Tongue-Tie Treatment

Performed when a band of tissue underneath the tongue is too tight, short, or thick and restricts tongue movement, the tongue-tie procedure releases the frenulum to improve mobility. A tongue-tie may be identified in infants with feeding concerns or in children with speech or oral hygiene challenges. In-house treatment can be completed in just a few minutes and involves the use of a dental laser. Our Bethesda, MD, pediatric dentist will evaluate symptoms, explain options, and help families decide if treatment is appropriate based on individual needs and clinical findings present.

Learn more about tongue-tie release below.

What Are the Symptoms of Tongue-Tie?

Tongue-tie, also called ankyloglossia, is a condition present at birth where a short or tight piece of tissue connects the tongue to the floor of the mouth. This restriction can limit tongue movement and lead to a range of concerns. Tongue-tie treatment often occurs during infancy, especially when feeding is affected, but older children can still benefit from evaluation and care when symptoms are present.

Common signs of tongue-tie include:

• Difficulty lifting the tongue toward the upper teeth
• Trouble moving the tongue from side to side
• Inability to stick the tongue out past the lower front teeth
• A tongue that appears notched or heart-shaped when extended
• Breastfeeding challenges, such as poor latch or prolonged feeding
• Speech concerns or difficulty with certain sounds
• Messy or effortful eating

If you notice one or more of these signs, an evaluation by our local tongue-tie pediatric dentist can help determine whether treatment is appropriate.

Is a Tongue-Tie Release Painful for Kids?

Tongue-tie release, or a frenectomy, is performed using advanced dental laser technology, which allows the procedure to be quick and minimally invasive. The laser releases the tight tissue with precision while sealing the area at the same time. This significantly reduces bleeding and typically eliminates the need for stitches.

Because the laser is highly controlled, there’s a lower risk of affecting surrounding tissues. The procedure is usually completed in a few minutes. Local anesthesia is used to numb the area, so your child remains awake but should not feel pain or discomfort during treatment.

Many parents are surprised by how smooth the appointment is, especially for infants and young children. After the procedure, children are generally able to resume normal activities shortly afterward. Dr. Shin will review what you can expect and provide simple aftercare guidance to support healing.