top of page
  • Writer's pictureCAFF Team


Updated: Aug 23, 2022

It is estimated that between 4% and 11% of babies are born with a tongue tie or Ankyloglossia. While it's not a fatal condition, it can be limited in many ways, including impacting a baby's ability to breastfeed and long-term airway issues.

how do you fix a tongue-tie

In this condition, the tongue is literally “tied,” or tethered, to the floor of the mouth. Lip-ties and cheek-ties are similar conditions, although less prevalent. The tongue is one of the most important muscles involved in swallowing and speech. Without the full range of motion, these activities can be impaired.

In some cases, tongue-tie can be hereditary, running in a family. The condition is also 3-times more prevalent in boys than girls.


Research has shown that a significant number of infants with breastfeeding problems have a tongue-tie. Having a tongue-tie can mean babies aren't able to open their mouths widely enough to breastfeed.

tongue ties can impact breast feeding

This is why identifying tongue-ties at birth is so critical. During the initial examination, it is important to open the baby's mouth to check for a tongue-tie, lip-tie, and whether or not the baby has a high arched palate.

Here are some of the signs of ineffective sucking to watch for with your baby:

  • Doesn't wake on his or her own to cue for feedings

  • Cues to feed fewer than 8 times in a 24-hour period or more than 14 times in a 24-hour period

  • Latches on and then lets go of the breast repeatedly

  • Pushes away or resists latch-on

  • Falls asleep within 5 minutes of latch-on or after sucking for only 2 or 3 minutes

  • Doesn't suck almost continuously for the first 7 to 10 minutes of a feeding

  • Nurses on one side for longer than 30 to 40 minutes

  • Feeds for more than 45 minutes without acting satisfied or full after a meal

  • Produces fewer than 3 to 4 stools in a 24-hour period

  • Seems gassy or produces green, frothy stools after the first week

  • Produces fewer than 6 wet diapers in a 24-hour period

  • Has trouble taking milk by other feeding methods (such as a bottle)

If you think your baby has tongue-tie, or are worried that he or she isn't feeding properly, get in touch with a breastfeeding counselor, midwife, or health visitor. Getting support early can make all the difference. ~ Jane Moffett, Breastfeeding Counselor

It's common in the first days of life for a baby to have trouble latching on or maintaining sucking at the breast. However, if this problem doesn't go away, more help is needed.


Pediatricians and airway dentists often work in connection with Myofuntional Therapists to treat children with tongue-ties, lip-ties, and other airway limiting oral functions.

Listen to our interview on Airway First with our guest Lauren Ruffrage, SLP to find out more about tongue-ties and the importance of myofunctional therapy as part of your child's overall health program.

Airway First Podcast, myofunctional therapy

Additional episodes myofunctional related episodes of Airway First are also available:

airway health and children

Recent Posts

See All


bottom of page