{"id":268,"date":"2026-04-17T14:14:50","date_gmt":"2026-04-17T13:14:50","guid":{"rendered":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/?p=268"},"modified":"2026-04-17T14:14:50","modified_gmt":"2026-04-17T13:14:50","slug":"tongue-tie-in-babies","status":"publish","type":"post","link":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/tongue-tie-in-babies\/","title":{"rendered":"Tongue Tie in Babies: Signs, Symptoms and When to See a Specialist Dentist in London"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If your baby has been struggling to latch during feeding, making clicking sounds while nursing, or seeming unsettled and colicky after most feeds, tongue tie could be the cause. It is one of the most common yet frequently overlooked conditions in newborns, and identifying it early can make a real difference to your baby&#8217;s comfort, feeding success and longer-term development.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This guide explains what tongue tie in babies is, how to recognise the signs and symptoms, and when an assessment from a specialist paediatric dentist is the right next step for your family.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>What Is Tongue Tie in Babies?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tongue-tie, medically referred to as ankyloglossia, is a birth condition in which the lingual frenulum, a small tissue band beneath the tongue, is unusually tight and restricts the tongue\u2019s movement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In most people, the frenulum is thin, flexible and sits well back from the tongue tip. In babies with tongue tie, it may be shorter, thicker or positioned too far forward, restricting how freely the tongue can move. That restriction affects the baby&#8217;s ability to create the suction needed for effective feeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the<\/span><a href=\"https:\/\/www.nhs.uk\/conditions\/tongue-tie\/\"> <span style=\"font-weight: 400;\">NHS<\/span><\/a><span style=\"font-weight: 400;\">, tongue tie affects an estimated 4% to 11% of newborns in the UK, and is more common in boys than in girls. In many cases it is mild and causes no problems at all. In others, it significantly affects feeding and requires professional assessment and treatment.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Types of Tongue Tie: Anterior and Posterior<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are two main types of tongue tie, and understanding the difference matters, particularly because one of them is frequently missed at routine newborn checks.<\/span><\/p>\n<p><b>Anterior tongue tie<\/b><span style=\"font-weight: 400;\"> is the more visible form. The frenulum attaches close to the tip of the tongue, which may appear heart-shaped or notched when the baby cries or tries to protrude it. This type is usually identified quickly by midwives or health visitors.<\/span><\/p>\n<p><b>Posterior tongue tie<\/b><span style=\"font-weight: 400;\"> sits further back under the tongue and is harder to detect without a hands-on functional assessment. The tongue may appear to move normally on visual inspection, yet the underlying restriction can be just as significant in its impact on feeding. If a tongue tie has been ruled out but difficulties persist, posterior tongue tie is often the reason.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Signs and Symptoms of Tongue Tie in Babies<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tongue tie presents differently depending on its severity and the individual baby. Some infants feed well and show no signs of a problem. Others struggle considerably from the earliest days.<\/span><\/p>\n<p><b>Common signs in breastfed babies:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty latching on or maintaining a latch during feeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent feeding that never seems to fully satisfy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Clicking or smacking sounds while feeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive wind, colic or reflux after most feeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slow or poor weight gain despite feeding regularly<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Falling asleep at the breast before finishing a feed<\/span><\/li>\n<\/ul>\n<p><b>Signs in the nursing parent:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent nipple pain, cracking or damage despite trying different positions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A sensation of the baby chomping rather than suckling<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mastitis or engorgement due to incomplete breast drainage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced milk supply caused by ineffective feeding<\/span><\/li>\n<\/ul>\n<p><b>Signs in bottle-fed babies:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Milk dribbling from the corners of the mouth during feeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiring quickly and pausing frequently<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taking far longer than expected to finish a bottle<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unsettled, gassy behaviour after feeds<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Not every baby will show all of these signs, and some overlap with other feeding conditions. This is why an accurate, hands-on assessment from a trained specialist is so important.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>How Is Tongue Tie Diagnosed?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A reliable diagnosis requires more than a quick visual check. Trained practitioners assess the tongue&#8217;s range of movement, the position and nature of the frenulum, and the functional impact on feeding. A baby can appear to move their tongue normally on the surface while still having a clinically significant restriction underneath.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At<\/span><a href=\"https:\/\/www.childrensdentistlondon.co.uk\/\"> <span style=\"font-weight: 400;\">Dr Mali Dental Clinic in London<\/span><\/a><span style=\"font-weight: 400;\">, Dr Malihe Moeinian is a specialist in paediatric dentistry with postgraduate training from the Royal College of Surgeons of Edinburgh and England, a PhD from Queen Mary University of London, and over a decade of specialist clinical experience at King&#8217;s College Hospital and King&#8217;s College London. Her assessments consider both the clinical presentation and your experience of feeding, ensuring nothing is dismissed or overlooked.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>When Should You Seek Specialist Help?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">You do not need to wait for problems to become severe before seeking an assessment. If feeding has been difficult since birth and adjustments to latch technique have not improved things, an early appointment is a sensible step.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Seek specialist advice if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your baby has not regained their birth weight within two weeks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breastfeeding remains consistently painful despite trying corrected positioning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your baby shows signs of poor feeding, persistent colic or reflux<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A midwife or health visitor has mentioned tongue tie as a possible cause<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A tongue tie was noted but not treated, and difficulties are continuing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You suspect posterior tongue tie after being told nothing was found<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Private assessment at a specialist paediatric dental clinic offers access to practitioners with specific expertise and significantly shorter waiting times compared to NHS pathways. You can<\/span><a href=\"https:\/\/aeronaclinic.co.uk\/pp\/portal\/clinic\/NDEz\/login\"><span style=\"font-weight: 400;\"> book a tongue tie consultation at Dr Mali Dental Clinic<\/span><\/a><span style=\"font-weight: 400;\"> to have your baby assessed by a qualified specialist with extensive experience in this area.