Baby Tongue Tie: Signs, Treatment, and What Parents Should Know

Introduction

If your newborn is struggling to latch during breastfeeding or seems unusually fussy while feeding, they may have a tongue tie. Also known as ankyloglossia, tongue tie happens when the thin tissue (lingual frenulum) under the tongue is too short or tight, restricting tongue movement.

Tongue tie in babies is fairly common, and with early diagnosis, treatment can make a big difference in feeding and development.

What Is Baby Tongue Tie?

Tongue tie is a condition present at birth where the tongue cannot move freely due to a restrictive frenulum. This can make it harder for infants to breastfeed, bottle-feed, or use their tongue normally.

Signs of Tongue Tie in Babies

Parents may notice:

  • Difficulty latching during breastfeeding

  • Clicking sounds while feeding

  • Poor weight gain due to feeding problems

  • Long feeding sessions or frustration at the breast

  • Sore nipples or pain for breastfeeding mothers

  • Limited tongue movement (tongue can’t reach roof of mouth)

How Tongue Tie Affects Babies

  • Feeding: Babies may not get enough milk, leading to slow weight gain.

  • Oral Development: Restricted tongue mobility can affect swallowing and oral motor function.

  • Speech (later on): Severe tongue tie can impact pronunciation as the child grows.

Treatment Options for Baby Tongue Tie

  1. Frenotomy (Tongue Tie Release): A quick in-office procedure where the frenulum is snipped with sterile scissors or a laser.

  2. Frenuloplasty: A more involved surgical option for severe cases.

  3. Lactation Support: Working with a lactation consultant before and after treatment helps improve feeding.

Most babies can feed immediately after a frenotomy, and mothers often notice an improvement right away.

Aftercare and Recovery

  • Feeding soon after release helps with healing.

  • Gentle tongue exercises may be recommended.

  • Babies usually recover quickly with minimal discomfort.

Should You Treat Baby Tongue Tie?

Not every baby with a tongue tie needs treatment. Some feed well despite the restriction. However, if feeding is painful, ineffective, or affecting growth, treatment is often recommended.

Final Thoughts

Baby tongue tie is a treatable condition that can significantly impact feeding and development if left unaddressed. If you suspect your baby has a tongue tie, consult your pediatrician, dentist, or lactation consultant for an evaluation. Early intervention often leads to smoother feeding, better growth, and fewer complications later in life.