1. What is a tongue-tie or lip-tie, and who can have it?
A tongue-tie (ankyloglossia) is when the tissue under the tongue (lingual frenulum) is too tight, limiting movement. A lip-tie affects the tissue between the upper lip and gum. These conditions can impact infants, children, teens, and adults, leading to challenges with feeding, speech, breathing, oral hygiene, and more.
2. What are common signs of tongue- or lip-tie at different ages?
Babies: Poor latch, prolonged or painful nursing, reflux, colic, or slow weight gain.
Teens & Adults: Speech strain, TMJ discomfort, sleep issues, snoring, and tension in the jaw or neck.
3. When should someone be evaluated for a tongue-tie or lip-tie?
If you or your child are experiencing any oral function issues—feeding difficulties, speech delays, tension, or airway concerns—it’s a good idea to seek an evaluation. Tongue- and lip-ties can be assessed and treated at any age.
4. How is a tongue- or lip-tie treated?
Treatment involves a frenectomy, where the restricted tissue is gently released. This is often done with a laser, which allows for precision, minimal bleeding, and quick recovery. Some cases may require traditional instruments. The procedure is typically brief and done in-office.
5. Is a frenectomy painful?
The procedure is generally well-tolerated across all ages. Infants may only need topical numbing. Older children and adults often receive a small amount of local anesthesia. Laser treatment helps reduce discomfort and supports a faster healing process.
6. What does recovery look like after a tongue- or lip-tie release?
Healing is usually fast. Most people experience minor soreness for a few days. For infants, nursing or bottle-feeding can resume shortly after the procedure. For older children and adults, mild discomfort may occur when speaking or eating, but resolves quickly with proper care.
7. Why are post-procedure exercises important after a frenectomy?
Aftercare stretches help prevent the tissue from reattaching as it heals. These exercises are simple but essential for maintaining improved mobility of the tongue or lip. They’re recommended for all ages following the release.
8. Can a tongue- or lip-tie return after treatment?
True regrowth is rare, but reattachment can occur without proper aftercare. This is why consistent exercises—and sometimes follow-up therapy—are key to successful long-term results.
9. What are the long-term benefits of treating a tongue- or lip-tie?
Adults: Reduced jaw and neck tension, improved posture, sleep quality, and even relief from chronic headaches or TMJ issues
10. Is a frenectomy covered by insurance?
Many dental and medical insurance plans cover tongue- and lip-tie releases. Coverage depends on your plan and the provider. Most practices offer help with insurance verification and reimbursement forms.
11. How can I prepare for the procedure at any age?
Preparation varies by age:
For infants, keep routines calm and soothing.
For children, use positive language and avoid scary words like “cut” or “surgery.”
For teens and adults, expect a brief, in-office procedure with minimal downtime. Providers usually offer instructions tailored to each age group.
12. When can I or my child eat or speak again after treatment?
Feeding or eating can usually resume shortly after the release. For babies, nursing helps with comfort and healing. For older patients, soft foods and gentle speech are encouraged the first day, with a quick return to normal activity.
13. Can babies breastfeed or bottle-feed right after a tongue-tie release?
Yes, most babies can nurse or bottle-feed immediately after treatment. Feeding soon after the procedure can soothe your baby and promote natural healing through movement and contact.