This paper was a breakthrough with Dr. Soroush Zaghi, M.D. and Sandra Valcu-Pinkerton RDH-AP leading the way for providing standards for a functional frenuloplasty procedure as an effective way to surgically correct lingual, labial and buccal frenums. The method involved analyzing 348 completed surveys (ages 29 months to 79 years) of patients who were treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and/or myofascial tension. All procedures were performed by a single surgeon using scissors and suture techniques. Safety and efficacy were assessed greater than 2 months postoperatively by means of patient-reported outcome measures. The surveys showed a 91% satisfaction rate and 87% rate of improvement in quality of life. Mouth breathing improved in 78.4 %, snoring improved in 72.9%, clenching improved in 91% and myofascial tension improved in 77.5%. Minor complications occurred in less than 5% of cases including complaints of prolonged pain or bleeding, temporary numbness of the tongue-tip, salivary gland issues, minor wound infection or inflammation and need for revision to excise scar tissue. There were no major complications. The conclusion was that lingual frenuloplasty with myofunctional therapy is safe and potentially effective for the treatment of mouth breathing, snoring, clenching, and myofascial tension in appropriately selected patients.