From Recovery to Insurance, We Answer Your Main Questions About Laser Frenectomy (Non-Surgical Tongue-Tie Treatments)


Ankyloglossia, commonly referred to as a tongue-tie, is an oral condition that is present at birth and hinders the tongue’s natural range of motion. Typically, a thick, short and tight band of tissue, the lingual frenulum, attaches the skin beneath the tongue’s tip to the floor of the mouth. 

Because of this condition, breastfeeding might become tricky as the baby is unable to open its mouth wide enough to properly latch on. Likewise, swallowing, speaking and lifting the tongue to perform any movement may also become difficult. 

This phenomenon is more common than you might think with about 4 to 11% of babies being born with a tongue-tie. 

At Gep TOTs Dentistry, our team diagnoses and treats, infants, children and adults with tethered oral tissues that include tongue- and lip-ties. 

Dr. Phu-My Gep is experienced and certified in this field and has successfully performed countless tongue-tie treatment without surgery at the Gep Vaughan clinic. Using medically-safe lasers, this treatment has quick healing times and less post-operative pain. 

 

  1. How can you tell if a baby has a tongue-tie?

A tongue-tie might not always be easy to spot. Usually, this condition becomes evident when the infant experiences feeding problems. Some common signs of a tongue-tie include;

  • Difficulty latching onto the breast or staying attached during feeding
  • Not gaining weight as quickly as expected
  • Emitting a clicking noise while feeding
  • Difficulty moving the tongue from side to side or lifting it
  • Difficulty sticking the tongue out
  • The tongue has a notched or heart-shape when stuck out

 

  1. Does a tongue-tie correct itself? 

There are a few instances where a tongue-tie can improve without treatment by the age of 2 or 3 years. Moreover, there are cases where a baby with a tongue-tie may not be affected by it at all. In most cases, however, treatment is required to address the condition and ensure the infant doesn’t develop speech problems or lose on nutrition due to being unable to breastfeed properly. 

When left untreated, this condition can be a source of frustration for you and your baby. The earlier a tongue-tie is corrected, the easier it will be moving forward. 

 

  1. Can a tongue-tie be fixed in older children and adults?

Absolutely! A lot of patients are older children and adults who undergo a Frenectomy to correct a tongue- or lip-tie. 

Untreated tongue-ties cause problems as the tightness in the mouth area may intensify as the person develops. If the tongue-tie is severe enough to stunt one’s speech, speech therapy may also be recommended following the Frenectomy treatment. 

 

  1. What is a laser Frenectomy?

A laser Frenectomy, also known as a Frenulectomy, Frenotomy or tongue-tie release treatment, involves the use of a laser to excise the frenulum which, as discussed, is the small and thick fold of tissue that restricts the natural range of motion of the tongue. 

Soft tissue lasers are ideal for cutting and coagulating the tissue during treatment. With soft laser treatments, usually, no anesthesia is required and it involves less bleeding and pain than using scissors. That way, your baby is not put through unnecessary discomfort. 

The soft tissue procedure is simple enough and your infant is able to return home as soon as it is completed. The lasers are expertly designed to emit a therapeutic light that is naturally absorbed by the body. 

 

  1. How long does it take to recover from a laser Frenectomy?

After the procedure, a mother may be advised to breastfeed immediately as that helps calm the baby. With soft tissue lasers, pain and bleeding, if any, is kept to a minimum. 

If you opt for other treatment measures, general anesthesia may be used and healing times can go up to 10 days. 

Laser Frenectomy, on the other hand, requires no anesthesia and the treatment takes a couple of minutes. Healing typically occurs within 2 hours. 

 

  1. Does a laser Frenectomy hurt?

The frenulum is very thin and has a few nerves, this means that there is little to no pain associated with these types of treatments. With soft tissue lasers, specifically, the treatments are near painless.

Apart from destroying bacteria, this healing laser also promotes tissue regeneration and is, hence, completely safe for your baby. The laser cauterizes the wound as it works, reducing the chance of a bacterial infection. 

 

  1. Can you eat after a laser Frenectomy?

Surgical treatments use general anesthesia which is why doctors recommend not eating or drinking until the anesthesia has worn off. 

With a laser treatment, no anesthesia is required. In many cases, mothers are encouraged to breastfeed right after the treatment so as to calm the baby. 

According to The Journal of Human Lactation, about 80% of infants were feeding better within 24 hours of undergoing a Frenectomy. 

For older children and adults, it’s recommended to avoid spicy, salty, very hot or cold foods or crunchy foods that can interfere with the treated area for at least 24 hours after the treatment. 

