A tongue tie (ankyloglossia) occurs when the thin band of tissue connecting the underside of the tongue to the floor of the mouth — the lingual frenulum — is too short, thick, or tight. This restriction can limit tongue movement and affect important functions such as breathing, swallowing, speaking, and oral development. Tongue ties can also influence jaw and facial growth, and may impact orthodontic treatment outcomes if not addressed.
Why Tongue Tie Releases Are Important
Proper tongue movement supports nasal breathing, oral posture, and healthy facial growth. When tongue motion is restricted, children may experience:
- Speech or swallowing challenges
- Difficulty maintaining proper tongue posture
- Mouth breathing or snoring
- Orthodontic relapse or difficulty with alignment
- Jaw tension or discomfort
By releasing the tongue tie, we restore freedom of movement, improve oral function, and support long-term orthodontic and airway health.
Types of Tongue Ties
Tongue ties vary in location and severity:
- Anterior tongue tie: Near the front of the tongue, often visibly restricting movement.
- Posterior tongue tie: Deeper tissue restriction under the tongue, sometimes harder to detect.
- Lip or cheek ties: Tight tissue connections affecting lips or cheeks that can impact oral function.
Advanced Laser Release for Comfort and Precision
We perform tongue tie releases using the Fotona TimeWalker® Laser (Er:YAG). This precise laser minimizes damage to surrounding tissues, reduces pain, and promotes faster healing compared to traditional surgical techniques.
Healing and Post-Procedure Care
After a release, healing may be supported in one of two ways:
- Primary intention: Closing the site with sutures or Periacryl®, a medical-grade tissue adhesive that protects the area as it heals.
- Secondary intention: Allowing the tissue to heal naturally without a wound barrier, letting the site remodel on its own.
We also use photobiomodulation therapy (low-level laser therapy) to stimulate cellular regeneration, reduce inflammation, and accelerate healing. Most patients experience initial healing in 7–10 days, with complete tissue remodeling continuing over the following weeks. Discomfort is typically mild, and children can return to normal activities quickly.
Myofunctional Therapy: Before and After
To achieve lasting results, we recommend myofunctional therapy before and after the release. Pre-release exercises help strengthen tongue and oral muscles so children can use their newly released range of motion effectively. Post-release therapy focuses on tongue exercises, proper posture, and preventing reattachment. Myofunctional therapy is a key part of ensuring long-term function and stability.
Age Considerations and Referrals
We typically perform tongue tie releases for children ages 9 and up, when cooperation and healing are optimal. For infants and younger children, we collaborate with trusted pediatric dental specialists who are skilled in early interventions. Our goal is always to ensure your child receives the right care at the right time.
A Functional, Long-Term Approach
Our approach combines advanced laser technology, supportive therapies, and expert guidance to restore tongue mobility and optimize oral function. With careful pre- and post-release support, children experience improved breathing, swallowing, and long-term dental stability.
Contact our office to schedule a consultation and learn if your child could benefit from a tongue tie evaluation.