The effects of restrictive tethered oral tissues (tongue-tie, lip-tie, and buccal-tie) on newborn oro-facial growth and development can range from a minimal maternal discomfort during breastfeeding, to severe growth retardation. 
If health professionals fail to diagnose a short lingual frenum, the correlated impairment can lead to a cascade of several malfunctions, that starts in children with atypical swallowing, may lead to oral breathing and craniofacial growth impairment and may also lead to speech impairment and sleep disorder during childhood and adolescence.
The collaborative approach to treatment will be explored in this lecture, as the involvement of lactation consultants, bodyworkers and the surgery itself are all factors that must be appropriately assessed for the best treatment outcomes.