the head/body postures to lean more often one way? Or, are tight connective tissues (ties) under the tongue, lip or cheeks pulling on muscles in the face, neck/shoulders, head, and rest of the body? Either scenario makes it harder for a baby to feed effectively and because the whole body is connected, we want to tease out if it might be one/both (ties vs tight muscles), or the baby just needing some time, practice, and “unwinding”
Finally, these issues can impact issues beyond breastfeeding . I often think of feeding difficulties as an “early warning system”. If a baby can not use their oral motions properly to nurse or bottle feed (and this is so much more than just being able to physically get the liquid down and gain weight) - then the chance that other issues may occur later in life is higher.
When frenulum are truly tight and causing functional issues - that is the definition of a tie. But because other bodily forces can cause trouble on their own, or even make a tie worse - my first recommendations is usually time, practice with feeding skills (breast or bottle), and bodywork - oral/body exercises and massage to help loosen up tight/asymmetric muscles - there are many ideas you can do home, and there are many professionals that can help - many in NJ and PA are listed here - and then we re-check how things are progressing.
If muscular/body tension, asymmetry or nervous system function are the root problem, then bodywork and oral exercises should improve feeding/oral function. If there are ties along with the muscular tension, then relieving the muscular tension first and aiding overall oral range of motion is still the preferred first choice - because bodywork will “pre-loosen” the baby - aiding in the diagnosis, tie-release procedure, and healing from the procedure. As well as aiding the baby re-learning to use their newly freed tongue after the procedure. For this reason it’s important to not rush to a tongue-tie release - most babies need some preparation prior to a release (or don’t need it at all) - we call this “optimal timing of release”.
An IBCLC highly trained in ties, and oral/body tension/asymmetry can not officially diagnose a tie. But, a tie-savvy IBCLC has a lot of experience assessing oral function and helping you to determine the more likely cause of your feeding issues, and guide your next steps.
When it becomes clear that the baby needs an evaluation to rule in/out ties, and perhaps have the procedure to release them - for that I have a very specific list of doctors that I refer to - there are too many doctors dismiss ties, or call them “small”, or say that it’s fine because the baby is gaining (which ignores that they may have oral dysfunction). On the opposite end there are too many doctors who will release any frenulum (even ones that may not actually be ties). And, especially unfortunately - too many that do a poor procedure. The people on my list are very highly vetted from my and my collegues’ experiences. They are not listed publicly but if we are working together I will share them with you and help you get ready for the evaluation and procedure/aftercare (and that is the subject of the next blog post - Ties, Part II )
I have broken the info into different categories - support groups, articles, books, podcasts, videos, Instagram pages. Don’t feel like you need to look at everything here! - pick your learning style to start, and/or choose a few from each category.
Facebook Tongue Tie groups - very informative and supportive!
NY and NJ Tongue Tie Support Group . There are other area-specific groups on Facebook as well - if you are not from NY or NJ, search for your area.
Tongue Tie Support Group - a great group to connect with people all over the world, and as a starting place to help you find a specific group near you.
How to examine a baby for ties - a video that shows the proper technique to assess the tension and elasticity to lip and tongue ties. (Note, for the lip I actually recommend lifting higher - fully to the nostrils).
not shown in that video are how to look for a buccal (cheek) ties - you want to pull the corners of the top lip up and out and feel along that area for a tight frenulum - if you feels restricted movement in that area of the cheek, and if you see/feel a frenulum closer to the gum ridge, and/or they feel like a tight wire - then they are more likely to be a tie. Sometimes babies have a buccal tie only on one side! Buccal ties are harder to visualize, so here’s an article that discusses buccal/cheek ties (it has photos to show examples). And here’s an Instagram post that shows a buccal tie (this one actually shows a double buccal!)
Articles and other writings about ties :
Many people use the designation “Tethered Oral Tissues” - or TOTs - for ties. So as you do your research, you may see this phrase in many articles about the topic of ties. In fact, you may see many unfamiliar phrases as you learn about this topic. Robyn Merkel-Walsh, an SLP in Northern NJ, has created a very informative “cheat sheet” with explanations for phrases and other topics that you may encounter when researching the topic of ties.
