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Home > Health Library > Tongue-Tie
Tongue-tie (ankyloglossia) is a problem that is present at birth. It happens when the tissue that attaches the tongue to the bottom of the mouth (lingual frenulum) is too short. This can limit the movement of the tongue.
See a picture of tongue-tie.
The cause of tongue-tie isn't always known. It can run in families or may occur in babies who have other problems that affect the mouth or face, such as cleft palate.
Many babies with tongue-tie don't have symptoms. The tissue either stretches as the child grows, or the child adapts to the tongue restriction. But some children with tongue-tie have:
Your doctor will do a physical exam of your child's mouth and ask about his or her symptoms. In an older child or adult, the doctor may check the shape and movements of the tongue.
If your baby is younger than 1 year of age and has problems with feeding, the doctor may do a medical procedure (frenotomy) to clip the lingual frenulum. If your baby has tongue-tie and is feeding okay, you may choose to wait and see if his or her lingual frenulum stretches on its own.
While you wait and see, you can also:
If tongue-tie causes speech problems or personal or social problems as your child grows, the doctor may do a frenuloplasty. In this surgery, the doctor clips the lingual frenulum and closes the wound with stitches. The doctor may also teach your child how to do tongue exercises to improve tongue movement.
Some children don't need treatment because they adapt to the way their tongue is or the problem gets better as they grow.
Other Works Consulted
Breward S (2006). Tongue tie and breastfeeding: Assessing and overcoming the difficulties. Community Practice, 79(9): 298–299.
Friedman N, et al. (2014). Ear, nose, and throat. In WW Hay Jr et al., eds., Current Diagnosis and Treatment: Pediatrics, 22nd ed., pp. 502–533. New York: McGraw-Hill.
Hall DMB, Renfrew MJ (2005). Tongue tie. Archives of Disease in Childhood, 90(12): 1211–1215. [Erratum in Archives of Disease in Childhood, 91(9): 797.]
Reamy BV, et al. (2010). Common tongue conditions in primary care. American Family Physician, 81(5): 627–634.
Current as of: August 22, 2019
Author: Healthwise StaffMedical Review: John Pope, MD, MPH - PediatricsKathleen Romito, MD - Family Medicine
Current as of: August 22, 2019
Author: Healthwise Staff
Medical Review:John Pope, MD, MPH - Pediatrics & Kathleen Romito, MD - Family Medicine
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