Prevalence
Ankyloglossia occurs in approximately 3% to 5% of the population. There is relatively little known about the causes associated with this congenital disorder. There also does not seem to be any strong evidence of congenital syndromes associated with ankyloglossia. Twice as many men are born tongue-tied as women.
Diagnosis
It can be difficult to diagnose ankyloglossia in a newborn. Often, newborns will not have any symptoms and not need an intervention. In severe cases, you will see a “V” or heart-shaped notch at the tip of the tongue. One of the hallmark symptoms of an infant being tongue-tied is difficulty in “latching on” to breastfeed. You may also notice that, if you are able to breastfeed your baby, your nipples will remain sore longer than expected.
When diagnosing ankyloglossia, your physician will look at the structures and function of the tongue. The frenulum will often be shorter, thicker, and feel tight when touched in those with this condition. When older, tongue movement can be evaluated. Sometimes your child may not be able to touch the tip of their tongue to the roof of their mouth. Other tongue movements that may be difficult include:
Moving the tongue from side to sideLicking an ice cream cone or lollipopSticking their tongue out
Other symptoms that may accompany being tongue-tied include:
Poor weight gain (due to breastfeeding difficulties)Speech difficulties (a speech impediment)Difficulty swallowing or eatingDental problems
Treatment
Treatment for being tongue-tied is not always necessary. When the disorder is severe enough to cause problems related to swallowing, speaking, or eating, treatment is necessary. Ankyloglossia is treated with a surgery called a frenulotomy. This surgery releases the tension in the frenulum to allow the tongue a wider range of motion. Other surgical procedures your child’s doctor may discuss include frenulectomy and frenuloplasty.
