A tongue-tie is a condition present at birth that restricts the tongue from moving freely. The band of tissue tethers the bottom of the tongue's tip to the floor of the mouth, making it difficult to breast feed. Care and treatment of these infants require a multidisciplinary approach. Both mother and child should be evaluated within 24-48 hours after childbirth by a certified lactation consultant (IBCLC).
When there is a lack in mobility, it is difficult for the tongue to rest against the roof of the mouth, which could create a high narrow palate. The tongue is a natural palatal expander, allowing for proper jaw growth and development as well as a healthy airway.
If there is a restriction, a procedure called a frenectomy could be necessary. Myofunctional therapy is beneficial both before and after the procedure. The exercises help prepare the tissue for release and ensure there is no reattachment.