Tongue Tie or Ankyloglossia: when to we clip it (frenum, frenulum, frenulectomy, frenulotomy)

[@tdavis832]

Thank you so much for this video, my daughter has a tongue tie and I’ve been so stressed about it. Been referred to an ENT and a pediatric dentist, one uses the scalpel and the other uses a laser and I’ve been told from different LCs that the scalpel is better. This has caused me so much stress and anxiety over who to choose and what to do. I sincerely thank you for discussing the different techniques, hearing that the method doesn’t matter has greatly decreased my anxiety!

[@shelleyharrison615]

That was really clear, unbiased, and reassuring. Thank you from a Craniosacral Therapist who works with infants and needs to understand this issue!

[@arisaconwell]

This was SO incredibly helpful, answered all of my questions and more about tongue tie.Thank you so much!! 🙏🏼

[@tina2chap]

This is one of the best summaries out there, thank you!

[@elizabethdecontie15]

Incredible! Thank you. Especially the comment about circ and piercing really puts it in perspective. Thank you.

[@talitaflinspach4585]

Thank you for the nice explanation. My daughter is 3 and a half months old. I had to make a decision to cut her tongue tie yesterday and she hardly felt it. She is back to normal and not fussy at all.

[@selenemayorga-gutierrez4419]

Hi! I have a one month old and we just found out about his tongue tie. Do you breast feed? I ask because I have slight pain during latching and I'm wondering if that girls away after the snip.

[@talitaflinspach4585]

@@selenemayorga-gutierrez4419 Hi. We breastfed for 3 months. Cutting her tongue tie didn't correct her latch. Latching caused so much pain. I even got a lactation consultant to try and help the situation. I was completely heartbroken, but I started exclusive pumping and then bottle feeding her the breast milk. We are now almost 11 months and still giving breast milk. Good luck with your journey. :-)

[@selenemayorga-gutierrez4419]

That great you're still able to pump and have a great supply for that long, it's not easy feeding or pumping, you go mama! We did the tongue tie procedure done yesterday and all seems well with feeding he latched right one and wow what a difference I feel from before. Not as painful but he won't let me do the stretches and it's causing a bit of anxiety in my end so hopefully the LC will help us figure that out. God forbid we had to go a revision.

[@talitaflinspach4585]

@@selenemayorga-gutierrez4419 Wishing you all the best. Breastfeeding is such a blessing. I really pray all works out beautifully. Keep strong Mama. Just know that you are doing a great job and your baby is getting the best milk ever.

[@mkatravels]

Thanks! Very helpful video. Why do you think it is that this is becoming a more common procedure than say 30 or 40 years ago? Is it just that tongue and lip ties are more well understood than they used to be? Grandparents don't seem to understand our desire to do the procedure for our little one. 😕

[@fatemaafroz3614]

Sir please show exercises for adults to correct tongue tie.

[@anamikaan7419]

hi you can watch tongue exercises on #speechkatta.. almost 22 set of exercises

[@_Lesx]

The only way to correct it is surgery.

[@tinahuo2448]

Thank you so much Dr. Liu for such informational video!!!

[@kylieleung2458]

I am a young adult with a tongue tie diagnosed by my dentist and they suggested I get it lasered off. I know kids can have symptoms such as speech impediments or trouble breathing, but do you think this surgery is necessary for adults?

[@Aangel452]

Very useful information, thank you so much, we appreciate it.

[@arjunsinghmalngiang1676]

Can you explain to me, I'm difficult to pronounce in R sound,can surgery fixed about it?

[@michelledechavez7298]

thank you Doctor.. this pretty help! God bless you

[@mioplaza73]

Hello I'm an SLP and want to thank you so much for that explanation! I will be using your basketball analogy from now on lol!!!!

[@Nick2JZ]

Hi doctor, my frenulum is very small...would cut it make my tongue extend long? I feels it is holding back my tongue from full extension. Thanks!

[@nathaliejonesrmt5785]

Could you please suggest resources or research papers as to why not using anesthetic is the better option?

[@mrtzka]

Finally a great video! Thank you!!

[@KatTheKatTheKat]

Thanks for this clear and complete information!

