What a Tongue-Tie Diagnosis Means for Breastfeeding (A Guide for New Parents)

By Dr. Even Olson
happy baby

Your Baby’s Feeding Struggles Matter, and So Do Yours

If breastfeeding hasn’t gone the way you imagined, with painful latches, endless feeding sessions, and nagging worry about whether your baby is getting enough, you’re carrying a lot right now, and you shouldn’t have to carry it alone. Many new parents throughout Kalispell, Whitefish, Bigfork, and the greater Flathead Valley come to us exhausted, discouraged, and unsure of what’s actually wrong. Often, the answer is a tongue-tie or lip-tie: a common, treatable condition that can quietly make feeding far harder than it needs to be.

At Alpine Family Dental, Dr. Evan Olson has walked this road himself as a parent, and he brings that same compassion into every infant evaluation he performs. If something doesn’t feel right with your baby’s feeding, trust that instinct. Schedule your infant frenectomy evaluation with Alpine Family Dental in Kalispell today at (406) 752-1107.

What Is a Tongue-Tie?

A tongue-tie happens when the lingual frenulum, the small band of tissue connecting the underside of the tongue to the floor of the mouth, is tighter or shorter than typical. This restricts how far and how freely your baby can move their tongue.

Since a baby’s tongue does most of the work during breastfeeding — cupping the breast, compressing it rhythmically, and drawing milk out efficiently — a restricted tongue can make that job much harder. Tongue-ties exist on a spectrum, from mild ones that barely affect feeding to more significant ones that make a good latch nearly impossible. Lip-ties, which involve the tissue connecting the upper lip to the gum, often show up alongside tongue-ties and can compound feeding difficulty.

Tongue ties are common, affecting roughly 10% of newborns. So if your baby has been diagnosed with one, you’re far from alone.

Signs Your Baby Might Have a Tongue-Tie

From your baby’s side, you might notice:

  • A shallow or shifting latch that never seems to “settle”
  • Clicking sounds while feeding
  • Slow weight gain or difficulty staying on a feeding schedule
  • Excessive gassiness, fussiness, or reflux-like symptoms
  • Falling asleep quickly at the breast without seeming full

From your side, you might notice:

  • Nipple pain that doesn’t improve with latch adjustments
  • Cracked, creased, or misshapen nipples after feeding
  • A sensation that your baby is “chewing” rather than sucking
  • Concerns about low milk supply from inefficient feeding

Keep in mind these symptoms can stem from other causes too — positioning, oversupply, or a developing feeding pattern. That’s exactly why a professional evaluation matters before assuming tongue-tie is the culprit.

How Tongue-Tie Is Diagnosed

Tongue-tie is typically identified by a pediatrician, IBCLC (International Board Certified Lactation Consultant), or a dentist trained in infant oral evaluation — like our team at Alpine Family Dental.

A thorough evaluation includes:

  • A visual and physical exam of the frenulum’s appearance, thickness, and attachment point
  • A functional assessment of how well your baby can lift, extend, and lateralize their tongue
  • A feeding evaluation, ideally by watching an actual feeding session, since a tongue-tie’s real-world impact matters more than how it looks

We offer a complimentary infant frenectomy examination at our Kalispell office because the feeding assessment is a critical part of getting this right — appearance alone doesn’t tell the whole story.

What the Diagnosis Means for Breastfeeding

Here’s the reassuring part: a tongue-tie diagnosis does not automatically mean breastfeeding will fail. Many babies with mild tongue-ties adapt well, especially with support from a lactation consultant on positioning and latch technique.

That said, if a moderate-to-severe tongue-tie goes unaddressed, it can contribute to:

  • Ongoing latch difficulty and prolonged feeding sessions
  • Slow or stalled weight gain
  • Declining milk supply, since inefficient removal signals your body to make less
  • Continued pain or nipple damage for the parent

The right path forward depends on the severity of the tie, how your baby is actually feeding, and your family’s goals. Some families find that lactation support alone resolves the issue. Others benefit from a simple in-office procedure.

Treatment Options

We recognize that medical and dental providers don’t always agree on when treatment is necessary — this is a genuinely evolving area of care. Our approach is to evaluate function, not just appearance, and to talk through the specific pros and cons for your baby rather than applying a one-size-fits-all answer.

