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36. What are the signs of a tongue tie?

Tongue Ties

tongue tie on child frontal view with descriptive text

A tongue tie (ankyloglossia) occurs when the tissue under the tongue (the lingual frenulum) is short, tight, or restrictive, which can limit how the tongue moves. Signs can differ depending on your child’s age, but common ones include:
-Breastfeeding challenges — Trouble latching, prolonged feeding sessions, or nipple discomfort for mom
-Slow weight gain — Inefficient feeding can make it harder for infants to gain weight
-Limited tongue mobility — Difficulty sticking out the tongue or lifting it to the roof of the mouth
-Speech concerns — Some children may struggle with sounds like “t,” “d,” “l,” or “r”
-Eating difficulties — Trouble licking, swallowing, or moving food in the mouth
-Dental issues — Gaps between teeth or plaque buildup under the tongue

Not every tongue tie causes problems, but if you notice any of these signs, it’s wise to have your child evaluated. Early assessment can make feeding, speech, and oral development much easier.

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