
08/01/2025
TONGUE TIE LINGO - What Does it All Mean?! Many terms are thrown around in the “tongue tie world” and it can get very confusing. Here are some of the most common ones below.
👅LINGUAL FRENULUM: NORMAL TISSUE ATTACHMENT BETWEEN TONGUE AND FLOOR OF MOUTH
👅LABIAL FRENULUM: NORMAL ATTACHMENT BETWEEN LIP AND GUM (Also called Maxillary Freulum)
👅FRENUM & FRENULUM often used interchangeably
👅ANKYLOGLOSSIA: A TIGHT, THICK OR SHORT ORAL FRENULUM CAUSING FUNCTIONAL ISSUES
👅OTHER NAMES FOR ANKYLOGLOSSIA (ORAL RESTRICTIONS, TONGUE TIES, LIP TIES, BUCCAL TIES, TOTS (Tethered Oral Tissues), Posterior Tongue Ties, Anterior Tongue Tie, Mild Tongue Tie. THEY ARE ALL SYNONYMOUS.
👅FRENECTOMY: SURGICAL PROCEDURE TO RELEASE TIES
👅RELEASE: FIRST FRENECTOMY
👅REVISION: REPEAT FRENECTOMIES
Frenulums are formed congenitally in utero. The vast majority of people have a lingual frenulum (the stringy piece of tissue between the tongue and the floor of the mouth). In some people it’s short, others long. In some its thin, others thick. Some stretchy, some not. Or any combination! Having a visible frenulum, does not mean it is restricted. Some frenulums are thin and stretchy and do not impact functional mobility.
However, if the tongue movement/function is restricted, this is when it becomes known as a tongue tie. Oftentimes, the restriction is far back behind the fascia under the tongue, and not visible. These are often referred to as “posterior ties”, and they can severely impact function.
A few things to remember:
* THERE IS NO SUCH THING AS A “MILD” tongue tie
* All Anterior Tongue Ties have a Posterior Restriction as well
* Not all Posterior Tongue Ties have an Anterior (visible) attachment. This is why so many go undiagnosed
* Only a very specialized provider is trained to properly identify Ankyloglossia. Most providers only know how to identify the obvious classic “anterior” ties.
Please find a very skilled experienced Speech Pathologist who can properly perform an Oral Functional Assessment. If you do not have one in your area, contact us and we will help guide you in the right direction.