Child Health  |  Tongue Tie Pathway - Clinical Features

Child Health

Tongue Tie Pathway - Clinical Features

Clinical features of tongue tie may include:

  • inability to protrude the tongue more than 1 to 2mm past the lower central incisors
  • for infants too young to voluntarily protrude the tongue, a frenulum that prevents placement of the examiner' s fingers between the underside of the tongue and mandibular alveolus is considered abnormally restrictive
  • abnormally short frenulum, inserting at or near the tip of the tongue
  • difficulty lifting the tongue to the upper dental alveolus
  • impaired side to side movement of the tongue


Mother may have symptoms and signs that include:

  • nipple damage/nipple pain
  • low milk supply
  • plugged ducts
  • mastitis
  • breast pain/caused by nipple compression 


N.B. It is important for the mother and baby to be examined together as both may have contributing anatomy variations leading to the presenting issue.

Last updated : Friday, March 09, 2018
Next review date : Saturday, March 09,2019

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