Chapter 18 – Tongue Tie

Tongue Tie
Contents

ANKLYOGLOSSIA , it is commonly known as tongue tie. To understand tongue tie, we need to first know what is lingual frenum. Lingual frenum is the band of muscle fibers which attaches the tongue to the floor of the mouth. Tongue tie occurs when the lingual frenum is short or gets attached to the tip of the tongue. It limits the range of movements of the tongue. The tongue needs to have unrestricted movement for it to function normally.

Tongue tie is not life threatening but it reduces the quality of life as it affects the speech, eating and ability to play wind instruments.

In children it affects how they eat and can cause speech impediments. In infants it can interfere with breastfeeding.

If it is left undiagnosed , it can also be seen in adults causing difficulty in speaking and affecting the confidence. It can also lead to improper oral hygiene as the sweeping action of tongue is reduced.

The signs of tongue tie :

  • Having difficulty in moving tongue outside the mouth past the lower teeth
  • Unable to touch the back teeth with tongue
  • Trouble moving the tongue left and right
  • Unable to lift the tongue freely to touch the upper teeth
  • Tongue which was band of tissue attached at the tip, giving appearance of notched tongue
  • Speech impairment with certain syllables

Early diagnosis is important. The treatment is removing the tissue and releasing the band of muscle fibers. This treatment is called lingual frenectomy which is followed by tongue exercises.

Many patients go through life without knowing they have tongue tie. They adapt and cope with it. It is never too late to get tongue tie diagnosed. If you feel yourself or someone you know might have tongue tie, visit us at Denticare Dental Clinic. We will diagnose and correct your tongue tie and also help you improve your speech and quality of life.

Frequently Asked Questions

If a tongue-tie is left untreated, it can lead to several oral and functional issues. Children may face speech difficulties, poor pronunciation, and challenges in breastfeeding or eating. Over time, untreated tongue-tie can also cause dental problems such as misalignment and restricted tongue movement, which may affect oral hygiene. Adults may experience discomfort while speaking or swallowing. Early diagnosis and treatment by a dental or ENT specialist can prevent these long-term complications and improve overall oral function.

You might be tongue-tied if you experience difficulty lifting your tongue, sticking it out, or moving it from side to side. Common signs include trouble pronouncing certain sounds, speech delays in children, or breastfeeding issues in infants. Adults may notice discomfort when speaking or eating. A visible tight band under the tongue often indicates restricted movement. A professional evaluation by a dentist or speech therapist can confirm the diagnosis and recommend appropriate treatment options.

Yes, a tongue-tie often needs correction if it interferes with normal oral function. In infants, correction helps with breastfeeding and proper growth, while in older children and adults, it improves speech clarity, tongue mobility, and oral hygiene. The treatment, known as a frenectomy, is a simple and safe procedure that releases the tongue for better movement. However, if the tongue-tie causes no functional problems, observation and regular monitoring by a dental professional may be sufficient.