 

  1. Can a tongue-tie grow back?

After undergoing a Frenectomy, a tongue-tie cannot “grow back” per se, but it is advisable to keep up with the post-treatment exercises recommended by your doctor and attend all follow-up visits. 

 

  1. How much does a laser tongue-tie surgery cost?

Drawing broad strokes, a laser Frenectomy can range between $800 to $2,800 depending on the experience of the doctor, the reputation of the clinic and the specifics of the condition itself. 

At Gep TOTs, our priority is to make treatments affordable and accessible while performing under the highest standards of medical excellence. 

Don’t let a tongue-tie go undiagnosed and untreated. We encourage you to get in touch with us today for a consultation.  

 

  1. Is a laser Frenectomy covered by insurance?

OHIP doesn’t cover the cost of a tongue-tie surgery in Ontario, however it could be an eligible expense though your dental plan. 

This depends on the insurance provider. A handful of dental providers do allow you to bill dental insurance plans so that you receive coverage.

This is because a Frenectomy could be regarded by some medical insurance companies as “medically necessary” in order to overcome the symptoms of a tongue-tie such as difficulty breastfeeding, speech impairments, and articulation problems. 

Regardless, don’t assume anything. It’s safest to check with your provider before making a decision. 

 

Gep TOTs Performs Safe and Affordable Tongue-Tie Releases

If you suspect you or your child has a tongue-tie or a health professional has suggested that your child has a tongue-tie, Dr. Gep can help!

Dr. Phu-My Gep at Gep TOTs Dental Group is experienced and certified to treat this condition. Dr. Gep is trained in using medical lasers to assist in quicker healing times and less post-operative pain. 

Get the professional advice you need and, rest assured, you are in good hands with Dr. Gep.


If your child has been diagnosed with a tongue-tie, a medical procedure known as a Frenectomy may be required to treat the condition. This is a simple treatment involving the use of a laser to surgically cut the frenulum and remove the tongue-tie. 

Laser Tots offers posterior tongue treatment services in Vaughan to help correct this condition. 

Although the surgery is safe and pain will be minimal, medical procedures can be scary for young children. Let’s examine some things you can do to effectively prepare for your child’s treatment.  

 

What Happens During a Frenectomy?

A Frenectomy is a quick and painless procedure in which a soft tissue laser is used to cut the piece of tissue that is connecting your child’s tongue to the bottom of the mouth. 

The laser effectively “vaporizes” the soft tissue, freeing up the tongue for a full range of movement. The laser itself also prevents bleeding by immediately cauterizing the tissue as well as eliminating bacteria in the area.

The procedure is very simple and you will be able to take your child home as soon as it is completed. A followup appointment will be scheduled by your doctor. 

 

Ask Your Doctor About Medication

A Frenectomy, using a soft tissue dental laser, usually does not require the child to take any medication beforehand and causes the child minimal pain. The laser itself has analgesic properties, reducing discomfort during the procedure; many children are able to sleep through it. 

However, every child reacts differently and it is a good idea to ask your doctor about having medication on hand in the event that your child experiences discomfort after the procedure. 

Some parents opt for homeopathic remedies or commercial products such as children’s Tylenol. The best course of action is to consult with your doctor before administering any medication to your child pre- or post-treatment. 

 

Mouth Exercises

A tongue-tie can lead to weak sucking patterns and difficulty feeding. You can help improve your child’s food intake using sucking exercises starting from when your child is diagnosed with tongue-tie, and you can do them up to four times each day prior to the procedure. Follow these easy steps:

– Carefully rub the lower gumline from one side to the other and allow your baby’s tongue to follow your fingers. This helps strengthen the tongue’s lateral movement.

– Guide your child to suck on your finger and slowly extract your finger while they attempt to suck it back in. This helps strengthen the tongue. 

– Guide your child to suck on your finger and gently apply pressure on the palate. When the baby begins sucking on your finger, carefully start pressing down with the back of your nail against the tongue. This will interrupt the sucking motion while the child pushes against you. Listen for a sound and then put your finger back up into the palate to re-stimulate sucking. Repeat as tolerated.

– Put one index finger inside the baby’s cheek and, with your thumb on the outside of the cheek, massage it on either side to reduce tension.

 

Consult Your Doctor About Special Preparation Methods

Each child is different and hence, each child’s healthcare needs are different. Your child’s healthcare provider understands their needs the best, it is always important to consult them prior to undergoing any medical procedures. They will be able to tell you how to best prepare your child for the upcoming procedure.

