Buccal (cheek) ties I’m now viewing all my patients through a new lens - one that’s more attuned to facial tension patterns related to oral ties. Things that I may not have consistently noticed before now seem so obvious, and I’ll continue sharing these observations. In this patient, the first thing that alerted me to a possible right cheek tie was the asymmetric gum display on smiling - the upper lip appeared slightly lifted or shorter on that side. On palpation, I identified two cheek ties, wi