Ankyloglossia (tongue tie) involves an abnormal lingual frenulum, which may be shorter, thicker, tighter and/or more extensive than normal. It occurs in 2 to 11% of infants and may range from mild to severe.


The abnormal frenulum results in decreased mobility of the distal tongue with a limited ability to protrude the tongue. In some cases the tongue may become heart-shaped when the patient tries to protrude the tongue, with the lateral aspects extending outward while the central part is restricted.



(1) difficulty breastfeeding

(2) speech articulation difficultieis

(3) poor oral hygiene

(4) embarassment


Simple frenotomy is often sufficient to provide functional improvement for the patient.


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