Make sure to always check with your child’s physician to ensure that they are adequately prepared and there are no special circumstances or actions required before the procedure.

 

Gep TOTs is Experienced in Safely Treating Tongue-Ties

Dr. Phu-My Gep at Gep TOTs Dental Group is experienced and certified to treat this condition. Dr. Gep is trained in using medical lasers to assist in quicker healing times and less post-operative pain. 

Time is of the essence! Contact us to set up an appointment today and get your child’s tongue-tie corrected.


Being “tongue-tied” is more than just a playful expression – it’s a real medical condition that can cause discomfort and pain to your toddler as well as making breastfeeding difficult.

At Gep TOTS, we are experienced in diagnosing and treating infants, children, adolescents and even adults with tethered oral issues. Our clinic is located in Vaughan, and we perform laser release of tongue and lip ties, keeping bleeding and downtime to a minimum.

To treat this condition, we must first understand it. Let’s take a closer look at how it can affect your toddler and how you can help your child.  

 

What Is A Tongue-Tie?

Ankyloglossia, otherwise known as a tongue-tie, is a condition that occurs at birth and hinders a toddler’s ability to feed. It is caused by an inadequate connection between the tongue and the lower mouth area. Underneath the tongue is a small strip of tissue called the frenulum, which connects the tip of the tongue to the bottom of the mouth. In some toddlers, the frenulum is inadequate-it can be too short, too tight or too thick.

This condition restricts the movement of the tongue and can result in difficulty feeding as the toddler is unable to effectively grab onto a food source. Tongue ties can vary in severity, ranging from so slight they are difficult to notice or quite obvious to the point that the child’s tongue cannot move at all.

In addition, a similar condition exists called a lip-tie. This condition is related because it also stems from the frenulum-it results when the frenulum is much thicker or stiffer than normal, and results in difficulty moving the upper lip. 

There are different types of tongue ties, and it is recommended to consult your doctor for more information. 

 

 What Are The Symptoms of A Tongue-Tie?

Tongue ties are often diagnosed when children experience difficulty in feeding and sucking. Inefficient sucking or lack of a good seal during nursing can cause an infant to take in air causing gagging, choking, gassiness and reflux. Left untreated it can also lead to speech delay and/or articulation. A tongue held down for extended periods of time may result in increased mouth breathing and sleep apnea.

Symptoms of these conditions can be broken up into two groups: symptoms experienced by the infant and symptoms experienced by the mother. 

 

The child’s symptoms:

– Difficulty latching onto the mother’s breast during feeding

– Child may make clicking or sucking noises

– Difficulty breathing during feeding

– Feeding for abnormally long periods (the child is not receiving enough milk)

– Weight loss or delayed weight gain

– Gassiness and/or reflux

– Becoming frustrated or agitated during feeding

– Becoming fatigued or falling asleep during feeding

 

The mother’s symptoms :

– Nursing fatigue

– Less milk production

– Soreness of the nipple during or after breastfeeding

 

What Can I Do To Help My Toddler? 

If you notice any of the symptoms listed above, or your child is experiencing difficulty feeding, it is important to consult your child’s doctor as soon as possible. They can provide you with more information on the type of tongue tie your child is experiencing and the type of treatment best suited to relieve your toddler’s symptoms.

In terms of addressing the tongue tie, soft tissue dental lasers are a treatment tool for most children-some children do not require anesthesia and result in less pain and bleeding for the child because the laser cuts by vapourizing the tissue. It is a simple procedure that emits therapeutic light to eliminate harmful bacteria and promote healthy tissue regeneration, reducing the likelihood of infection and freeing your child’s tongue for a full range of movement. 

Gep TOTS is a trusted dental clinic in Vaughan that is experienced in using a soft tissue dental laser to correct this condition quickly with minimal discomfort for your child and fast recovery times!

 

Can A Tongue-Tie Affect My Toddler’s Speech Development?

Tongue ties can be a serious problem for young children, especially when it comes to feeding. The good news, however, is that medical professionals do not believe that a tongue-tie will interfere with your child’s speech development and their ability to learn and understand speech.

However, because a tongue-tie inhibits movement of the tongue, it can cause issues with speech articulation in children as they try to produce and mimic sounds. These can also include issues licking the lips, being unable to stick out the tongue or keeping the teeth clean. Having this issue corrected will allow your child to experience a full array of tongue movement and allow them to articulate speech perfectly, as well as perform other important oral functions. 

