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The North Carolina Tongue Tie Center logo
For Professionals2025-07-30T12:30:58-04:00
The North Carolina Tongue Tie Center in Cary partners with lactation consultants and speech therapists

When you partner with the North Carolina Tongue Tie Center, you can feel confident knowing you are part of a team that follows up-to-date practice guidelines from ICAP and the American Academy of Pediatrics.

I can smile with complete confidence! I can’t now imagine ever being concerned about appearing in photos. It’s just been a new lease of life. Thank you.

– Laura Hughes

I can smile with complete confidence! I can’t now imagine ever being concerned about appearing in photos. It’s just been a new lease of life. Thank you.

– Laura Hughes

We offer a comprehensive, integrative approach to tongue tie care – all under one roof. Families receive bodywork, expert feeding support, and functional oral releases using a CO2 laser, all at a global fee. But we know true success comes from teamwork. That’s why we encourage “prehab” care with you (IBCLC, SLP, and OT experts) before diagnosis. It provides clarity and ensures better outcomes post-release.

Continuity matters, and we recommend additional bodywork and feeding follow-up within a week of treatment. This sets the stage for healing and lasting results.

The North Carolina Tongue Tie Center in Cary includes an integrative infant clinic

Our clinic is designed with the Centering Model of Care – families receive both treatment and education in a supportive group setting. Here’s what happens during their visit:

  • Pre-treatment manual therapy (bodywork)
  • Functional release with CO2 laser
  • Immediate feeding support and interim plans tailored to your care

Parents leave with knowledge on recovery, feeding techniques, wound care, and therapeutic integration, plus access to our ongoing virtual support group.

The North Carolina Tongue Tie Center in Cary is centered on families

Follow-up matters. We ensure all patients receive check-ins at one week, two weeks, and one month post-treatment, with additional visits as needed. Patient data also fuels our ongoing research, helping us optimize care – and your input is always welcome.

The North Carolina Tongue Tie Center in Cary offers follow-up care

Our Team

Dr. Raymond Tseng

DDS, PHD

Dr. Tori Gill

DDS

Danielle Carey

MS, CCC-SLP, COM®

Joann Dahill

LMBT

Jessica Altemara

IBCLC

headshot of Wendy Mundell

Wendy Mundell

Frenectomy Services Director

headshot of Ellie Cabrera

Ellie Cabrera

Frenectomy Clinical Director

The North Carolina Tongue Tie Center logo

The North Carolina Tongue Tie Center gives your child a reason to keep smiling and to feel confident about it!

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Symptoms:

Orthodontic

• Narrow Palate

• Poor tongue posture or positioning

• Mismatched palate to tongue size/shape

• Large diastema (gaps between two central front teeth)

• Poor or non-ideal craniofacial growth and development

• Dental crowding

•Poor/difficulty oral hygiene maintenance due to malocclusions

• Narrow Palate

• Poor tongue posture or positioning

• Mismatched palate to tongue size/shape

• Large diastema (gaps between two central front teeth)

• Poor or non-ideal craniofacial growth and development

• Dental crowding

•Poor/difficulty oral hygiene maintenance due to malocclusions

Symptoms:

Airway / Breathing

• Breathing through an open mouth while sleeping

• Gasping/holding breath while sleeping

• Snoring

• Sleep Apnea/Apneic Episodes/Periods of non-breathing or holding breath

• Poor quality sleep

• Moodiness or inability to focus/pay attention

• Poor concentration at school

• Restlessness due to poor/inadequate sleep

• Breathing through an open mouth while sleeping

• Gasping/holding breath while sleeping

• Snoring

• Sleep Apnea/Apneic Episodes/Periods of non-breathing or holding breath

• Poor quality sleep

• Moodiness or inability to focus/pay attention

• Poor concentration at school

• Restlessness due to poor/inadequate sleep

Symptoms:

Speech

• Speech development is abnormally delayed (number of words)

• Poor pronunciation (words sound different from spelling)

• Poor enunciation (mumbles / slurs speech)

• Diagnosed with speech difficulties

• Currently in speech therapy

• Speech therapy attempted

• Trouble with sounds: L, R, T, D, N, Th, Sh, Ch, S, Z

• Speech problems, delays and/or lisps

• Delayed development of speech

• Deterioration in speech

• Loss of self-confidence because they feel and sound “different”

• Speech development is abnormally delayed (number of words)

• Poor pronunciation (words sound different from spelling)

• Poor enunciation (mumbles / slurs speech)

• Diagnosed with speech difficulties

• Currently in speech therapy

• Speech therapy attempted

• Trouble with sounds: L, R, T, D, N, Th, Sh, Ch, S, Z

• Speech problems, delays and/or lisps

• Delayed development of speech

• Deterioration in speech

• Loss of self-confidence because they feel and sound “different”

Symptoms:

Eating

• Gagged/vomited when first introduced to food

• Currently gags/vomits (frequency varies)

• Messy eating (open mouth chewing / food loss from front of mouth)

• Quantity of food consumed is abnormally low

• Picky about food types or textures

• Prefers small snacks over meals (grazing)

• Gassy or GI distension/discomfort

• Acid reflux (previously or currently)

• Dislikes or doesn’t eat meat

• Pouching/holding food in mouth

• Inability to chew age-appropriate solid foods in a normal amount of time

• Gagging, choking or vomiting on certain foods, or eating an abnormally small amount of food

• Picky eater may have solid food aversions, preferring purees and/or very soft foods

 

• Gagged/vomited when first introduced to food

• Currently gags/vomits (frequency varies)

• Messy eating (open mouth chewing / food loss from front of mouth)

• Quantity of food consumed is abnormally low

• Picky about food types or textures

• Prefers small snacks over meals (grazing)

• Gassy or GI distension/discomfort

• Acid reflux (previously or currently)

• Dislikes or doesn’t eat meat

• Pouching/holding food in mouth

• Inability to chew age-appropriate solid foods in a normal amount of time

• Gagging, choking or vomiting on certain foods, or eating an abnormally small amount of food

• Picky eater may have solid food aversions, preferring purees and/or very soft foods

Symptoms:

Breastfeeding / Bottlefeeding

• Baby bobs on and off when latching / poor latch

• Mother has nipple pain or deformed nipples from poor latch

• Baby is excessively gassy (chronic burping, flatulence, hiccups)

• Prolonged or incomplete feeding (baby doesn’t fully empty breast or bottle)

• Baby falls asleep while attempting to nurse

• Clicking noises during feeding (air intake / loss of suction)

• Supplementing with a bottle to assist feeding (by necessity)

• Milk leakage from mouth or nose

• Signs of acid reflux when not feeding (spit-up, gagging, vomiting)

• Weak latch that doesn’t last long

• Significant problems with breastfeeding

• Baby bobs on and off when latching / poor latch

• Mother has nipple pain or deformed nipples from poor latch

• Baby is excessively gassy (chronic burping, flatulence, hiccups)

• Prolonged or incomplete feeding (baby doesn’t fully empty breast or bottle)

• Baby falls asleep while attempting to nurse

• Clicking noises during feeding (air intake / loss of suction)

• Supplementing with a bottle to assist feeding (by necessity)

• Milk leakage from mouth or nose

• Signs of acid reflux when not feeding (spit-up, gagging, vomiting)

• Weak latch that doesn’t last long

• Significant problems with breastfeeding

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