Talking about tongue-tie

Determining which infants with ankyloglossia need treatment is a common challenge for GPs.

Everyone is born with a lingual frenum. It forms part of the attachment of the genioglossus muscle from the tongue to the lingual aspect of the mandible.  


The frenum is not muscular, however, and may be so thin that it appears to be translucent with minimal connective tissue (and vascular or neural supply).

The frenum may insert from the tongue tip to anywhere posterior into the body of the tongue and it may be short or long. As such, ankyloglossia is a variation of normal and not pathological.

Various studies report the prevalence of tongue-tie to