 

Don’t let your child suffer from the discomfort that comes with a tongue-tie. If you suspect your child may be experiencing this issue; Contact our team today at (647) 492-7059 and help your child live pain-free! 


If you’ve noticed your toddler struggling to breastfeed or making a clicking noise while nursing, they may suffer from a condition known as tongue or lip ties. 

What is a tongue tie? A tongue tie is a condition that occurs at birth and hinders the free range of motion of the tongue. It is caused by a short, tight or thick strip of tissue, the frenulum, that ties the bottom of the tongue’s tip to the bottom of the mouth. 

What is a lip tie? A lip tie occurs when a piece of tissue, known as the frenulum, behind the upper lip is too stiff or thick to the point where they restrict the free mobility of the lip. 

Gep TOTS is a trusted dental clinic in Vaughan with highly trained doctors who specialize in upper lip tie treatments for toddlers and tongue tie releases without surgery. We use a soft tissue dental laser to correct this condition quickly with minimal discomfort for your child and fast recovery times!

 

Symptoms of Tongue Ties and Lip Ties

You will notice certain unmistakable symptoms that point to these conditions. If so, approach a professional dental clinic quickly to avoid further discomfort for your child. 

 

For the Baby

  • Struggling to latch onto the breast
  • Difficulty drawing breath when nursing
  • Emitting a clicking noise when nursing
  • Falling asleep when nursing
  • Becoming fatigued by nursing
  • Very gradually gaining weight or not gaining weight
  • Colic symptoms

 

For the Mother

  • Inexplicable soreness during or after breastfeeding
  • Enlarged breasts after breastfeeding
  • Clogged milk ducts
  • Fatigue from nursing as your toddler doesn’t seem to have its fill

 

Types of Tongue Ties and Lip Ties

These conditions can manifest in a couple of different ways. 

Anterior Tongue Tie

The lingual frenulum attaches the underneath of the tongue’s tip to the base of the mouth causing decreased mobility in the tip of the tongue. 

Posterior Tongue Tie

The tongue is concealed by the mucous lining of the mouth. This type of tie is not visible but you can feel it by running your finger against the underside of the tongue. 

Lip Tie

The maxillary connects the middle-upper lip to the gums, interfering with mobility and reducing the use of the upper lip. 

Combination Tongue and Lip Tie

This is characterized by a combination of maxillary and lingual or posterior tongue ties, presenting obstacles when breastfeeding. 

 

Diagnosis of Tongue Ties and Lip Ties

Any baby who is experiencing breastfeeding issues should be taken to a trained professional to undergo a feeding evaluation. Problems with the latch on usually point to the existence of a tongue or lip tie. 

The doctor will assess the medical history of your child during the first appointment and perform a quick oral exam to check for this condition.

 

Treatment of Tongue and Lip Ties: Laser vs Scissors

As far as the treatment outcome is concerned using scissors is just as effective as a laser treatment to treat tongue or lip ties. The main difference is, with soft laser treatments, no anesthesia is required. Pain and bleeding are kept to a minimum, and hence, your baby isn’t put through unnecessary discomfort. 

The soft tissue dental laser treatment is a simple procedure and your child will be able to return home after it’s done. The lasers emit therapeutic light that is absorbed by the body. It simultaneously destroys bacteria and promotes tissue regeneration. Because these lasers cauterize the wound as the penetrate, the chance of a bacterial infection is very slim. 

 

We Perform Safe and Effective Tongue and Lip Tie Releases For Infants

At Gep TOTs, our highly trained dental care professionals can effectively diagnose and rehabilitate a tongue or lip tie in your infant. In most cases, these conditions go undiagnosed because they are not a regular part of the medical or dental curriculum. Opting for harsher surgical alternatives could lead to pain and discomfort.

If you suspect that your child has a tongue or lip tie, we strongly recommend bringing them in for a consultation. 

 

Don’t let your infant suffer from nursing and oral mobility issues caused by this condition. Contact us to schedule an appointment.  


Tongue-tie, or “ankyloglossia,” is a condition in which soft tissue connects the tongue to the floor of the mouth in a way that restricts the tongue and causes various challenges. Among newborn babies, difficulty breastfeeding is often caused by tongue-tie. A frenectomy is a very simple, quick, and virtually painless solution when a baby is still very young.

If a child with tongue-tie isn’t treated early, additional problems continue as the child grows. This common reality is one of the best reasons to go ahead and have a needed frenectomy while a baby is still very small or, if not then, as early as possible.

