Tongue-tie, also known as ankyloglossia, is often talked about in the context of breastfeeding—but its effects can reach far beyond infancy. As children grow, an untreated tongue-tie can impact how they speak, eat, breathe, and even how they feel about themselves. It can also make everyday things like brushing teeth or enjoying certain foods more difficult. The good news? A gentle procedure called a frenuloplasty can make a big difference. With the right diagnosis and care, children can thrive—feeling more confident, comfortable, and free to express themselves fully. Here’s what we want you to know:

What Is a Tongue-Tie?

A tongue-tie occurs when the frenulum—the small band of tissue connecting the bottom of the tongue to the floor of the mouth—is too short, tight, or thick. This restriction can limit the tongue’s range of motion and cause a variety of functional problems over time.

How Is Tongue-Tie Diagnosed in Older Children?

Diagnosis starts with a thorough evaluation of both tongue appearance and tongue function. It's important to note: function matters more than how the tongue looks. A child may have a visibly minor tie but still experience significant restrictions that impact daily life.

Key signs that an older child may have a tongue-tie include:

• Difficulty pronouncing certain sounds (especially "L," "R," "T," "D," "N," and "TH")

• Trouble eating, chewing, or swallowing certain foods

• Speech that sounds unclear or "mumbled"

• Mouth breathing or snoring

• Challenges with oral hygiene (difficulty sweeping food off teeth with the tongue)

• Social challenges due to unclear speech or self-consciousness

• Postural issues related to oral muscle tension

An assessment by Dr. Calleros will examine tongue movement, lift, lateralization (side-to-side movement), and functional tasks like swallowing.

Why Consider Tongue-Tie Release Surgery for Older Children?

Addressing a tongue tie isn't just about improving one thing—it can positively impact many areas of a child’s life:

• Speech Improvements:
  Releasing the tie can help children articulate sounds more clearly and effectively, reducing frustration and boosting communication skills.

• Better Eating and Swallowing:
  Improved tongue mobility can make eating less effortful and messy, helping with nutrition and confidence during meals.

• Enhanced Oral Hygiene:
  With better tongue movement, children can more easily clear food debris from their teeth and gums, promoting better dental health.

• Breathing and Airway Benefits:
  In some cases, a tongue tie can contribute to mouth breathing or airway issues, which can improve after release.

• Social Confidence:
  As speech, eating, and comfort improve, children often feel more confident interacting with peers and participating in activities.

What Happens During Tongue-Tie Release Surgery?

For older children, we recommend a frenuloplasty, which can be performed with laser technology. Laser technology allows us:

• Offers greater precision

• Causes minimal bleeding

• Reduces discomfort

• Speeds up healing time

• Often requires no sutures

The procedure is usually quick—often taking just a few minutes—and can be done under local anesthesia. Most children experience only mild soreness afterward and resume normal activities within a day or two.

In most cases with older children, Dr. Calleros will recommend myofunctional therapy (specialized exercises to retrain tongue movement and strengthen oral muscles) both before and after the release to maximize results.

Helping Your Child Speak, Eat, and Smile with Confidence

Tongue-ties don’t just impact infancy—they can affect a child’s growth, development, and daily experiences. If you suspect your child may have a tongue-tie, early diagnosis and treatment can make a world of difference.

We truly love helping children thrive and feel honored to be part of their journey. Changing lives for the better is at the heart of what we do—and there’s nothing more rewarding than seeing a child smile with confidence. Our team is here to answer your questions, guide you through the process, and help your child unlock their full potential—one joyful, healthy smile at a time.