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Children & Development • Tongue Tie

Tongue Tie Evaluation and Treatment

A tight band under the tongue (ankyloglossia) can affect speech and swallowing in children, and breathing and jaw function at any age. We evaluate how the tongue actually works before deciding whether a release is needed.

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What Tongue Tie Affects

Tongue tie (ankyloglossia) is a restricted lingual frenulum that limits tongue mobility, which can affect feeding, speech and airway development in children. Beyond infancy it has been associated with altered oral posture and a smaller airway, as a National Library of Medicine review summarizes.

We evaluate children and adults whose symptoms point to tongue restriction — how it affects feeding, speech, airway health and jaw function — and provide evaluation and, where a release is indicated, treatment or referral.

Close-up of an infant's mouth during a tongue-tie assessment

What We Check at a Tongue-Tie Evaluation

Function, not just appearance, decides whether a release helps.

Four illustrations of tongue lift, cupping, lateral movement and extension used to check tongue-tie function

Children • Adults

Mindy Lunceford, myofunctional therapist, guiding a young patient through a tongue and lip exercise

Children

As children grow, a restricted tongue can show up in speech, breathing and eating.

Signs to watch for

Goal: clear speech, nasal breathing, normal jaw growth.

Dr. K. Cheyn Gunnerson palpating the jaw joint just in front of a patient's ear as she opens her mouth

Adults

Tongue restriction does not always resolve on its own, and some adults carry it into jaw and sleep symptoms.

Signs to watch for

Goal: relieve strain on the TMJ, support airway function.

Schedule A Tongue Tie Evaluation

Call (385) 446-4947 to schedule a tongue tie evaluation. We will look at how tongue mobility may be affecting feeding, speech, breathing, and jaw function before anything else is decided.

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Frequently Asked Questions About Tongue Tie

Children may have unclear speech, difficulty swallowing, or chronic mouth breathing. An evaluation can confirm tongue tie.

Tongue tie itself is not painful, but it can make eating, chewing, and speaking frustrating. When a release is indicated, the procedure is typically quick and well tolerated.

Sometimes. Many children benefit from speech or myofunctional therapy after a release to help retrain tongue posture, improve articulation, and support the results of treatment.

Yes. Restricted tongue movement can contribute to mouth breathing, poor airway development, and sleep-disordered breathing. Addressing the tie, where indicated, may improve sleep and breathing patterns for some children.

Untreated tongue tie may contribute to long-term challenges with feeding, speech, airway growth, and oral development. Early evaluation lets us catch and address these issues before they become harder to manage.