Articles by Bobby Ghaheri (ties specialist in Portland, Oregon):
Types of Tongue Ties (anterior vs. posterior - and how all of them can inhibit range of motion, even if they look “small”)
Choosing your providers - does laser vs scissor matter? Quick answer is no! The skill of the provider matters the most. This article also has questions you can ask your provider to vet them.
And, there are many more articles by Bobby Ghaheri here , including up-to-date research studies and more.
Article by Breastfeeding USA - great all-purpose article on ties
TOTs 101 for Parents - very informative, by Robyn Merkel-Walsh MA, CCC- SLP/COM ® (SLP in Northern NJ)
How Bodywork and Ties interrelate - “Is Your Baby a Tether-Berg or a Tether-Floe” by Michale Chatham, RN, BSN, IBCLC, OMT makes a fantastic analogy - a tie can be like an iceberg (90% under the surface) or an ice floe (all on the surface). A “Tether-berg” (iceberg) baby is so tight under the tie that even if they have the procedure to release a tie, the tension underneath may limit or even fully block the results! For all babies, bodywork helps to relieve tension, but for a Tether-berg baby, it is essential.
Research by Scott Siegel (Oral and Maxillofacial Physician/Ties specialist in NYC) demonstrating that reflux and ties are related .
Tongue-Ties and Sleep Issues - by Richard Baxter, discusses the relationship between ties and high palates, snoring, sleep apnea and more.
And, another article describing a correlation between ties and a high palate (this one is more focused on lip and buccal (cheek) ties), by Daniel Lopez, DO
“ Tongue Tied ” - by Richard Baxter, DMD and a multi-disciplinary team (IBCLC, SLPs, Chiropractor, OT, Dietitian). This excellent book covers ties through all stages of life - babies through adults - breastfeeding, bottle feeding, eating solid foods, dental issues, speech, sleep issues, and so much more.
“ SOS 4 TOTs ” - by Lawrence Kotlow, DDS - addresses how tongue/lip ties affect breastfeeding, speech, dental development and overall pediatric health.
“ Six-Foot Tiger, Three-Foot Cage ” - by Felix Liao, DDS - addresses how lifelong issues can arise from issues with mouth structures.
“ Jaws: The Story of a Hidden Epidemic ” - by Sandra Kahn (orthodontist) and Paul R. Ehrlich (evolutionist) - addresses reasons behind why our jaws and other mouth structures have become more restricted/crowded over time.
“ Breathe: The New Science of a Lost Art ” by James Nestor - how oral health and much more matters for healthy breathing, and a healthy life.
“ Gasp!: Airway Health - the Hidden Path to Wellness ” by Michael Gelb and Howard Hinden - how sleep-disordered breathing relates to poorly structured oral health and functional airways.
Podcasts - these are weblinks but of course you can also find these on any podcast app
The Untethered Podcast - by Hallie Burkin, MA, CCC-SLP, COM. Many informative episodes on all aspects of ties throughout life - including feeding, speech, airway, sleeping issues and more
Very thorough video series by Richard Baxter (author of “Tongue Tied” book listed above - background on ties, videos of tie releases, caring after tie-release procedure (frenotomy) and more
Tongue Tie Experts YouTube Channel - amazing interviews with Bodyworkers, IBCLCs, Tie-release providers, SLPs and more! Here are a few specific ones from that channel with interview with NY and NJ based practitioners:
Lisa Paladino, RN, IBCLC who does these interviews, also sells a very thorough course called the “Comprehensive Guide to Tongue Tie for Parents” , including 5 video modules, info download and more.
The Broken Eating Mechanism - Part I , Part II - videos (part II is an interview with an SLP and ENT) discussing how tongue tie and other oral dysfunctions relate to speech, eating, sleep disorders, ADHD, anxiety, and more.
Airway and TMJ - how open mouth breathing can impact palate, tonsils, airway, jaw, teeth, posture, and more
@lactationsolutionsofprinceton (that’s my page! I follow and repost many pages that relate to ties)
Office: 601 Ewing Street, Suite B1, Princeton, NJ (inside the office of Aly Cohen, MD)
leslie@lactationsolutionsofprinceton.com



Here we also offer you some practical tips for teasing your boyfriend:


The precision of my writing is precise.





