Tongue-Tie in Babies

What Is Tongue-Tie?

Tongue-tie, or ankyloglossia, is a condition in which the tongue’s movement is restricted due to a problem with the lingual frenulum, a small strip of tissue under the tongue. Your tongue needs to be able to move in all directions to do its job well. This makes it easier to eat, swallow, talk, and even clean food out of the mouth. People with tongue-tie may have a lingual frenulum that is too short, too tight, or too close to the tip of the tongue.

What Does It Look Like?

When your baby yawns or cries, look under their tongue. If you notice that the frenulum is short and tight, it may indicate a tongue-tie.

Here are some other common signs to look out for:

• The tongue can’t move side to side easily.

• It doesn’t reach the roof of the mouth or upper gums.

• The tip of the tongue looks like a heart

• It can’t stretch past the lower gums.

• Your child can’t lick their lips or curl their tongue upwards.

If you see any of these signs, consult a doctor at the earliest. Your health insurance plan can cover treatment for your child.

Types of Tongue-Tie

There are two main types:

• Anterior tongue tie: Easy to see and near the tip of the tongue.

• Posterior tongue tie: It's harder to find because it's hidden under the tongue.

It affects about 10% of newborns, but not all of them need treatment. Your baby is likely tongue-tied if you have these symptoms:

• Soreness or pain during nursing

• Cracked nipples

• Low milk supply

• Mastitis or breast inflammation

Causes and Risk Factors

Doctors don't know for sure why some babies are tongue-tied, but possible factors include:

• It may run in families.

• More common in male babies.

• It’s seen more often in first-born babies.

These are the reasons it is important to include your child into your family health insurance policy because you may have no idea the amount risk factors they may be exposed to.

Symptoms

Common symptoms include:

• Bad latch

• More chewing than sucking

• Slow or low weight gain

• Extended feeding sessions

• Fussy baby

• Clicking sounds while feeding

• Hungry all the time

Does Tongue-Tie Affect Speech?

Your child's speech is typically not delayed by tongue-tie. However, it may make some sounds, such as "t," "r," "l," or "s," more difficult to pronounce.

Diagnosis

It usually only requires a physical examination. The doctor will:

• Ask about feeding issues.

• Examine your baby’s teeth, mouth, and tongue.

• Examine the tongue's movement using a tongue depressor.

Treatment

Ankyloglossia treatment depends on how much it affects feeding or speech. Options include:

• Observation:

Treatment might not be required if tongue-tie isn't causing issues.

• Support for Breastfeeding:

A lactation consultant can offer guidance on proper latch and positioning.

• Surgical Intervention:

Your doctor might recommend a minor procedure like a frenotomy, frenectomy, or frenuloplasty if feeding or speech is affected.

Tongue-Tie Surgery Options

Three primary surgery options are available:

• Frenotomy:

A quick snip made in a doctor's office with sterile scissors. It takes only a few seconds and typically doesn't involve numbing medication.

• Frenectomy:

Like frenotomy, but instead of just cutting the frenulum, the doctor removes it entirely.

• Frenuloplasty:

The doctor cuts the frenulum, adds dissolvable stitches, or may use a laser instead. It is recommended for cases that are more complex or when the frenulum is too thick.

Can Adults Have Tongue-Tie?

If not treated, tongue-tie can last into adulthood. It could cause:

• Speech problems

• Dental problems

• Having trouble licking, kissing, or playing wind instruments

• Pain in the jaw or neck

Treatment Risks Involved

Ankyloglossia treatment is typically safe and successful, but there are some risks, such as:

• Small amounts of bleeding

• Infection (rare)

• Damage to the saliva glands or tongue (extremely uncommon)

• Frenuloplasty scarring that could impair tongue movement

• Anaesthesia-related reactions in some cases

Tongue-Tie Complications

Not every case of tongue tie results in long-term issues. However, if treatment is not received, some kids may develop issues like:

• Failure to breastfeed or inadequate weight gain in infants

• Dental problems such as gum irritation, cavities, or tooth decay

• Choking or gagging when starting solids

• Mouth soreness and excessive dribbling

Conclusion

Tongue-tie may seem like a minor problem, but it causes many difficulties for many babies, ranging from speech delays to nursing struggles. Regardless of whether your child is having trouble speaking or your baby is experiencing latch issues, getting a professional opinion is always worthwhile. In many cases, health insurance can cover the cost of tongue-tie treatment, making early care even more accessible for parents.

One of the important components of our overall wellness is also being financially secured. Healthcare emergencies can happen any time, but a good health insurance policy can protect you from such uncertain situations. To know more about Wellness and other health related tips, visit the wellness corner.

Sources: ncbi.nlm.nih.gov, mayoclinichealthsystem.org, mayoclinic.org, kidshealth.org

Disclaimer: This blog provides general information and discussions about health and related subjects. The information and other content provided in this blog, website or any linked materials are not intended and should not be considered or used as a substitute for medical advice, diagnosis or treatment. Kindly contact your doctor before starting a new medicine or health regime.

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Published on August 25, 2025