laerhk - is it Amanda Kaufman in Ann Arbor? I was thinking about seeing her as well, as she accepts our insurance. However, I emailed her and she said this:
I do perform frenotomy (tongue tie) clipping on infants. I do not practice lip frenulum clipping.
I use a sterile scissor, I clip all forms of tongue tie, both the obvious anterior and more difficult posterior ties. I like this resource for information.
The book recommended to give doctors in that reference is fantastic and they can read a considerable amount for free through google books just by clicking on the reference.
I have never needed to find out about labial frenotomies because they are often diagnosed after teeth are coming in, noticed when people have a large gap between the front teeth (like David Letterman).
I only have experience in infants, with the latest I've done is 5 months old. I assume older kids will have more bleeding and be harder to hold down, making it more likely I would injury the mouth. My little sister had her tongue clipped by our dentist when she was a 4 year old with a lisp (30 years ago).
There is a lot of controversy among specialists mostly because they don't beleive it causes breastfeeding problems. I think they are all looking to "first do no harm" and don't realize it is a problem. If you present them good information and resources, I hope anyone would help you out. We may need to develop a consortium across Michigan of the providers who will do this to help each other out.
So, she can help my infant with one procedure. But I think 4 of my kids have lip and/or tongue ties. Apparently the oral surgery clinic at U of M is able to do all of the surgeries, but 1. they didn't sound particularly knowledgable about any of it and 2. our insurance won't cover any of the procedures, so there's no point in driving all the way there. So, we're seeing Oral Surgery of Lansing next week. They confirmed for me that they are knowledgable on the subject of type IV tongue tie and do lip ties w/laser. I'll report back on what they say after the consult of $90/child (Gasp!). Will you do so for your doc visit also? And share who they are if it goes well?