Common Questions on Tongue Tie & Lip Tie

What does a tongue tie look like?

A tongue tie can be short or long, thin or thick fibrous looking tissue. This tissue is actually called the lingual frenum or frenulum. The lingual frenum stretches from underneath the tongue to the floor of the mouth.

Dr. B says: Each one looks unique and the position of the frenum underneath the tongue also varies! Some are positioned in the front (anterior) and some further back of the tongue (posterior). It is not the LOOK of the tissue that matters, but rather the symptoms of the child/mother is experiencing is what actually matters!

This is why it is so important for a properly trained healthcare provider (lactation consultant (board certified), trained pediatric dentist or a myofunctional therapist) to do a proper assessment.

Are all kids tongue tied?

Dr. Bhaumik: No! Only a small % of the population are truly tongue tied. When the lingual frenum is normal, it should be elastic and should not interfere with the movements/proper positioning of the tongue. Newborns/infants/children ideally should not have a problem with sucking, eating, clearing off food with their tongue, swallowing and speech. When the lingual frenum is short, thick, tight or broad it can result in various issues with function, feeding, speech and airway.

What are the symptoms of a Tongue Tie?

Dr. Bhaumik: The symptoms of a tongue tie can be as simple as difficulty sticking the tongue out OR as complex as: trouble with breastfeeding (latching) as a newborn, eating and speech issues, digestion issues and sleep/airway issues.

Is Treatment for Tongue Tie Necessary?

Dr. Bhaumik: I never push parents to get this procedure done and I never discuss this issue if it is not an issue! Motherly instinct about how breastfeeding is going at home is often what starts this conversation or during our clinical exam when I am assessing the child’s airway.

I personally believe if your newborn/child is truly tongue tied then the benefits of this simple surgery is justified and will provide life changing results. Unless parents are 100% motivated, committed and understand HOW and WHY this surgery is beneficial, I don’t perform it.

How long have you been doing tongue tie surgeries?

Dr. Bhaumik: 8 months using a CO2 LightScalpel Laser. My past education regarding this surgery was with scissors or a diode laser (heating and burning the tissue off). I was frankly never a fan of this surgery with the older methods.

What is special about your laser you use for tongue tie surgeries?

Dr. Bhaumik: Cutting the tongue tie with scissors has a high degree of unpredictability in regards to post operative results and bleeding (which is just scary and can be difficult to manage).  Burning the tissue off with a diode “laser” (it is not a true laser!) results in heating and burning the frenum tissue off. A diode laser results in longer healing times when compared to a CO2 laser. Healing time is a very important factor for the breastfeeding mother/newborn and for older children.

I made the decision for our practice to provide the best for our patients by investing in a CO2 laser because I believe this is the gold standard for pediatric soft tissue surgeries Ex: Tongue and lip tie surgeries.

We use a LightScalpel CO2 laser, which works via removing water molecules from the frenum tissue. This makes our tongue tie surgery minimally invasive, allows us precision when performing this surgery, reduced healing time and most importantly the best results.

Does Dental Insurance cover costs for this surgery?

YES, some dental insurance plans do cover a % of the costs or 100% cost of this procedure.

How long does this surgery take?

At our practice it takes us 25 minutes to prepare the treatment room for this procedure and a total working time less than 5 minutes to perform the surgery.


TUE: 9:00 am – 5:00 pm

WED: 9:00 am – 5:00 pm

THUR: 9:00 am – 5:00 pm

SAT: 9:00 am – 3:00 pm

Other appointment times available by request.

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252 W. Stonebrook Pkwy
Suite 690
Frisco, TX 75034

Contact Us

Tel: 469.384.8130
Fax: 469.384.8134