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                    Tongue Tie (Ankyloglossia)

What is Tongue Tie?

Tongue tie is where the tongue is tethered to the floor of the mouth or to the gum line by the frenulum (string of tissue that anchors the tongue in the mouth).  If you lift up your tongue and look in the mirror, you will see the frenulum.  

There are two different types of Tongue Tie:


  • Anterior
  • Posterior 
In addition, many children with tongue-tie also have a lip tie, usually in the upper lip.  For examples of the different types of ties, please visit:


For some people, tongue-tie does not cause any issues and there are varying ranges of severity of tongue tie.  Some babies are tongue tied at birth and have a lot of difficulty latching during breast feeding.  Some children have speech difficulties that may or may not be associated with a short or restricted frenulum.

If you suspect you or your child is tongue tied, you may also want to visit the site www.tonguetie.net to learn more information about  this condition. 

On this site, you will read about Carmen Fernando, an Australian Speech-Language Pathologist, who created The Tongue Tie Assessment Protocol (TAP) described in the book Tongue tie - from Confusion to ClarityIn the assessment, tongue tie can be assessed and scored, so that if the final score is below a specified number the need for surgical intervention can be established. 

Our office can complete the Tongue Tie Assessment Protocol (TAP) to help you determine your next steps. 

Be sure to read about the Consequences of Untreated Tongue Tie and the pictures of tongue tie.  

Here is a list of symptoms possibly related to Tongue Tie.  For many, these symptoms can be life long and affect quality of life!  

 Tongue Tie Symptoms

It is important to remember that your child's tongue/frenulum may not match the pictures on the above websites, but it does not necessarily mean he/she isn't tongue-tied.  A short frenulum, that is hard to detect, can hinder correct speech production by not allowing the tongue to travel from articulator to articulator efficiently.  An evaluation would determine if the range of motion is adequate.  Please call our office to schedule an appointment. For additional pictures and to learn about the difference between Anterior and Posterior Tongue Tie, please visit  


What does the child sound like after this surgery? 

If you are considering this surgery for a client, your child (or yourself) and you have wondered if it will really make a difference, please listen to the following files.  

NOTE:  These audio files will download to your computer.  You will need to find them in your download folder to play them.  

(Parent permission for posting here has been granted.)  

Click here to hear a sample of speech before surgery

Click here for a sample of speech three months AFTER surgery


Click here for a sample of speech during reading, after surgery 

Click here for another sample of speech during reading, after surgery 


Where can I find a doctor that performs this type of surgery? 

Not all doctors are trained to assess and treat tongue-tie.  Below you will find a list (it's not exhaustive) of those with a good reputation and experience in this area.  The first one is for NC and SC only.  The second link is for the US as well as some providers in Canada, Australia, England, Israel, and Puerto Rico.  


US and International Providers