Tongue-tie, or ankyloglossia (an-ky-loh-GLOS-see-uh), occurs when a newborn’s tongue cannot move freely. This condition happens because the lingual frenulum, a thin piece of tissue under the tongue, is too tight or short. This restriction affects how the baby moves their tongue, making breastfeeding and other oral tasks harder. Some babies with tongue-tie latch poorly during feedings. This can lead to reduced milk intake, causing slow weight gain.
Breastfeeding challenges often highlight the issue. Mothers may experience nipple pain or damage during nursing because the baby cannot form a proper latch. Bottle feeding may also present challenges. Signs include difficulty sealing the lips around the nipple or milk spilling from the sides of the mouth.
Tongue-tie affects babies differently. In some cases, it may not interfere with feeding, speech, or other functions. In others, it may require treatment.
Tongue-tie Diagnosis and Treatment Options
Doctors or lactation consultants usually identify tongue-tie during newborn checkups. They examine the baby’s mouth and observe feeding patterns. If it causes feeding problems, medical professionals may recommend a simple procedure called a frenotomy (freh-NAH-tuh-mee).
During a frenotomy, a healthcare provider snips the frenulum with sterile scissors. The process takes seconds and causes little discomfort. Some babies feed immediately afterward with improved tongue mobility. Healing typically occurs quickly, with little risk of complications.
In severe cases, a frenuloplasty (fren-yoo-loh-PLAS-tee) may be necessary. This minor surgery involves correcting the frenulum using stitches, usually under anesthesia. Doctors recommend this approach when the frenulum is thick or attached deep in the mouth.
For mild tongue-tie, treatment may not be necessary. Some babies adapt without medical intervention. Parents should work with healthcare professionals to decide the best course of action.
If untreated, this condition could cause long-term issues. These include speech problems, dental issues, and difficulties with eating solid foods. Early identification and treatment improve outcomes for most newborns.
By addressing tongue-tie promptly, parents can help their newborns feed comfortably and thrive. Always seek guidance from a trusted healthcare provider.