Tongue-tie is when the piece of skin that connects the tongue to the floor of the mouth (the frenum) is shorter or tighter than usual. Babies and children with tongue-tie often can’t move their tongues properly. This can lead to breastfeeding difficulties and other problems.
Many children with short or tight frenums don’t experience any problems. These children aren’t considered to have tongue-tie.
Tongue-tie is a congenital condition. This means it’s something a baby is born with. We don’t know why tongue-tie happens in some babies, but it usually isn’t a serious problem.
Signs of tongue-tie
Here are signs that your baby or child might have tongue-tie:
- The tip of your baby’s tongue looks heart-shaped when their tongue sticks out.
- The tip of your baby’s tongue can’t reach the roof of their mouth or further than the edge of their lower lip.
- Your baby’s tongue can’t move sideways.
If you’re breastfeeding and your baby has tongue-tie, you might also notice the following signs:
- Your baby has trouble attaching or staying attached to your breast.
- Your baby makes a clicking sound when feeding.
- Your baby isn’t gaining enough weight.
- Your nipples look squashed after feeding.
- Your nipples might be sore or damaged.
Medical help: when to get it for children with tongue-tie
You should take your child to the GP if you notice any of the signs above or if you’re concerned about tongue-tie.
If you’re having trouble with breastfeeding, it’s a very good idea to talk with your midwife, child and family health nurse or a lactation consultant. These health professionals will check your baby for tongue-tie.
You might see a speech pathologist if you notice problems with your child’s speech. Although it isn’t clear whether tongue-tie can affect speech development, a speech pathologist might check for signs of tongue-tie.
Treatment for tongue-tie
The aim of tongue-tie treatment is to make sure your child’s feeding, nutrition, growth and development aren’t affected by their tongue-tie.
Or if your child has speech problems, they might have speech therapy to develop their communication skills.
If non-surgical treatment strategies don’t work, sometimes a small surgical procedure called a frenectomy is needed. A frenectomy involves cutting the frenum with scissors or a laser.
For a newborn baby, this procedure is often done without anaesthetic. Your baby can usually feed immediately after the procedure. For older babies and children, doctors will usually use a general anaesthetic to do a frenectomy.
Your health professional can help you decide whether your child needs a frenectomy and which approach is best for your child. Only an experienced health professional should do a frenectomy.