Signs that a Baby Has Tongue-Tie

Approximately 4% to 11% of newborn babies are born with tongue-tie, and it is estimated that about half have difficulty feeding as a result. Sometimes the problem is that the frenulum is connected toward the tip of the tongue. This is apparent when an extended tongue looks like a heart or looks like it’s forked.

Tongue-tie can make it difficult for a baby to latch on to the breast. As a result, the baby will feed longer in order to receive adequate sustenance, causing the mother to experience more pain.

The following are more symptoms that could indicate that a baby has tongue-tie and would benefit from a frenectomy:

  • Low weight
  • Impaired tongue mobility
  • Problems swallowing
  • Pain
  • Difficulty licking lips
  • Reflux
  • Vomiting
  • Colic
  • Gassy

Experiences of Mothers Breastfeeding a Tongue-Tie Baby

Being the mother of a newborn has its challenges; and complications of having a tongue-tie baby can create a myriad of problems related to breastfeeding. Struggles experienced by nursing mothers with tongue-tie babies include the following:

  • Bleeding, damaged, or distorted nipples
  • Blocked ducts
  • Mastitis
  • Severe pain when the baby is latching or losing latch
  • A sense of failure
  • Depression
  • Poor bonding between the mother and baby
  • Depression
  • Poor bonding between the mother and baby

Difficulties Experienced by Children with Tongue-Tie

As children with untreated tongue-tie grow up, articulation of certain sounds can affect speech. The “n,” “d,” and “t” sounds are especially difficult. Various mechanical issues can cause children embarrassment. For example, tongue-tie makes it difficult to lick the lips or lick an ice cream cone. The fact that they can’t stick out their tongue is a common social issue reported by children. Kids with tongue-tie are often unable to play wind instruments. Because of tongue restriction, kids can’t wipe their teeth with their tongue, as a result, it’s more difficult to maintain good oral health and clean-looking teeth.

Some symptoms of ankyloglossia are painful for children. The frenulum can get caught between the lower central incisor teeth, which causes cuts under the tongue. It may be painful or impossible to wear a retainer on the lower teeth because of tongue-tie.

Fortunately, tongue-tie can be surgically corrected at any age.

Contact the Experts at Gep TOTs Dental Group

The highly qualified team at Gep TOTs Dental Group specializes in diagnosing and treating babies and children with tongue-tie and other types of tethered oral tissues (TOTs). To correct the condition quickly and with minimal discomfort to the child, we offer dental laser treatment. Call us at (647) 492-7059 today to learn more or to schedule an appointment.


Tongue-tie and lip-tie are conditions that affect newborn babies and, if not corrected, also impact the person throughout life. Gep TOTs Dental Group offers tongue-tie treatments using dental lasers. The benefits of laser tongue-tie and lip-tie treatments include faster healing times and reduced post-operative pain. More about tongue-tie follows as well as some tips on post-procedure care of laser frenectomies.

What is Tongue-Tie?

The medical term for tongue-tie is “ankyloglossia,” and it is restriction of the tongue due to an abnormally short frenum or a frenum attached too close to the top of the tongue. Normal tongue function is not possible, and, as a result, tongue-tie causes a range of problems.

Newborns are unable to latch onto their mother’s breast to feed. A baby can fail to thrive due to the hindrances caused by tongue-tie. The following are more of the symptoms of tongue-tie at various ages:

  • The lower jaws protrude
  • Poor dental health, such as a tendency to have inflamed gums
  • Heightened risk of dental decay
  • Jaw pain
  • The jaws make a clicking sound
  • Unable to speak clearly if talking rapidly, loudly, or softly.
  • Speech and eating habits are affected by an inability to widely open the mouth
  • Difficulties flossing and brushing
  • Because the maxillary frenum is prominent and low, it suffers repeated trauma
  • When the elderly have dentures, tongue-tie makes keeping the dentures in place difficult

Benefits of a Laser Frenotomy for Newborns

Breastfeeding is the healthiest choice for babies, but tongue-tie creates complications. The following are benefits of having a laser frenotomy for a newborn:

  • The pain of breastfeeding is relieved, making it possible to enjoy restored health to the nipples and breasts.
  • Breastfeeding is more successful.
  • Milk production is stimulated as a result of the baby being able to latch on and receive nourishment.
  • The baby is able to feed properly and grow at a normal pace, rather than getting behind on the growing curve.
  • The bond between mother and baby is strengthened.
  • The baby will have the benefit of avoiding numerous problems, including improper tooth spacing, social stigma, speech impairments, and dental caries, better known as cavities.

