Understanding Tongue Ties: Growth, Development, and Orthodontic Care

Understanding Tongue Ties: Growth, Development, and Orthodontic Care

A seemingly small detail in oral anatomy, the tongue tie (or ankyloglossia), can have far-reaching effects on a child’s growth, development, airway, and swallowing. At Nakisher Orthodontics, we understand the importance of identifying and addressing tongue ties to ensure optimal oral health and overall well-being. In this blog post, we’ll explore the different types of tongue ties, their potential impact, and how orthodontic treatment plays a pivotal role in managing this condition.

What Is a Tongue Tie?

A tongue tie occurs when the lingual frenulum — the thin band of tissue connecting the tongue to the floor of the mouth — is too short, tight, or thick, restricting the tongue’s movement. Tongue ties can vary in severity and are often classified into two types:

  1. Anterior Tongue Tie: This type affects the front of the tongue and is more noticeable, as it visibly restricts tongue movement.
  2. Posterior Tongue Tie: This type is subtler, with the restriction occurring closer to the base of the tongue, making it harder to diagnose without a detailed examination.

Effects of Tongue Ties on Growth and Development

While it may seem minor, a tongue tie can have significant effects on a child’s growth and development, including:

  • Airway and Breathing: A restricted tongue can interfere with proper tongue posture and oral rest position. This may contribute to mouth breathing, narrow airway development, and even sleep-disordered breathing or obstructive sleep apnea.
  • Swallowing: Proper tongue movement is essential for effective swallowing. Tongue ties can lead to swallowing difficulties, resulting in compensatory muscle use that can affect a child’s bite and jaw development.
  • Dental Alignment: Restricted tongue movement can alter the natural forces of the tongue against the teeth, potentially contributing to crowding, open bites, or misaligned dental arches.
  • Speech Development: In some cases, tongue ties can impact speech clarity, as the tongue may struggle to form certain sounds.

Treatment for Tongue Tie

Treatment for tongue ties typically involves a frenectomy or tongue release, a quick and minimally invasive procedure to release the restricted frenulum. This procedure can be performed with traditional surgical tools or advanced laser technology, depending on the case.


However, releasing the tongue tie is just one step in the journey. A comprehensive treatment plan often includes myofunctional therapy to retrain tongue posture and movement, ensuring long-term success. At Nakisher Orthodontics, we collaborate with a network of specialists, including pediatric dentists, ENT specialists, speech therapists, and myofunctional therapists, to provide holistic care for patients.

Why See an Orthodontist for Tongue Tie Concerns?

Orthodontists play a crucial role in evaluating and managing the impact of tongue ties on oral and facial development. By taking a holistic view of your child’s growth and development, an orthodontists at Nakisher Orthodontics can:

  • Identify subtle signs of tongue tie that might be missed by others.
  • Assess how the tongue tie is affecting dental alignment, jaw development, and airway health.
  • Provide tailored treatment recommendations, which may include orthodontic interventions to correct structural issues resulting from the tongue tie.

Schedule an Evaluation at Nakisher Orthodontics

If you suspect a tongue tie in your child or notice signs like difficulty swallowing, speech issues, or mouth breathing, don’t hesitate to reach out to us. At Nakisher Orthodontics, we’re dedicated to helping our patients achieve optimal oral health and function. Our comprehensive evaluations ensure that every detail is addressed, setting the foundation for a lifetime of healthy growth and development.


Contact us today to schedule a consultation and learn how we can help you or your child thrive!