Tongue Tie

A tongue tie is a condition present at birth where the small band of tissue under the tongue (called the frenum) is tighter or shorter than usual. This can limit how the tongue moves.

Why It Matters

The tongue plays an important role in everyday functions like:

  • Feeding (breastfeeding or bottle feeding)

  • Speech development

  • Swallowing

  • Oral hygiene (clearing food from teeth)

When tongue movement is restricted, it can sometimes lead to challenges in one or more of these areas.

Do All Tongue Ties Need Treatment?

Not always. Some tongue ties are mild and do not cause any issues.

Treatment is recommended only if the tongue tie is affecting function, such as feeding, speech, or oral health.

Our team will evaluate your child and help determine if treatment is necessary.

What Is a Frenectomy?

If treatment is recommended, a frenectomy is a simple procedure that releases the tight tissue under the tongue.

  • Quick and minimally invasive

  • Helps improve tongue movement

  • Often performed comfortably for children

We will walk you through the process and answer any questions to make sure you feel confident and informed.

When to Schedule an Evaluation

You may want to schedule a visit if you notice:

  • Feeding difficulties in infants

  • Speech concerns as your child grows

  • Limited tongue movement

  • Ongoing oral hygiene challenges

Early evaluation can help prevent future issues and support healthy development.

Signs of Tongue Tie

Every child is different, but some common signs may include:

In infants:

  • Difficulty latching or staying latched during feeding

  • Clicking sounds while feeding

  • Prolonged feeding times

  • Gassiness or frustration during feeds

In older children:

  • Difficulty sticking the tongue out

  • Trouble with certain speech sounds

  • Messy eating or difficulty clearing food

  • Gaps between teeth or oral hygiene challenges

Dr. Nick recommends reading Tongue Tied for more information on the tethered oral tissue (TOT), its effects, and potential treatment methods.

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