[@leelee-rq3kr]

Hi Doctor! I have a toddlee who got a lip tear. So what can i do with it? Do i need have it repaired? My toddler can eat and drink, breath well, does not have a gap front teeth.

[@my2love755]

Is there videos on babies who are bottle fed from the start and how you can tell they have tongue tie (clues). All I can really find is babies being breastfed only. I really need help in finding info about how you can tell a bottle fed baby has tongue tie. Like what are the signs.

[@JENAGAL111]

Wonderful information... thank you for the clarity!!!

[@fedwalutfi5353]

Thank you for this helpful video. My son is 22 months. When I was leaving the hospital day 3 a nurse said he has a tongue tie dye to failure to latch. But ever pediatric doctor/ PA I have seen disagrees. He never latched i ended up pumping. Now he has a speech delay. Is there any guide on how to diagnose a tongue tie? I don’t see it myself. Thanks.

[@luciagarcia4913]

My doctor told me that same but I alway get a second opinion

[@Cheyennemagic]

I was on my third doctor when my daughter was finally diagnosed with a posterior tongue tie. I knew something was wrong because within a few days of breastfeeding my nipples look like they had gone through a meat grinder. 5 months of exclusively pumping I was finally able to have the procedure done for her. They actually did use anesthesia and she had stitches, but that was also in Germany.

[@user-wk5hg1bf1g]

I’m just finding out my son has a tongue tie and he’s almot 2. Is it too late to work on it?

[@raminagerman2305]

Excellent explanation!!! Thank you!

[@karensok2123]

Thank you for this information video. It was very helpful.

[@mablokh]

Thank you for this explanation! I am wondering, if my 2 week old has sufficient range of motion for nursing effectively, does that suggest that she'll also be fine when it comes to speech, licking, etc.?

[@hannahwaterman2679]

I have a pretty solid tongue tie. I breastfed fine, but did need pretty severe speech therapy. I’m 20 now and still have side effects (breathing issues, headaches, some speech issues). As a person that was in the same boat, I’d say get it clipped while the child won’t remember it. I wish it had been done for me!

[@shamaliamuwala7042]

Thank you for the clear information 🙏

[@tanmayshinde5397]

Hello sir, I am 17yr old and recently I realised that I have this problem so I am not able to speak properly till a date. So sir at now what can I do? Only exercise sufficient or go to the doctor? Please reply sir?🙏🙏

[@taylorindustries]

i just cut my frenelum with scissors at home. It doesn't hurt much and there was little blood too. You can cut it at home too. i didn't have any anaesthetic and was fine but if i did have it then i could cut deeper. Will my frenelum reattach if i leave it? i dont want to have a shorter tongue.

[@syed407]

I've tounge 2 frenulums so what should I do ?

[@juelakadilli7754]

Hello Doctor! I think i have the same issue with my baby girl. But im afraid of the consequences if this procedure is done wrong. How can that affect my baby?

[@jc-zi7lt]

i’m 16 and i really want to release my tongue but i’m afraid i’ll have a speech impediment afterwards my question is will my ability to speech be challenged if i go through with this procedure

[@Mr.Gundam7]

I have one too and i was born in California but people think im from other country because of my english. But the thing is that tongue tie makes people have a accent. I think you will still speak the same but you will speak better and clear so dont worried imma takes mines too.

[@blessingguj2299]

Please, my baby has had the tie removed twice and now he's almost 5 months and it looks like it's still there. What can I do?

[@ironllama]

I have a 1 1/2 year old who when she sticks her tounge out far enough it looks like a heart. Dentist said if she doesn't do it she can have speech issues. Her pediatrician says wait until she can talk to see. What should I do?

[@andiceni24]

3 weeks postpartum, and I've decided to abandon breastfeeding. I really tried! I had lactation teams visiting while in the hospital, we tried everything possible and baby just cant latch. I tried pumping, but supply has dwindled....I've cried, been frustrated. But overall, Dr. Is right, as long as baby is gaining weight and growing amd his needs are met, theres nothing wrong with switching to formula. It was just a hope of mine to breastfeed for bonding reasons, but skin to skin will still happen for some time at least :)

[@blackpillgermany5443]

Andi c It depends on what nutrition the mother is getting, since that will be passed down through the milk. Please do never, under any circumstances feed him soy formula! It can mess with hormones, resulting in permamentn deformities of his facial structure.. Did you not consider fixing his tongue tie? (If he has one) If you do it now the procedure is much easier for him, and he will thank you later on when he can speak properly and doesn't need braces due to his tongue posture being correct.