All texts are contributed by our excellent writers. Powered by EnkiRelations.com.


Server responsed at: 08/11/2022 9:45 p.m.
A little teasing never hurts – every once in a while you’d want to spice up your relationship to show your boyfriend you are really inventive and passionate to keep it rolling. The following guide will help you discover your inner coquette and bring diversity to your romance, let alone your sexual life. Keep reading for some tricks and, eventually, treats that will leave your boyfriend craving for more.
Um, it’s a girl’s territory too. Building the tension between you is one of the most rewarding ways to make your every day different. Even if you have achieved a certain level of intimacy, this is never enough to reveal all the secrets about you and your sensuality. So here is some advice on how to tease your boyfriend properly.
Understanding what sexual tension is in the first place is helpful: its ever-present ingredient is the promise of future gratification, or release that is somewhat deterred for an unspecified period of time. The perks of delaying his gratification is in allowing his mind to wander off and conjure up images with you in the main role so that he could later play off his fantasies. Compared to immediate gratification that involves no tease, this approach helps you acquire new qualities in his eyes and make you more desired and sex appealing. So don’t rush into offering yourself up on the plate, let him build pictures in his head first.
Timing is essential . If you are up for building the sexual tension between you, try to frame it chronologically – set a few days or even a week with a much anticipated release afterwards. You may even want to leave the city for a couple of days, so that you have all the benefits of dirty phone talks or messages without ever having a chance to touch each other.
If you are curious about how to tease your boyfriend when he is beside you, don’t underestimate the power of talking supported with some provocative touches and flirty glances . Strike up a seemingly innocent conversation about his first sexual experience, or share stories about first discovering your pleasure zones during your adolescence. Without revealing your true intentions, these small talks will help you both establish a higher level of trust by demonstrating your genuine sexual drive and the desire to share intimate details with each other. Also, he is most likely to end up dreaming about you masturbating, and so are you. You will hardly notice how quickly it turns you both on!
Choose your looks smartly and never show too much. Let your strap fall easily off your shoulder, suck a tip of your pen as if absent-minded, or wear a silky dressing gown after a shower, with your skin still a bit wet.
Even after the hottest night together, try not to be too grateful for the pleasure he gave you. Instead, behave as if nothing happened until he starts wondering how to give you even more.
The infamous 1980s erotica Nine 1/2 Weeks can teach us a lesson of ultimate tease. If you don’t casually don a tuxedo or a man’s suit but want to know how to tease your boyfriend, just wear his shirt with no bra underneath. It will set off his imagination immediately!
This hardly requires any explanations. You know.
This intimate gesture of you touching yourself gently – first your neck, then your cleavage while he’s looking is bound to bring you closer and give him a few sweet moments of marveling at you.
When he’s in the middle of his working day, send him a dirty message with quite straightforward statements. He will long to get to you early to release his tension.
PDA, or public displays of affection, is a good way to show that you don’t care a dime about other strange people around when it comes to wanting him. However, the fact that you are in public won’t let him go too far, for which he will have to wait – and waiting is the best recipe for building the tension.
It’s a dangerous method, but mentioning your exes may cause a bit of jealousy – which is always good to fire him up wanting to prove he’s much better.
The old game of naughty pictures is as good as always. Add a few playful images with a varying degree of nudity to give him something to think about. Also, he will be very much flattered if he sees you can trust him that much.
No list of tips on how to tease your boyfriend would be complete without the art of provocative glances. Sometimes they can say more than words, but try not to blush or avert your eyes – this will spoil the whole effect.
Now it may seem a bit trivial to you, but it genuinely works! Show off your beautiful feminine curves and flexibility to your favorite tune. Stripping is optional, but is highly recommended!
Seal all your teasing efforts with a hot kiss, but end it abruptly to make him wonder. It will have a short-term effect though, because he would definitely act to get what he wants. Still, it’s a nice start for a foreplay that will surely follow.
Please Log In
Amature Blowbang
Earth Chan Xxx
Are Backpage Escorts Real