Pediatric Tongue Tie and Lip Tie Release Treatment (Laser Frenectomy)

What is a tongue tie?

A tongue tie is a tight band of tissue (frenum or frenulum) connecting the tongue to the floor of the mouth.

What is a lip tie?

A lip tie is a similar tissue restriction due to a frenum attachment from the underside of the lips, thus preventing proper lip function, closure and movement.


Tongue and lip ties, along with other tissue restrictions, are known as tethered oral tissues (TOTS). Tethered oral tissues restrict proper movement and can cause problems like breastfeeding in infants, speech in older kids, swallowing, and natural formation of the pediatric airway.

What are some issues that can arise due to TOTs?

Nursing babies may have:

  • Poor or shallow latch
  • Reflux and excessive spitting up
  • Loud Sucking, Gagging or Choking during feedings
  • Colic and Gas
  • Poor weight gain
  • Milk leakage
  • Frustration at the breast

Nursing mothers may have:

  • Nipple pain
  • Poor breast drainage
  • Thrush
  • Mastitis
  • Poor milk supply
  • Lack of sleep
  • Depressed mood

School aged children may have:

  • Delayed speech
  • Speech impediments
  • Problems with facial growth and development
  • Gaps between front teeth
  • Restricted airway, mouth breathing, TMJ issues

Frequently Asked Questions:

What should I do if I suspect my child has a tongue or lip tie?

If you're concerned it's best to make an appointment for your child to be evaluated as soon as possible. The sooner the restrictions are released, the better both baby and mother will feel at feedings.

What treatments are available for TOTs that are causing issues?

Dentists perform tongue and lip tie releases called frenectomies using a state of the art CO2 laser to quickly, safely, and effectively release the tongue and lip ties without harming surrounding tissue.

Where can I read more about breastfeeding and tongue ties?

More information on breastfeeding, tongue and lip-ties can be found from La Leche League.

Please contact our office if you'd like to speak with one of our doctors about your child's needs.

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