About Tongue Ties

Tongue ties (ankyloglossia) is caused by a short and tight lingual frenulum (the membrane tissue that anchors the tongue to the floor of the mouth). In utero, the tongue forms around the 4th week of life. Before a baby is born, the connection between the tongue and the floor of the mouth usually goes away. In some cases, the connection between the tongue and floor of the baby’s mouth does not go away and this restriction can cause problems for both mother and baby. Depending on the classification/type of the oral restriction, sometimes they can be difficult to be identified. Tongue ties should be diagnosed by a tie-savvy pediatrician, dentist, SLP, and/or chiropractor. Side note: IBCLCs, LCs, and OTs can assess but not diagnose ties. Ties should also be determined on severity based on the baby’s functionality. Just looking inside a baby’s mouth is not enough to diagnose a tie as everyone has a frenulum. At The Tongue Tie Tribe, we aspire to provide an outstanding evidence-based team holistic approach to helping evaluate and come up with a treatment plan for your child (not every baby needs a frenectomy!).

Still on the fence? Here are some research articles that further explain what a Tie and what a frenectomy procedure would look like as well as its benefits.

Articles - Lawrence A. Kotlow, DDS, PC | Albany NY (kiddsteeth.com)

Breastfeeding health - Lawrence A. Kotlow, DDS, PC | Albany NY (kiddsteeth.com)

Objective Improvement After Frenotomy for Posterior Tongue-Tie: A Prospective Randomized Trial - Bobak A. Ghaheri, Douglas Lincoln, Tuyet Nhi T. Mai, Jess C. Mace, 2022 (sagepub.com)

Laser ankyloglossia release: Implications for maxillomandibular growth - Seminars in Orthodontics (semortho.com)

Lingual laser frenotomy in newborns with ankyloglossia: a prospective cohort study | Italian Journal of Pediatrics | Full Text (biomedcentral.com)

Is the Medical Profession Following the Hippocratic Oath by doing No Harm when Mothers and Infants are Allowed to Suffer Needlessly when they are Told nothing is Wrong when Tethered Oral Tissues are Either Ignored or Misdiagnosed? (kiddsteeth.com)

Infant Gastroesophageal Reflux (GER): Benign Infant Acid Reflux or just Plain Aerophagia? | International Journal of Child Health and Nutrition (lifescienceglobal.com)

Microsoft Word - Kotlow_IJCHN.doc (kiddsteeth.com)

Diagnosing and Understanding the Maxillary Lip-tie (Superior Labial, the Maxillary Labial Frenum) as it Relates to Breastfeeding - Lawrence A. Kotlow, 2013 (sagepub.com)

Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)