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>What Does Tongue Tie Treatment Involve?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The most common treatment for tongue tie in babies is a procedure called <\/span><b>tongue tie division<\/b><span style=\"font-weight: 400;\">, or frenotomy. A trained practitioner uses sterile scissors or a laser to divide the frenulum, releasing the restriction. In young babies, the procedure is typically very quick, causes minimal bleeding and does not require general anaesthetic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most babies are able to feed immediately or very shortly after the procedure. Improvement in latch and feeding comfort is often noticeable within a day or two, though some babies benefit from continued support from a lactation consultant or infant feeding specialist to re-establish an effective feeding pattern.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For older children where a more significant restriction has developed, a procedure called a <\/span><b>frenuloplasty<\/b><span style=\"font-weight: 400;\"> may be recommended. The<\/span><a href=\"https:\/\/www.bspd.co.uk\/\"> <span style=\"font-weight: 400;\">British Society of Paediatric Dentistry<\/span><\/a><span style=\"font-weight: 400;\"> recognises tongue tie as a clinical condition with well-established treatment pathways for infants and older children alike.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>What If Tongue Tie Is Left Untreated?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Not every tongue tie requires treatment, and some resolve or become less problematic with time. However, where the restriction is significant and feeding difficulties are present, leaving it unaddressed can have wider consequences.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulties establishing or maintaining breastfeeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ongoing weight gain concerns in the early weeks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Speech and articulation difficulties in later childhood, particularly with sounds that require the tongue to lift or touch the roof of the mouth, such as &#8220;l&#8221;, &#8220;r&#8221;, &#8220;t&#8221; and &#8220;d&#8221;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced ability of the tongue to self-cleanse the teeth and gums, affecting oral hygiene<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potential effects on dental development and bite alignment over time<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">An early assessment allows you to make an informed decision rather than waiting to see whether problems emerge further down the line.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Why Choose a Specialist Paediatric Dentist for Tongue Tie Care in London?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tongue tie assessment and treatment require specific training and clinical experience. A specialist paediatric dentist has completed additional postgraduate study in the care of children&#8217;s oral health and a thorough understanding of oral anatomy, infant behaviour and functional assessment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr Malihe Moeinian holds the MClinDent in Paediatric Dentistry from the Royal College of Surgeons of Edinburgh and England, and spent a decade as a specialist clinical tutor in paediatric dentistry at King&#8217;s College London. Her approach puts accurate diagnosis, minimal discomfort and clear communication with parents at the centre of every appointment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr Mali Dental Clinic is based on Fulham High Street in southwest London and offers after-school and Saturday appointment times to accommodate busy families. E-consultations are also available for parents who want to discuss their concerns before travelling to the practice.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Frequently Asked Questions<\/b><\/h2>\n<p><b>How do I know if my baby has tongue tie?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Common signs of tongue tie in babies include difficulty latching, clicking during feeds, poor weight gain, and being unsettled after feeding. A proper hands-on tongue tie assessment is the best way to confirm it.<\/span><\/p>\n<p><b>Can tongue tie go away on its own?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Mild tongue tie may become less restrictive as a baby grows. However, if your baby has feeding problems, early assessment is recommended to decide whether tongue tie treatment is needed.<\/span><\/p>\n<p><b>Is tongue tie division painful for babies?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Tongue tie division is usually a very quick procedure with minimal discomfort for young babies. Most babies can feed soon afterwards, and your specialist will explain the process clearly before treatment.<\/span><\/p>\n<p><b>Can untreated tongue tie affect speech?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">In some children, untreated tongue tie can affect speech by limiting tongue movement needed for certain sounds. Early tongue tie treatment may help reduce this risk.<\/span><\/p>\n<p><b>How soon can tongue tie be treated?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Tongue tie can be assessed and treated soon after birth. Early treatment often supports better breastfeeding, although older babies and children can also be treated when needed.<\/span><\/p>\n<p><b>Should I see a GP or a dentist for tongue tie?<\/b><b><br \/>\n<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">A GP can refer you, but a specialist paediatric dentist trained in tongue tie assessment can provide a full diagnosis and treatment plan. Private tongue tie clinics often offer faster appointments than NHS services.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If your baby has been struggling to latch during feeding, making clicking sounds while nursing, or seeming unsettled and colicky after most feeds, tongue tie could be the cause. It is one of the most common yet frequently overlooked conditions in newborns, and identifying it early can make a real difference to your baby&#8217;s comfort, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":272,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_seopress_titles_title":"Tongue Tie in Babies: Signs, Symptoms & Treatment | Dr Mali","_seopress_titles_desc":"Worried about tongue tie in your baby? Learn the signs, symptoms and when to seek specialist help. Book a private assessment now.","_seopress_robots_index":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-268","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/posts\/268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=268"}],"version-history":[{"count":1,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/posts\/268\/revisions"}],"predecessor-version":[{"id":273,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/posts\/268\/revisions\/273"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/media\/272"}],"wp:attachment":[{"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.childrensdentistlondon.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}