Tongue-Tie

Tongue-tie is a birth defect that occurs when the strip of skin (lingual frenulum) that connects a baby’s tongue to the floor of their mouth is shorter than usual. Typically, this strip of skin separates before birth, which allows the tongue free range of motion. With tongue-tie, the lingual frenulum remains attached to the bottom of the tongue.

Tongue-tie is a very common condition that, if addressed quickly, will not hinder a child’s development. However, if left untreated, tongue-tie can result in malnourishment, speech difficulty, or poor oral hygiene.

Signs of tongue-tie include:

• Restriction of the tongue’s movement, making it harder to breastfeed
• Difficulty lifting the tongue up or moving it from side to side
• Difficulty sticking the tongue out
• The tongue looks notched or heart-shaped when stuck out

Treatment of Tongue-Tie

The treatment of tongue-tie for infants is a simple surgical procedure called a frenotomy. The doctor examines the lingual frenulum and then uses sterile scissors or laser to snip the frenulum free. Stitches are usually not necessary. Since there are few nerve endings or blood vessels in the lingual frenulum, only a local anesthetic is used.

Frenotomy for tongue-tie in older children and adults is similar to that for infants, although it is usually done under general anesthesia and may involve stitches. Speech therapy may also be necessary.