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Parents may hear more about lip-ties and tongue-ties today than they did in the past. These conditions, which involve restrictions in the tissues connecting the lips or tongue to the mouth, are frequently discussed in connection with breastfeeding and infant feeding. But have they actually become more common, or are they simply being recognized more often? Continue reading to find out.
What Are Lip- and Tongue-Ties?
A tongue-tie, medically known as ankyloglossia, is when the tissue connecting the underside of the tongue to the floor of the mouth restricts tongue movement. A lip-tie refers to a restrictive attachment of the tissue connecting the upper lip to the gum.
These tissues are normal anatomical structures. The question is whether their attachment or flexibility significantly limits function.
A tongue-tie may make it difficult for some infants to move their tongue effectively during breastfeeding. Parents may notice difficulty latching, prolonged feedings, clicking sounds while feeding, or poor weight gain. However, these symptoms can have many possible causes.
Are They Actually More Common?
It is difficult to say with certainty that lip- and tongue-ties have become more common in recent years. Estimates of their prevalence vary considerably, partly because there is no universally accepted definition or diagnostic standard for what constitutes a clinically significant tongue-tie.
One reason these conditions may seem more prevalent today is increased awareness. Pediatricians, lactation consultants, dentists, and other healthcare professionals may recognize and discuss restrictive oral tissues more frequently than they did in previous generations.
Changes in diagnostic practices can also influence reported numbers. When healthcare professionals actively look for a condition, more cases may be identified. This does not necessarily mean the underlying condition has become more common.
Breastfeeding Awareness May Play a Role
As more mothers turned away from breastfeeding and towards formula and bottles in the mid-1900s, the conversation around lip- and tongue-ties grew cold. But since the turn of the millennium, women have turned back to breastfeeding, bringing greater attention to its inherent challenges and putting the spotlight back on lip-ties and tongue-ties.
When an infant has difficulty latching or transferring milk, healthcare providers may evaluate several possible contributing factors, including the baby’s oral anatomy.
However, not every breastfeeding problem is caused by a tongue-tie. Positioning, milk supply, oral-motor development, prematurity, and other factors can also affect feeding.
Does Every Tie Need Treatment?
No. The presence of a lip- or tongue-tie does not automatically mean treatment is necessary.
If an infant is feeding well, gaining weight appropriately, and showing no functional problems, a restrictive tissue attachment may not require intervention. When feeding difficulties are present, a comprehensive evaluation can help determine whether the oral tissue is contributing to the problem.
Treatment decisions should be based on function and symptoms rather than appearance alone.
Talk With Your Baby’s Healthcare Team
If you suspect your baby has a lip- or tongue-tie, discuss your concerns with your pediatric dentist or pediatrician. A pediatric dentist experienced with infants can evaluate oral anatomy and function and help determine whether further assessment or treatment is appropriate.
Lip and tongue-ties may appear to be more common today, but increased awareness, screening, and differences in diagnostic criteria make it difficult to conclude that their actual prevalence has increased. What matters most is whether a baby’s oral anatomy is affecting feeding or other functions. A professional evaluation can help parents understand what they are seeing and determine whether any action is needed.
About the Practice
Chicago Tongue-Tie Center is led by board-certified pediatric dentists Dr. Justin Welke and Dr. Bindi Vibhakar. Our team can collaborate with your pediatrician or lactation consultant to determine the best treatment for your baby’s lip- or tongue-tie. If a frenectomy is necessary, we can quickly and comfortably perform it using LightScalpel, the most advanced laser available today. Contact us online for booking or by phone at (312) 248-2455.