A frenum is a band of tissue under the tongue and lip that helps to stabilize and guide them during eating, speaking, and swallowing. Some children are born with frenums that are particularly thick, short, or tight, limiting their ability to eat, feed, or speak well.
Signs of Tongue- or Lip-Tie May Include:
- Difficulty/pain for mother while breastfeeding
- Long, noisy (clicking or smacking sounds) or inefficient feeding sessions for baby
- Upper lip curling under during bottle feeding/nursing
- Leaking milk out of the sides of the mouth while feeding
- Difficulty sticking the tongue out
- Speech articulation issues, particularly the "-s", or "-th" sounds
- The tongue looks notched or heart-shaped when stuck out
Treatment of Tongue- and Lip-Tie
Treatment may be indicated if your child is having problems with feeding or speech. After careful evaluation, Dr. Colleen completes a quick surgical procedure called a frenotomy using an electrocautery pen or laser to release the frenum. Stitches are usually not necessary. Your child's tongue or lip may feel sore for a few days following the procedure. Keeping it clean with a damp wash cloth, using warm saltwater rinses (if your child can spit), and applying a water-based lubricant to the site can help with healing.
Post-treatment exercises or stretches are important to prevent the tissue from re-attaching to its original position. These exercises can be completed at home, but you and your child may benefit from additional guidance from a myofunctional or speech therapist following the procedure. This ensures that your child is maximizing the full potential and range of motion of their tongue and lip.