DiscoverThe Untethered PodcastEp 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues
Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues

Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues

Update: 2025-12-07
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In this episode, Hallie Bulkin discusses the complexities surrounding tethered oral tissues, specifically tongue ties, lip ties, and buckle ties. She emphasizes that not all ties require surgical release and that the decision should be based on functional impacts such as speech, feeding, and sleep. 

Hallie highlights the importance of thorough evaluations and the role of therapy in determining the necessity of a release. She advocates for a patient-centered approach, considering individual goals and the overall impact on health and function.


In this episode, you’ll learn: 


✔️Not all ties need to be released; it depends on function.

✔️Function is the key driver in determining the need for release.

✔️Research is often behind clinical practice by about 17 years.

✔️Therapy can sometimes eliminate the need for a release.

✔️Evaluations should focus on how tethered tissues impact daily life.

✔️Compensatory strategies can mask the need for a release.

✔️Patient goals should guide treatment decisions.

✔️Open mouth posture is a significant indicator for evaluation.

✔️Therapy before and after release is crucial for success.

✔️Individualized treatment plans are essential for optimal outcomes.


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• Free F.A.S.T. Myo Screening Packet: https://FastMyoScreening.com

• Find a myofunctional therapist: https://www.themyodirectory.com


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Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues

Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues