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Tongue-Tie/ Lip-Tie/ Frenectomy

A tongue-tie is a condition that limits the tongue's range of motion (lingual frenulum).  With tongue-tie, the lingual frenulum remains attached to the bottom of the tongue. Lip-tie occurs when the upper lip's movement and flexibility are constrained, potentially leading to issues with nursing, speech, and normal function. Correcting a problematic tongue-tie or lip-tie typically involves a procedure known as a frenectomy.


While tongue-tie or lip-tie is a common condition, timely intervention can prevent developmental hindrances. Left untreated, it may contribute to challenges such as malnourishment, speech impediments, or compromised oral hygiene. Infants with tongue or lip ties might struggle with bottle feeding, experience milk leakage, or display symptoms of gas or colic. Older children may encounter difficulties with eating, speaking, and sleeping (including sleep apnea), and potentially face an increased risk of cavities.

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 or Lip-Tie

In infants, a frenotomy, a straightforward surgical procedure, is commonly performed. The lingual frenulum is evaluated, and either sterile scissors or a diode laser is used to release it. This procedure typically requires no stitches and lasts only a few minutes. Due to the limited nerve endings and blood vessels in the lingual frenulum, local anesthesia suffices.

For older children and adults, frenotomy is similar to the infant procedure but may necessitate general anesthesia and potentially involve stitches. Early evaluation and intervention can often prevent the need for general anesthesia, possibly facilitating same-day treatment after consultation.

If your child exhibits symptoms of tongue-tie or lip-tie, our team will conduct an examination to assess the severity of the issue and discuss available treatment options.

Post-Operative Video discussed in the office

Tongue-tie Video

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