Tongue Tie

What is a tongue tie?

According to the IATP, a tongue tie is "an embryological remnant of tissue in the midline between the undersea of the tongue and the floor of the mouth that restricts normal tongue movement." The key component of this definition is whether it restricts normal tongue movement.

What is a lip tie?

A lip tie is the attachment of the upper lip to the maxillary gingival tissue according to the IATP.

How can this affect a baby, child, adolescent, or adult?

Frenectomies are completed for a number of reasons. Whether its breastfeeding, speech, feeding, growth and development, TMJ problems, sleep apnea, airway problems, when done correctly a patient can benefit on several levels.

Breastfeeding difficulty

Babies can exhibit signs of breastfeeding difficulty. Some symptoms can include but are not limited to:

  • Difficulty achieving a good latch
  • Falls asleep while at the breast
  • Slides off the breast
  • Reflux/ spit up
  • Poor weight gain (or weight gain that slows or decreases around 12 weeks)
  • Frequent feeding
  • Apnea- snoring, heavy breathing
  • unable to use pacifier
  • Congested in the morning
  • Cannot sleep laying flat
  • Gags easily
  • Milk leaking out the side of the mouth
  • Gassiness/fussiness

Mothers can also exhibit signs and symptoms of the baby having difficulty. Here are some symptoms:

  • Creased, cracked, branching nipples
  • Painful latch
  • Gumming or chewing of the nipples
  • Bleeding, cracked, or cut nipples
  • Infant unable to achieve successful latch
  • Incomplete breast drainage
  • Infected nipples
  • Mastitis
  • Plugged ducts
  • Oversupply
  • Undersupply
  • Depression
  • Strong letdown

Speech Difficulty

  • Difficulty articulating words
  • Speech fatigue
  • stuttering
  • delay in speech

Eating/feeding difficulty

  • gagging/ choking
  • picky about textures
  • stores food
  • inability to clean teeth with tongue

Growth and development

  • crowded teeth
  • narrow palate
  • congestion/ sinus problems
  • long face
  • tongue thrust/open bite


  • snoring
  • mouth breathing
  • bed wetting
  • difficult to wake in the morning
  • congested in the morning
  • large tonsils

How Laser Frenectomies Help?

Newborns + Infants
Ages 0 – 12 months

  • Improve latch and sucking for nursing
  • Resolve air swallow
  • Create fluid muscle movements
  • Create positive airway

Toddlers + Children
Ages 1 – 8 years

  • Improve speech and language phonation
  • Promote larger airway and lessen snoring
  • Improve feeding and swallowing coordination
  • Help create harmonious lip and tongue rest position

Tweens + Teens
Ages 9 – 18 years

  • Recapture proper teeth stabilization
  • Help with post-orthodontic stability
  • Facilitate nasal breathing for lifelong health