  • Lactation Support First: For many babies, working with an IBCLC on positioning, latch, and feeding mechanics is the first and sometimes only step needed.
  • Frenotomy (frenectomy): When a tie is significantly limiting tongue function, a frenectomy — a quick release of the tight tissue — is often recommended. At Alpine Family Dental, Dr. Evan Olson performs infant frenectomies using a CO2 laser, which works quickly at a cooler temperature than many other laser types, supporting a gentler experience and faster healing for your baby. In most cases, we’re able to offer same-day treatment following the evaluation.
  • Aftercare and Stretches: Following a frenectomy, we provide parents with simple stretching exercises to do during healing, which help prevent the tissue from reattaching and support a full range of tongue motion. Our team sends families home with a printed guide and calendar to make this easy to track.

What to Expect After Tongue-Tie Treatment

Some babies latch more comfortably almost immediately after a frenectomy; others take a few days to a couple of weeks to adjust to their newly mobile tongue, especially if they’ve compensated with a different sucking pattern for a while. Continued lactation support during this adjustment period is genuinely valuable; it isn’t a sign that anything went wrong.

We recommend a follow-up so we can check healing, review your stretching routine, and address any remaining feeding concerns together.

Coping With Infant Frenectomy as a New Parent

If you’ve felt guilt, grief, or sheer exhaustion over a rocky start to breastfeeding, please know that’s an incredibly common response — not a reflection of your effort or ability as a parent. Dr. Olson is a parent himself and understands firsthand how much weight this stage carries for families.

Lean on your support system: your partner, an IBCLC, a local parent group, or our team. And remember — a fed, thriving, bonded baby is the goal, whatever combination of breastfeeding, pumping, or supplementing gets you there.

When to Seek Professional Support

Reach out to your pediatrician or our office promptly if you notice:

  • Poor weight gain or signs of dehydration (fewer wet diapers, lethargy)
  • Severe, unrelenting nipple pain
  • A latch that isn’t improving despite lactation support
  • Your instincts telling you something isn’t right

Trust that instinct. A second opinion is always reasonable when you’re not getting clear answers.

Take the First Step Toward Easier, Happier Feedings

If sleepless nights, painful feedings, and constant worry over your baby’s growth have left you feeling overwhelmed, please know this: you are not failing, and you don’t have to figure it out alone. At Alpine Family Dental in Kalispell, Dr. Evan Olson understands this journey personally. As a father himself, he’s walked through the exhaustion and uncertainty that comes with a new baby who isn’t feeding well.

Dr. Olson and our team have helped countless families across Kalispell, Whitefish, Bigfork, Columbia Falls, and the greater Flathead Valley find real relief, often with same-day treatment available. Call us today at (406) 393-8877 to schedule your complimentary infant frenectomy evaluation.

Call Our Office for More Information

New Patients:  (406) 752-1107 | Existing Patients: (406) 752-1107

Dr. Evan Olson, D. ABDSM, followed in his father’s footsteps and became a dentist. He completed his degree in Cell Biology and Neuroscience at Montana State University in Bozeman and then attended The University of Iowa College of Dentistry. Dr. Olson then practiced in a Community Health setting for five years treating all types of dental emergencies. He then ran a private practice in Central Oregon for seven years before moving back to Montana to take over Alpine Family Dental.

Dr. Olson was recently named a Diplomate of the American Board of Dental Sleep Medicine, which signifies extensive training and knowledge in treating Obstructive Sleep Apnea and snoring. He is a Fellow of The Implant Pathway Surgical Program, a Member of the American Academy of Implant Dentistry and Academy of General Dentistry, and a Mentor for the CEREC Doctors training program. He has completed significant continuing education in many areas of dentistry including with the American Academy of Dental Sleep Medicine Mastery Program, training on dental implants at Implant Pathway, Misch Institute, and Pikos Institute, an internship on root canals at the University of Iowa, cosmetic dentistry courses at CDOCS and Spear Education, and further studies on infant frenectomy and CAD/CAM techniques.

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Dr. Autumn Chapman received her degree in physiology from the University of Wyoming and her Doctorate of Dental Surgery from the University of Nebraska Medical Center College of Dentistry. She worked alongside her grandfather, Dr. Gerald Olson, in Havre, MT, before moving to Flathead Valley. Dr Chapman has been able to focus on education and training in facial esthetics and cosmetic dentistry. She has Training in orthodontics using suresmile clear aligners with CDOCs in Scottsdale and Training in Botox and filler with the american academy of facial esthetics.

Dr. Greg Eller obtained his degree in Aeronautical Maintenance and spent six years as a Skydiving Instructor. He then attended the University of Oregon where he graduated Summa Cum Laude in Pre-Medicine and the Oregon Health Sciences University Dental School. He is a member of the American Dental Association and Montana Dental Association and has IV moderate sedation training. After 14 years at Alpine Family Dental, Dr. Eller has now transitioned out of full-time practice.

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