[@thisishazel3385]

Doc. Can you tell me, if I have to cut the tongue tie of my baby or do she has a tongue tie or no?

[@manikchy8734]

Hello Sir! Now I am 25 years old. I have a Tongue Tie problem. Can I do surgery? If I can surgery, then It will help at this age.

[@Mr.Gundam7]

Yes you can

[@lorenapilipovic5261]

I'm almost 20. I have some problems with speaking because of the tongue tie. I can't pronounce the letter R correctly and it annoys me so much because my language uses the "hard" R, if you know what I mean.😂 I really want to do this procedure but I'm kinda scared

[@Sciencenerd2704]

Where are you from? What is your mother tongue??

[@abdallahmushi4689]

Hello Dr. Liu I just came across your video as i was searching about tongue tie. My sister is currently at the hospital with a new born -3 days old. I just wanted to know if it's better for her to perform the surgery now. Kindly advise please. Thank you.

[@amnamazhar8785]

When u done this procedure to your baby or how many days take to recover properly and how much pain plz ans

[@jennifermeyer5930]

Dr. Liu, this is an excellent, informative video. I am a Speech-Language Pathologist and Pediatric Feeding Specialist. I would like to ask if I may use your video in my course on tongue-tie for other therapists. Could we talk about that?

[@GeneLiuMD]

Sure

[@lovememe7524]

@@GeneLiuMD I have to get my front frenetomy removed but someone told me after a while a grows bak But I just had my braces taken off in my orthodontist recommending me to get it lasered it off but what’s the point of getting a lasered off if it’s going to grow back

[@anam.aria.]

@@lovememe7524 it grows back, but if you do body work before and after and also stretches/myo therapy it will grow back when without being restricted. It is the restriction that bothers not the frenulum itself.

[@lovememe7524]

@@anam.aria. I just made a decision with myself that I’m not going to go do it because I’m scared and you see you guys telling me it will grow back so I’m not even gonna mess around with my mouth like that I’m just going to leave it because I’m OK with it and I accept it for myself but when I got my braces put on Antica know if they just told me if you want to get it removed what they have to do I’m too scared anyway so I’m not doing it

[@anam.aria.]

@@lovememe7524 no need to be scared. It seems you haven't really understood, it's the restriction that is bad, not the frenulum. So if it's cut well and correctly and you do your exercises and body work (cranio-sacral, chiropractor, etc.) It won't be restricted. Accepting it is a good idea, bit if it's proving to be difficult and it's affecting your current life and you have a chance to do it with a preferred provider then I would do it. Are you able to join the Facebook group called "Tongue tied adults support group"? You will find a lot of information there.

[@ginaquirindongo8859]

I had a excellent nurser took him to ent cause he was having speech issues with words with certain words he said he didn’t have a tongue tie or lip type at age three. After three years of speech therapy and now at age 11 he has a lisp. What should I do

[@SteviMadisonMusic]

Thank you for making this video! I found out today with a lactation consultant that my daughter has a lip and posterior tongue tie. I was told this is considered an elective procedure so insurance may not cover it... how much should we expect to pay out of pocket?

[@GeneLiuMD]

I would be very surprised if it is not covered. Also, the charges vary dramatically from place to place, and practice to practice.

[@claycook1]

What an amazing video!

[@Gunshinzero]

1:28 - I'm sure Baby appreciates you speaking directly to him instead of treating him like a...... wait

[@siannitadunn7779]

So helpful-- thankyou

[@loribrooks7964]

I wonder if the nephew has sleep issues, mouth breathing, dental issues, or needed braces.

[@luciagarcia4913]

Why don’t doctors want to do the procedure.

[@blessingagbo8801]

My baby is 10months , and she has a tongue tie,I want to know if I can cut it by myself if, it's possible and how should I cut it, thank you

[@Be_An_Esther]

Are you serious?!

