📍 Serving Indiana & the Midwest 📞 (765) 204-1676 ✓ Infants Through Adults · Request a Consultation
◆ More Than a Snip

The Functional Frenectomy: Release, Then Retrain

A functional assessment comes first. When a release is appropriate, we pair it with CMDI functional therapy, because a release alone doesn't teach the tongue to move differently.

👶 Infants through adults
🔦 Gentle laser release

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Why "Functional" Matters

A Release Alone Often Isn't Enough

Releasing a tie removes the restriction — but after a lifetime of compensating, the tongue may still need to learn new movement patterns. That's why we assess function first and pair any release with therapy.

A Basic Frenectomy

Release Only
  • The tie is cut — and that's it
  • No retraining of movement
  • Compensations can persist
  • Concerns may continue without therapy
  • Function isn't reassessed

Our Functional Frenectomy

Release + Retrain
  • Functional assessment first
  • CMDI functional therapy to retrain movement
  • Addresses the compensations, not just the tie
  • Guided exercises during healing
  • Function reassessed after healing
How It Works

Two Halves of One Result

Every visit starts with a functional assessment of how the tongue and lips move. If a release is appropriate, care has two coordinated parts — the release and the retraining.

Part 1

The Laser Release

We release the tongue-tie or lip-tie with a Fotona laser. Laser and scissor or scalpel release are all accepted methods; we'll explain what to expect for your age group.

After an Assessment
Part 2

CMDI Functional Therapy

This is what makes it functional. Our CMDI approach guides the retraining of tongue and muscle movement after the release. Results vary.

The Difference-Maker
Who We Help

Infants Through Adults

Tongue and lip restrictions can affect people at every age — in different ways. The concerns below have many possible causes, and a tie is only one of them, so we assess function before recommending a release.

👶

Infants

  • Difficulty latching
  • Clicking while feeding
  • Poor weight gain
  • Reflux-like symptoms
  • Tired/frustrated feeding
🧒

Children

  • Speech difficulties
  • Picky/messy eating
  • Mouth breathing
  • Airway & sleep concerns
  • Dental crowding patterns
🧑

Teens & Adults

  • Speech & articulation
  • Jaw & neck tension
  • Mouth breathing & airway
  • Difficulty with certain foods
  • Tied to TMJ / airway care
Why Highland Creek

Release Plus Functional Therapy

We combine laser release with CMDI functional therapy for infants, children, and adults. Families and adults travel to Lafayette from across Indiana, Illinois, Ohio, Michigan, and Kentucky for it.

🔗

Release + Retrain

We don't stop at the cut. The CMDI functional component is built into the care, not optional.

🫁

Airway-Aware

We connect tongue function to breathing, sleep, and development — part of our broader airway focus.

🤝

Team-Friendly

We coordinate with lactation consultants, speech therapists, and bodyworkers when helpful.

Common Questions

Functional Frenectomy FAQs

What is a functional frenectomy?

It's more than simply releasing a tongue-tie or lip-tie. It starts with a functional assessment. If a release is appropriate, it is paired with functional therapy — guided by our CMDI approach — to retrain how the tongue and lips move afterward. A release doesn't fix feeding or speech on its own, and results vary.

Why isn't releasing the tie enough on its own?

After years (or a lifetime) of compensating for a restriction, the tongue often hasn't learned to move correctly. Releasing the tie removes the restriction, but functional therapy helps retrain proper movement and coordination — which is why a functional frenectomy pairs the two.

Do you treat infants as well as older children and adults?

Yes. We see infants (often for feeding and latch concerns); infant feeding concerns are evaluated with a lactation consultant (IBCLC) before any release is considered. We also see older children and adults, where tongue or lip restrictions can affect speech, eating, mouth breathing, and airway development. Care is tailored to age and goals.

How is the release performed?

After a functional assessment, we use a Fotona laser for the release. Laser and scissor or scalpel release are all accepted methods. The functional therapy component is then guided by our CMDI approach to support movement and healing.

Do you work with my lactation consultant or speech therapist?

Yes — we're glad to coordinate with lactation consultants, speech-language pathologists, and bodyworkers. Working as a team keeps everyone's care consistent.

Assess First — Then Decide.

Request a consultation. We'll assess function first and explain whether a release, therapy, or both make sense — at any age.

Request a Consultation →
or call us directly at (765) 204-1676
Related Treatments

Explore Related Care

Children's Airway →Adult Airway →The CMDI Method →
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Who Provides Your Care

Your Care Is Led by Dr. Shane Cope, DDS, MSD

Dr. Shane Cope, DDS, MSD Specialist in periodontics, oral medicine, and orofacial pain Indiana University School of Dentistry, 2006. Accredited three-year periodontics residency. Sees patients at both offices. Read Dr. Cope's full bio →
South Office 3209 Builder Dr, Suite 130
Lafayette, IN 47909
(765) 204-1676 Mon–Thu 8am–4pm · Fri 7am–3pm Directions · Office page
East Office 4921 State Road 26 E, Suite 100
Lafayette, IN 47905
(765) 807-0592 Mon–Wed 7am–5pm · Thu 7am–3pm · Fri 7am–2pm Directions · Office page

Highland Creek Family Dental's general dentists: Dr. Melinda Bodine, DDS (East Office) · Dr. Han Na Park (South Office).

Dr. Shane Cope, DDS, is a specialist in periodontics, oral medicine, and orofacial pain. Dental services on this site outside periodontics, oral medicine, and orofacial pain are provided by general dentists. Your right to a Good Faith Estimate.