Understanding Tongue & Lip Tie
Tongue tie or ankyloglossia, is when the band of tissue under the tongue (lingual frenulum) is so tight that it restricts movement. It affects around 4-11% of infants.
Lip tie occurs when the tissue connecting the upper lip to the gum (labial frenulum) is unusually tight, potentially causing feeding struggles or gaps between front teeth.
Tongue and lip ties often run in families.
Why Toronto Parents Need Awareness
Tongue and lip ties can affect babies and children in several ways:
- Feeding challenges – Poor latch, sore nipples, or inadequate weight gain
- Speech & oral function – Issues with articulation and oral hygiene
- Sleep & comfort – Some ties can contribute to sleep disruptions or snoring
According to the Canadian Paediatric Society, ankyloglossia (tongue-tie) is relatively common, but most infants with tongue-tie are asymptomatic and do not experience feeding issues. The CPS emphasizes that “frenotomy cannot be recommended for all infants with ankyloglossia”, it is only beneficial when there’s a clear link to significant breastfeeding problems. Treatment should be reserved for carefully selected cases and performed by a clinician experienced in the procedure with appropriate pain control.
Signs to Watch For and Next Steps
Red Flags to Look Out For:
- Difficulty latching or breastfeeding
- Clicking, choking, or extra effort during feeds
- Gaps between front teeth or persistent speech delays
- Difficulty in tolerating certain foods ie/ steak, mashed potatoes
Assessment & Treatment in Toronto
We provide a thorough tongue and lip tie evaluation. This involves a detailed history followed by a clinical exam.
If intervention is needed, a frenectomy (Tongue and/or Lip Tie Release) may be recommended using:
- CO₂ laser – precise, minimal bleeding, fast healing, and often preferred for younger patients
What to Expect: Procedure & Recovery
- Quick & gentle – Often done with local anesthesia, with minimal discomfort and low bleeding
- Fast recovery – Healing typically takes 3 weeks for the lip and 4 weeks for the tongue
- Post-care – Gentle stretches are prescribed and demonstrated post treatment to prevent reattachment and promote function.
Quick Reference Table
| Stage | What to Do |
|---|---|
| Spot Issues | Evaluate feeding struggles or speech delays |
| Seek Support | Get assessed by our team |
| Consider Treatment | If needed, a laser release is quick and effective |
| Follow-Up | Track healing and support feeding post-procedure |
Final Thoughts for Toronto Families
Tongue and lip ties are common, but only a portion cause problems that need treatment. At Little Pearls Pediatric Dentistry in Toronto, we provide thoughtful evaluation and gentle treatment, including laser releases when needed.
Questions about evaluation or treatment options? Book a consultation or call our team today, we’re here to support your baby’s bond, comfort, and development.
- Address: 81 Billy Bishop Way, Unit D2, North York, ON, M3K 0C2 | View on Google Maps
- Phone: 416-960-4422
- Email: [email protected]
- Contact Form
- Book an Appointment Form