[@yasm1230]

Hi Yesterday I had a tongue tie release surgery and today I woke up and saw my salivary glands under my tongue have significantly swelled. As a result I’m having problems talking. I’m so stressed out and don’t know if it’s normal. Can you tell if it is?

[@GeneLiuMD]

A little swelling is normal, but there shouldn't be a lot. Did you have sutures placed?

[@yasm1230]

Gene Liu, MD, MMM No I didn’t Have sutures. Now it’s a week after the surgery. They are just a little less swollen but still swollen. The confusing thing is that they heal a bit everyday but as soon as I sleep they tend to get big again. Thanks for your helps and respond, I do appreciate it so much🙏🏼

[@GeneLiuMD]

@@yasm1230 A lot of things change in the mouth/throat at night. Saliva production goes down, things get more dry, etc... Seems like it's just a matter of time before things completely resolve.

[@geeksdude4538]

How is it going?!

[@mradhikarithereviewer6480]

Is it OK now? Or the same? Or worse? Please, let us know.

[@z-airerayford479]

I got my tongue tie surgery yesterday, and was immediately able to stick my tongue out, lick my lips, etc.. i noticed when i got home it was harder and there’s a lot of swelling under my tongue and it became harder to move it. taking a closer look, it looks like the doctor only cut the thinner layer and left the thick layer of the frenulum. i think the doctor didn’t cut enough off, because there’s swelling around the frenulum which is restricting my tongue movement.. which looks like it could be a permanent issue. should i wait it out a few more days, or call the doctor ASAP?

[@GeneLiuMD]

What happened? How much to cut is really an art, not a science. If you were able to move the tongue enough immediately, they likely cut "enough". Swelling and muscle soreness absolutely kick in after the procedure for a few days.

[@z-airerayford479]

Gene Liu, MD, MMM thank you! it’s much better now, i think i panicked because i didn’t expect the swelling to start until the next day as opposed to starting an hour or two after cutting it haha. but the swelling went down and everything is now normal.

[@atwinebarbra2554]

Can u tongue move properly now?

[@annieb5475]

Did it affect your speech? Because i think my 2yr old son has it he is not talking as much as he should. I want to clip it but am so scared that it will cause him to not be able to talk permanently.

[@z-airerayford479]

Atwine Barbra yes!

[@KG-it8ng]

My 6 month old has tongue tie and the emt recommended I should wait until she is 3 or 4 yrs old to go under anesthesia b/c he said it is going to hurt a lot now and he might cut something else because she moves a lot now. I dont feel right about it. I do want to get done and I didnt have it done before b/c her ped said she was too young to do it. I do want it done on her to prevent any future problems specially when she starts speaking. What do you recommend?

[@GeneLiuMD]

The issue with waiting until 3-4 y/o is that they almost never cooperate at that age and either (1) you strap them down screaming...which would be even worse from a flailing around and PTSD standpoint or (2) sedate them. And they typically would take longer to "figure out" how to move their tongue more and take advantage of the release. I personally find it very easy to perform the procedure in the office up to at least 9-12 months of age. Starting around 6 months of age, it's not unusual for a child to need tylenol and/or ibuprofen afterwards. Obviously, every physician has their own preferences or comfort level. If you don't like or agree with the first recommendation, I would consider a second opinion with someone in your area that might consider it at an earlier age.

[@latoyagilreathcomer4561]

Hi KG, I'm not an ENT specialist or a licensed Speech -Language Pathologist but, I am a registered SLP-ASSISTANT and I learned that the procedure isn't too invasive and it's definitely a choice because it isn't an evidence based practice. In fact, my speech clinic doesn't provide referrals for this procedure because of the high probability of re-attaching and no proven changes in expressive language abilities. I stand by anyone who chooses to do it and anyone who chooses not to. Go with your gut.

[@martinduffy6422]

Hi dose this procedure lengthen the tongue in adults

[@GeneLiuMD]

It does not change the size of the tongue (including the length) in any way. It does potentially increase the range of motion, though.

[@Unknown-vp3zv]

How should I convince my doc that I have a posterior tounge tie bcz doctors in my country do surgery only for anterior tounge tie.

[@GeneLiuMD]

Unfortunately, there's no way to know what you need to do to change someone else's opinion. I hope you find the relief that you seek.

