Child Tongue Ties "Ankyloglossia"


“Ankyloglossia” commonly referred to as a tongue tie is a string of tissue. This tissue is called the frenulum. It connects from the underside of the tongue to the floor of the mouth. You can see it if you look under your tongue in a mirror. This tissue can restrict tongue movements essential for talking, breathing, swallowing, eating, drinking, chewing, speech, jaw growth, posture and digestion.

tongue tie in toddlers


Lip tie is a similar band of tissue, called the labial frenulum, that adheres the lip to the gums at a level much higher than normal. This can lead to a gap in between upper front teeth, cavities, inability to close the lips without strain and speech difficulties.

Lip tie in toddlers

Causes of a Tongue Tie

There have been many such theories and researches behind it, but there is no one concrete reason for it as of today. Some say it's a defect in cellular apoptosis while some say it's hereditary. Interestingly, boys have been found to be more susceptible to have a tongue tie.

Symptoms of a Tongue Tie

Toddler Symptoms

Bruised (or) bleeding nipple

Infected nipples / breast / mastitis

Clicking sounds while feeding

Short sleep episodes

Food in faeces


Delayed speech

Difficulty in brushing upper front teeth

Gags easily

Children Symptoms

History of difficulty in breastfeeding

Speech difficulties

Forward neck and shoulder posture

Sluggish eater / Picky eater / Slow eater

Frequent cold, cough & allergies

Digestive problems – refluxes, colic

Grinding teeth at night

Restlessness & lack of attention

Day time sleepiness / Hyperactivity

Diagnose My Child's Tongue Tie

Tongue-tie may be found when looking for causes of a toddler or child’s picky eating, oral habits or speech development. A tongue tie cannot be diagnosed by seeing if the child can stick out the tongue outside the mouth. Evidence based current approach shows that a comprehensive functional assessment of the tongue is essential.

Is My Child Tongue Tied?


After a thorough history taking and clinical examination, depending on the severity of the condition the treatment is advised. In our practice we use the Functional Frenuloplasty procedure to release tongue ties for toddlers, children and adults. This unique and functional approach to tongue ties was established by globally renowned ENT & sleep surgeon Dr. Soroush Zaghi of Breathe Institute, Los Angeles. Dr. Ankita Shah has trained for this approach under Dr. Zaghi and is India's only Ambassador of The Breathe Institute.

The success of this practice is based on our ability to provide a complete and effective release of tethered oral tissues (fascia) by incorporating a multidisciplinary protocol that integrates myofunctional therapy (and sometimes physical therapy) both before, during, and after surgery. Our tongue-tie release procedure is based on precision: releasing the appropriate extent of tissues for maximal relief; not too much, and not too little.

Dr. Ankita Shah
Dr. Shah is the Only Indian Ambassador of
The Breathe Institute
Trained in the Functional Frenuloplasty
Procedure by Dr. Soroush Zaghi

Dr. Ankita Shah

Risks of An Untreated Tie

Selective in chewing solid foods

Speech defects

Improper jaw growth

Crooked teeth

Thumb Sucking habits

Mouth breathing

Poor posture

High Anxiety

Long term bed wetting

Hyperactivity / Lack of attention (ADD & ADHD)

Mood swings

Snoring / Noisy breathing

Frequent nasal allergies and throat infections

Teeth grinding

Picky eating/ Slow eating

Pediatric Obstructive Sleep Apnea

The above mentioned risks are examples of observed changes in children. NOT ALL TIES SHOW all the above mentioned risks. It takes an experienced provider to thoroughly investigate the tongue function and symptoms associated with each tie.

Our Advanced & Globally Renowned Tongue Tie Procedures:

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