This article provides a thorough review on the evaluation and management of buccal-ties including diagnosis, classification, symptoms and treatment, by surveying healthcare providers with experience evaluating and managing oral restrictions. The article provides two separate appendixes on Examination and treatment protocol for infants and for children and adults for assessing the impact of restricted buccal, labial or lingual frena. It’s a helpful article to help understand what the universal protocol should be when assessing and treating restricted buccal, labial or lingual frena.