Tongue tie, or ankyloglossia, is a common but often misunderstood condition in babies. If you've been told your baby might have a tongue tie, you're not alone — many parents have never heard of it until it starts affecting feeding, speech, or overall development. In this article, we’ll explain what tongue tie is, how it’s diagnosed, the signs to watch for, and what treatment options are available.
What Is a Tongue Tie?
Tongue tie is a condition present at birth where the lingual frenulum — the small strip of tissue connecting the bottom of the tongue to the floor of the mouth — is too short, tight, or thick. This restricts the tongue’s normal range of motion.
In some babies, tongue tie may not cause any issues. But for others, it can lead to:
Difficulty breastfeeding
Problems with bottle feeding
Poor weight gain
Fussiness during feeding
Signs Your Baby Might Have a Tongue Tie
Here are some common signs parents and health professionals may notice:
Difficulty latching during breastfeeding
Clicking sounds while feeding
Long or frequent feeding sessions
Baby sliding off the nipple or frequently unlatching
Gassiness or reflux-like symptoms
A heart-shaped or notched tongue when baby cries
Poor weight gain despite frequent feeds
Nipple pain, blisters, or mastitis in the mother
It’s important to know that not all tongue ties cause problems — treatment is usually considered only if function is affected.
How Is Tongue Tie Diagnosed?
A proper diagnosis involves both clinical examination and observation of function. Dentists, lactation consultants, speech pathologists, or pediatricians experienced in oral restrictions will:
Examine the shape and mobility of the tongue
Assess breastfeeding or bottle-feeding techniques
Consider the baby’s symptoms and maternal experience
In many cases, the provider may also check for a lip tie (tight tissue between the upper lip and gum), which can also contribute to feeding difficulties.
Treatment Options for Tongue Tie
If the tongue tie is impacting feeding, your healthcare provider may recommend a frenotomy — a simple procedure that releases the tie.
1. Frenotomy (Tongue Tie Release)
A quick, low-risk procedure often done without anesthesia in infants
The frenulum is snipped or lasered to free up tongue movement
Minimal bleeding, often resolves feeding issues immediately or within days
2. Aftercare and Bodywork
After release, some babies benefit from:
Stretching exercises to prevent reattachment
Craniosacral therapy or chiropractic care to relieve body tension
Lactation support to improve latch and milk transfer
What Happens If Tongue Tie Goes Untreated?
If left untreated and symptomatic, a restrictive tongue tie may lead to:
Ongoing feeding challenges
Speech development delays
Dental crowding or palate shape issues
Mouth breathing or snoring
Difficulties with chewing and swallowing solid food
However, not every tongue tie needs intervention — decisions should be based on function, not just appearance.
Final Thoughts
Tongue tie in babies is treatable and manageable when addressed early. If you're concerned about your baby’s feeding or oral development, don’t hesitate to seek professional advice. A multi-disciplinary approach — involving a dentist, lactation consultant, and possibly a bodyworker — often leads to the best outcomes.
Looking for a trusted assessment?
Our clinic offers comprehensive evaluations and gentle treatment for infant tongue and lip ties. Book a consultation today to support your baby’s feeding journey.