Post-Operative Care following a Laser Frenotomy/Frenectomy

Once a laser frenotomy has been performed, active wound management is important. Parents should be playful to offset the discomfort the child will feel. Below are a few examples of the many tips for stretching exercises:

  • Forceful or prolonged exercises are not recommended.
  • Quick, precise movements are most effective during stretching exercises.
  • Remember that a small amount of bleeding, also known as “spotting,” is normal during exercises, particularly in the first few days.
  • Prevent reattachment of the tissues in the mouth with frequent, not forceful, stretching.
  • For best results, proper active wound management is necessary.

Schedule a Laser Frenotomy at Gep TOTS Dental Group

Tongue-tie and lip-tie are conditions that involve tethered oral tissues (TOTs) or the frenulum. Our specialists at Gep TOTs Dental Group recommend scheduling a check-up as soon as possible or when suggested by your pediatrician or doctor. The earlier a laser frenotomy is performed, the easier it is on the patient. We are located at Woodbridge Kids Dentistry & Orthodontics in Renaissance Commercial Plaza, 8099 Weston Rd., Unit 23, in Vaughan, ON. Call us today at (647) 492-7059.


The frenum, aka frenulum, is tissue that connects the tongue, lips, and cheeks to the gum area of your mouth. The “lingual frenum” connects the tongue to the floor of your mouth. Another frenum attaches the gums to the upper lip just above the two front teeth, and it is called the “maxillary labial frenum.” You may be able to feel it when you move your tongue between your upper lip and your gums. If the frenum under the tongue or under the upper lip restricts movement, the result is tongue-tie or lip-tie.

Neither the frenum under your tongue nor under your upper lip has a distinct purpose, and there is no loss of function to remove these tethered oral tissues (TOTs). Anterior tongue-tie, posterior tongue-tie, and lip-tie are among the reasons a frenum might need to be removed, in which case a procedure called a “frenectomy” is performed. Below, learn more about the procedure plus reasons babies and older children have a frenectomy.

What is a Frenectomy?

A frenectomy, also known as a frenulectomy, is a common outpatient surgical procedure in the mouth performed mostly on infants and children but sometimes on adults. During a frenectomy, the frenum is removed or clipped. Dental laser treatment is an option for patients with anterior tongue-tie, posterior tongue-tie, lip-tie, and for combination lip/tongue-tie.

What is Tongue-Tie?

When the frenulum under the tongue is unusually short or connects under the front of the tongue, mobility of the tongue is hindered. This condition is called “ankyloglossia,” better known as “tongue-tie” when it affects a baby’s ability to feed and a child’s or adult’s ability to speak and use the tongue in normal ways.

Signs a Baby Has Tongue-Tie

Not all physicians choose to recognize that tongue-tie can interfere with a newborn baby’s ability to feed properly, yet it is a common problem. A nursing mother might notice one or more of the following issues, any of which may be caused by tongue-tie:

  • Your baby has difficulty attaching or staying attached to the breast.
  • When feeding, your baby makes clicking sounds.
  • Your baby isn’t getting a proper amount of nourishment.
  • Your baby’s tongue looks heart-shaped when he sticks it out.
  • Your baby feeds for long periods of time with short breaks between, leaving your nipples damaged or sore.

Having a frenectomy fixes these and a number of other problems and difficulties caused by tongue-tie.

Signs a Child has Tongue-Tie

As a child with tongue-tie grows, various other problems can develop. A frenectomy can solve the issues, though exercises are often needed to gain full movement of the tongue. There are muscles in the tongue that haven’t been used due to the condition. The following are among the signs a child has tongue-tie and would benefit from a frenectomy:

  • Speech problems due to difficulty saying certain letters
  • The frenulum under the tongue gets stuck between the teeth
  • Receding gums that result in periodontal issues
  • Unable to stick out the tongue past the lips
  • There is a lot of spacing between the two upper front teeth caused by excess fibrotic tissue of the frenum

Contact Gep TOTs Dental Group

Do you believe your baby or child may have problems that are caused by tongue-tie or lip-tie? At Gep TOTs Dental Group, we specialize in performing lip-tie and tongue-tie laser treatments. Using a dental laser, we quickly correct these conditions, and your child will experience minimal discomfort. Contact us today at (647) 492-7059. Gep TOTs Dental Group is located at Woodbridge Kids Dentistry.


