Tongue-Tie Evaluation

Mother carrying her baby at Big Smiles Ranch

Set It Free

During a "frenotomy," we remove the frenum under the tongue or upper lip to allow for better range of motion. With very little discomfort and almost no bleeding, some babies and children sleep through the procedure.

Dr. Joel of Big Smiles Ranch
giving a high five with a patient


Ankyloglossia, or tongue-tie, is the restriction of tongue movement because of the tongue adhering to the floor of the mouth. Normal tongue function allows a baby to latch adequately and breastfeed efficiently, promotes normal speech development, makes it possible for a child to self-cleanse the mouth during eating, allows adequate swallowing patterns, and allows for proper growth and development. It also makes possible fun little things like eating ice cream, kissing, or sticking your tongue out to catch snowflakes.


A lip-tie occurs when the upper lip remains attached to the upper gum. It can lead to problems with speech and eating habits, jaw pain and protrusion, clicking jaws, difficulty kissing, licking lollipops or ice cream, a gap between teeth, pain with breastfeeding, and other oral health issues.

Breastfeeding Solutions

Both Tongue-ties and/or Lip-ties can create issues related to breastfeeding. A "frenotomy" can help mothers relieve the pain of breastfeeding and regain healthy nipples and breasts, stimulate milk production by adequate stimulation, encourage bonding with her baby, and ensure adequate feeding and growth of the baby.

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Frequently Asked Questions

Are tongue-ties common?

Tongue-ties occur between 4.0% – 10.7% of the population. There is a genetic predisposition as well.

How long does the procedure take?

The procedure is super quick and usually takes less than 10 minutes from start to finish. Furthermore, mom can nurse right after.

What happens after the procedure?

To get the best results and to ensure healing occurs properly, parents or caregivers need to complete the post treatment stretches with their baby (which a Myotherapy Specialist will instruct you how to perform).

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Call (432) 272-1190 or request an appointment online to set up your first visit. We'll be in touch soon.