How to Spot the Signs: Identifying Tongue and Lip Ties Early On

Tongue and lip ties are common issues in infants and young children, often leading to difficulties in feeding, speech development, and oral hygiene. Early identification and intervention can significantly reduce the impact of these conditions, ensuring better outcomes for child development. We will provide parents and caregivers with the necessary knowledge to recognize the signs of tongue and lip ties in their early stages.

Understanding Tongue and Lip Ties

Definition and Impact

A tongue tie, known medically as ankyloglossia, occurs when the strip of skin under a baby's tongue (the lingual frenulum) is shorter than usual. This condition restricts the tongue's range of motion. A lip tie happens when the labial frenulum, the tissue connecting the upper lip to the upper gum, is tight or oversized. Both conditions can hinder effective breastfeeding, speech development, and oral health.

Recognizing the Signs in Infants

Breastfeeding Challenges

One of the first signs of a tongue or lip tie is difficulty breastfeeding. Infants may struggle to latch correctly, or they may latch and then slip off the breast repeatedly. This struggle often leads to prolonged feeding sessions, poor weight gain, and frustration for both mother and baby.

Symptoms in the Mother

Mothers breastfeeding infants with tongue or lip ties may experience significant breast pain, nipple damage, and a decrease in milk supply due to ineffective nursing. These symptoms are often mistaken for other breastfeeding issues but can be a key indicator of a tie.

Signs in Older Children

Speech Difficulties

As children with untreated tongue or lip ties grow, they may develop speech difficulties. Difficulty with certain sounds, like "t," "d," "z," and "s," can be a telltale sign, often becoming more evident as the child begins to form words and sentences.

Dental and Oral Health Issues

Children with lip ties, in particular, may have gaps between their front teeth or develop dental decay more easily due to difficulties in oral hygiene. A lip tie can prevent the proper cleaning of the area around the upper front teeth, leading to an increased risk of cavities.

Steps for Confirmation and Treatment

Consulting with Health Professionals

If a tongue or lip tie is suspected, it is crucial to consult with a pediatrician, lactation consultant, or a pediatric dentist. These professionals can provide a proper diagnosis and discuss the best course of action, which may include a simple procedure to release the tie (frenectomy).

Monitoring and Long-Term Care

Post-diagnosis, ongoing monitoring of the child’s feeding, speech, and dental development is important. In some cases, additional interventions, such as myofunctional therapy, CranioSacral therapy, speech therapy or orthodontic treatment, may be necessary to address any other oral developmental issues.



Early recognition and treatment of tongue and lip ties are essential for mitigating their impact on a child’s development. Parents and caregivers should be vigilant about spotting the signs and seek professional advice promptly to ensure the best possible outcomes for their child’s health and development. By understanding these conditions and their implications, families can take proactive steps towards addressing them effectively and efficiently.

Concerned about possible tongue or lip ties affecting your child's development? Reach out to our team of specialists today for a comprehensive evaluation and expert guidance to ensure your child's healthy growth and well-being.