Tongue-tie isn’t merely awkwardness of speaking in a nervous situation. It’s actually a medical condition called “ankyloglossia” in which the tongue is hindered from moving freely. What prevents normal movement of the tongue is the tissue connecting the tongue to the base of the mouth. If the tissue, called the “frenulum,” is very thick, tight, or attaches to the tongue far forward in the mouth, it causes tongue-tie. According to one study published in The Journal of the American Board of Family Practice, tongue-tie occurs in about 4.2% of babies born. Do you think your baby may have tongue-tie? The following are signs and symptoms of this condition that can negatively affect a person throughout childhood and adulthood, if not addressed.

How Tongue-Tie Affects Breastfeeding

It’s not always immediately obvious that a newborn baby has ankyloglossia. Problems with breastfeeding often lead to the discovery. Lip-tie is a similar condition to tongue-tie except that it’s the top lip that can’t move freely. If someone has lip-tie they usually also have tongue-tie but not the other way around.

How tongue-tie or lip-tie affects breastfeeding:

  • At first, a newborn may get an adequate supply of milk. When the baby is continually unable to latch on properly during breastfeeding, a result can be inadequate stimulation of the mother’s breasts. Her milk production can decrease, resulting in poor weight gain.
  • Digestive problems such as reflux and colic can occur because digestion begins in the mouth.
  • Babies with lip-tie cannot open up to properly project their lips, which can prevent them from effectively grasping the breast.
  • A baby may refuse the breast due to frustration over getting an insufficient supply of breast milk.
  • A baby may begin gumming or chewing the mother’s nipple while attempting to nurse. As a result, the mother’s nipples can become cracked and sore and could develop blisters.
  • Breast engorgement occurs when a baby is getting an inadequate supply of milk. Swollen, hard breasts can become painfully tender, especially during breastfeeding.

More Signs and Symptoms of Tongue-Tie

A person with tongue-tie may not be able to stick out their tongue past their lips; this is not a sign of a “short tongue.” If a person’s outstretched tongue looks heart-shaped, it’s because the frenulum is attached too close to the front of the tongue. A baby may not be able to bottle-feed or use a pacifier. Other symptoms of tongue-tie in babies and children follow:

  • Difficulty swallowing
  • Drooling
  • Problems moving the tongue from side to side
  • Vomiting
  • Pain

Dental problems are common among children with tongue-tie because they are unable to run their tongue along their teeth after eating. Because debris is more prone to stay on the teeth, decay occurs. Difficulties speaking are among the numerous other symptoms of tongue-tie in children.

Last Treatment for Tongue-Tie

The earlier tongue-tie is treated, the easier it is on the patient. The Gep TOTs Dental Group at Woodbridge Kids Dentistry specializes in diagnosing and treating infants and children with tongue ties and lip ties, also referred to as “tethered oral tissues” (TOT). We quickly correct the condition with minimal discomfort using a dental laser. For the best treatment for tongue-tie and lip-tie, contact our team of kid-friendly experts today at (647) 492-7059.


When breastfeeding doesn’t go smoothly, there are many possible causes; and tongue-tie is one of them. “Ankyloglossia” is the medical name for tongue-tie, and it’s a condition present at birth. The frenulum, which is the tissue connecting the bottom of the mouth to the tongue, is the cause. If the frenulum is short, thick, tight, or attached near the tip of the tongue, the tongue’s movement is hindered. A baby must make certain use of the tongue to latch onto the breast during feeding, but ankyloglossia disrupts that ability.

Learn below some symptoms of tongue-tie, negative effects of the condition on the mother, and benefits of a frenectomy, in which the frenulum is removed during a laser treatment.

Signs that a Baby has Tongue-Tie

Not all physicians treat tongue-tie as a serious issue that can affect the quality of life, though there is plenty of evidence to the contrary. Due to this dismissal of ankyloglossia, some doctors won’t attribute breastfeeding problems to tongue-tie. It is sometimes up to a mother to identify symptoms for herself.

How Tongue-Tie Impacts Babies

The effects tongue-tie has on babies differs from one child to another, though some are somewhat universal signs that a frenectomy may be of benefit.

The following are or may be signs that a baby has tongue-tie:

  • Constant hunger
  • Feeding for long periods of time with only short breaks before feeding again
  • Irritability, frustration, and frequent crying
  • Refuses to breastfeed
  • Weight gain is poor, and the child fails to thrive
  • Makes a clicking sound when feeding
  • Biting or grinding the teeth or gum
  • Feeding is painful
  • Gassy and or colicky
  • Vomits directly after feeds.