[@destinmoss5006]

SO CAN I JUS GET A SCISSORS AND CUT IT CUASE MINE GOES ALL THE WAY TO FRONT

[@Mr.Gundam7]

Bruh dont even try it on your mind lol smh

[@Heyitsdes1]

It is likely to grow back and your pain will be a waste of time

[@hollykebeck1660]

hey i was just curious, if you got a frenuloplasty surgery as a adult, and after its fully healed , do you think it would be safe to get a tounge piercing?

[@GeneLiuMD]

After it is fully healed, there should be no impact on tongue piercing.

[@james-us8ej]

Gene Liu, MD, MMM how long would you say it takes to heal fully?

[@GeneLiuMD]

@@james-us8ej Approximately 1 week

[@feliciablanco5432]

My five year old is getting the tongue tie surgery tomorrow in a hospital setting what's up to go in there at 5 a.m. how long should the surgery take. And when can she go back to speech therapy

[@AzzyRiah]

Help please :((( Something happened to my tongue. I have this web under my tongue called a frenulum. Everyone has one but mine is connected from my bottom gum to the tip of my tongue. Now i can't speak bc I accidentally ripped it and it hurts... I haven't watched the video yet but I hope it's helpful because im about to go to the hospital 😭😭😭 (Im 10 btw)

[@Ghoti8]

Nobody cares go cry in pain hope you never got better 😂

[@AzzyRiah]

@@Ghoti8 Awww, who pissed in your cereal? I could give two craps and half of a dry frog about your opinion because guess what? It healed! This was 9 months ago and I don't need assistance anymore :) you're embarrassing yourself thinking I'm still in pain because I'm not. Have a lovely day 😘

[@Ghoti8]

@@AzzyRiah you are right this was from 9 months ago even a stupid wound like that would heal :) plus you must got a smart month if you are only 10 try getting a job with that attitude *sheesh*

[@AzzyRiah]

@@Ghoti8 Attitiude? Tch, you're the one to talk. You attempted to pick a fight with me and I told you off like any person with common sense would do. Don't even try to talk about my attitude. My attitude is based off of who I hang out with and you're the reason I decide not to be so nice right now. The real question is, why did you think it was a good idea to start a fight with a child? A CHILD. are you that sad? Who hurt you for you to go that low and start an argument with an 11 y/o girl 💀 that's a low blow, ong... Anyways, have a nice day 😊

[@AzzyRiah]

@@Ghoti8 I assume this argument is probably because you had a cranky day today so just know that things will get better. 👍 If I'm wrong then still, 2020 has been the worst but don't try to bring your anger out on a child, it's wrong and unnecessary. Goodnight, or day.. Idk ✌

[@smellyallanjeremy388]

So do you need an injection I’m 13

[@reshmaar1915]

Hi there!! What is posterior tongue tie ... my baby has hard time in feeding. Im very much confused .. i have consulted lactation consultant and pediatric surgeon for tongue tie .. still breast feeding hurts.. surgeon said baby has no tongue tie but lactation consultant says baby has tongue tie. .

[@GeneLiuMD]

The "classic" tongue tie is where the band attaches very close to the tip of the tongue. If the attachment is not that close to the tip of the tongue, but the little band is still short enough, it can limit the tongue range of motion...even when it's nowhere near the tip.

[@reshmaar1915]

Thanks for the reply gene .. DS is able to lift his tongue .. i feel lk the tongue length is short.. when he open up his mouth.. the tongue is not not reaching out .. we can see his gums .. how we can rectify this issue..?? My surgeon denied it is not tongue tie..

[@luciagarcia4913]

I don’t want to stop breastfeeding but she’s not taking bottle or me. 😩😩 I going to my doctor.

[@daimond5847]

I have tongue tied syndrome, it doesn’t effect my speech but it does get caught in my teeth. Hurts like a bitch,

[@يوسفالنور-ل4س]

lowasamihat eawaz aemal aleamaliat allisan mmkn aitawasil maeak

[@watermelonroks1]

Okay, is it safe to say I can make out with my boyfriend?

[@teisithulo1975]

😑😑my son has it, he is five years old and he has speech issues. he can't pronounce "L" and other words, no sentences at all. 🥲🥲🥲.