10/16/2026
🎵 A vocal music educator spent 13 years with unexplained vocal fatigue, a limited low range, and TMJ pain. Her ENT found healthy vocal folds. The cause turned out to be a posterior tongue-tie.
Kaitlyn Fay Koch tells the story in the October 2026 issue of NYSSMA’s publication for music educators. Her dentist, Dr. Kristen Geist, DDS, D.ABDSM, CSSC, performed the release with her LightScalpel CO₂ laser.
The treatment followed the full sequence: myofunctional therapy before the procedure, the laser frenuloplasty, then more therapy afterward. Koch reports that her lower range extended by a minor third and that singing felt easier within half an hour of the procedure.
Her article ends with advice for other voice teachers: if a student might have a tongue-tie, refer them to an airway-focused dentist and a myofunctional therapist. Adult tongue-tie patients are finding their way to dentists from well outside dentistry.
Read Koch’s article:https://www.nyssma.org/wp-content/uploads/2026/09/Tongue-ties-and-Singing-My-Story-and-PSA-for-Vocal-Music-Educators-October-2026.pdf