How Tongue-Tie Affects Moms

Babies aren’t the only ones who struggle due to tongue-tie. The following are some effects the condition has on breastfeeding moms:

  • The nipples become sore because the baby is gumming or chewing the nipple while attempting to nurse. Mothers also experience sore, damaged, and cracked nipples when a baby feeds for lengthy periods with little rest between feedings.
  • Due to the inability of a baby with tongue-tie to get adequate nourishment, the breasts aren’t properly drained of breast milk. Painful results might possibly include plugged milk ducts, breast engorgement, and/or mastitis.
  • A mother’s breast milk supply may become too low because of the baby’s struggle to feed.
  • Between her baby not getting needed nourishment and the pain and discomfort of engorged breasts, it is not unusual for a mother to become emotionally stressed, possibly feeling guilty about unsuccessful breastfeeding.
  • Problems breastfeeding because a child has tongue-tie often leads to early weaning.

Soft Tissue Laser Treatment

Removing a baby’s frenulum can provide significant immediate and future benefits. It’s the least painful and invasive for newborns and small infants to have a frenectomy, as opposed to anytime later in life. As a child grows, the less speedy the recovery from a frenectomy might be. Without the procedure, a baby with breastfeeding problems can grow to be a child who struggles with swallowing, eating, and speech.

Gep TOTs Dental Group at Woodbridge Kids Dentistry in Vaughan, Ontario, specializes in dental laser treatments during which tongue-tie is painlessly and quickly corrected. For problems with tongue-tie, contact the kid-friendly specialists at Gep TOTs Dental Group by calling (647) 492-7059 today.


Effects of Unresolved Tongue-Tie on Adults

Tongue-tie is a condition in which the tongue has restricted movement. In newborns, tongue-tie can interfere with breastfeeding and lead to failure to thrive. If tongue-tie is resolved with a frenectomy aka frenotomy when a baby is still a newborn, many potential problems are averted.

Unfortunately, and perhaps strangely, much confusion surrounds a puzzling question of whether tongue-tie is a condition which needs to be addressed. Many physicians have adopted the philosophy of essentially denying the plethora of problems a restricted tongue can cause. As a result, many people grow up to adulthood forced to deal with limitations caused by a restricted tongue.

A Definition of Tongue-Tie

Tongue-tie is defined by one source as a malformation that causes a speech impediment. The medical name for tongue-tie is ankyloglossia, and another source says that it’s a condition existing from birth in which the range of the tongue’s motion is restricted. Typically, a tight or thick band of tissue called the “lingual frenulum” tethers the tip of the tongue to the floor of the mouth.

Developmental Issues Caused by Tongue-Tie

Numerous problems are resolved for a newborn with tongue-tie by having a quick, simple procedure that only becomes more complicated with age. After the baby stage has passed, the following are more of the problems faced by growing children and adults with tongue-tie:

  • Delayed speech development
  • Certain letters and sounds are difficult to say
  • Poor sleep
  • Sleep apnea
  • Mouth breathing
  • Teeth grinding
  • Lisp
  • Tooth decay is a greater risk, even with frequent brushing, because of inability to use the tongue to swipe food off of teeth
  • Jaw, neck, and back pain
  • Migraines
  • Posture that slumps forward
  • Certain food texture aversions

Adult Tongue-Tie Surgery

If any of the above-named symptoms apply to you and you believe you may have adult tongue-tie, the following are more indications that a frenectomy would be a benefit. These may be used by a professional during an assessment of tongue restriction.

  • You have a strong gag reflex.
  • There is a visible skin flap under the tongue.
  • When you stick out your tongue straight, you are unable to lift the tip without movement in the rest of the tongue.
  • If you open your mouth as wide as possible, you cannot reach the spot behind your upper front teeth while the jaw fully remains open.
  • Your tongue cannot comfortably wipe across the outer sides of your lower and upper back teeth.
  • Your tongue cannot comfortably reach where your gums and cheeks connect.

In addition, if you cannot move your closed lips from side to side without the entire jaw moving, you may have a lip tie, which means movement is restricted by an attachment of skin.

Newborn Frenotomy vs Adult Frenotomy

Research shows that a frenotomy does not seem to cause discomfort or distress in newborns. Babies 6 months old and older are typically administered a general anesthetic, and discomfort may be felt for up to 10 days. In older children and adults, a general anesthetic and stitches are sometimes required.

Tongue Tie Laser Treatments in the GTA Region of Ontario

Gep TOTs Dental Group at Woodbridge Kids Dentistry offers a team of specialists skilled at providing treatment for tongue tie and lip tie in the region of Ontario’s Greater Toronto Area (GTA). Contact us today at (647) 492-7059 for relief from the symptoms of tongue-tie and lip-tie.