8 doctors weighed in:

At what age is a frenectomy performed for a “tongue tied” baby? If a baby is born “tongue tied, ” how early is a frenectomy performed to correct the problem?

8 doctors weighed in
Dr. Dale Tylor
ENT - Head & Neck Surgery - Pediatric
3 doctors agree

In brief: Can be done at birth

If there are feeding issues it can be done at birth.
Pediatric ents are often comfortable doing this if pediatricians aren't. I do them all the time for this reason in clinic. If there aren't symptoms, it's your choice to do it or wait and see if other issues develop such as speech problems, issues with brushing teeth or licking an ice cream cone. See http://lowmilksupply.Org/tonguetie.Shtml.

In brief: Can be done at birth

If there are feeding issues it can be done at birth.
Pediatric ents are often comfortable doing this if pediatricians aren't. I do them all the time for this reason in clinic. If there aren't symptoms, it's your choice to do it or wait and see if other issues develop such as speech problems, issues with brushing teeth or licking an ice cream cone. See http://lowmilksupply.Org/tonguetie.Shtml.
Dr. Dale Tylor
Dr. Dale Tylor
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1 comment
Dr. Arnold Malerman
Being tongue tied can adversely affect palatal width. While as there is no urgency, your child should be examined and treated as an infant. Don't wait until your baby is a toddler.
Dr. Barry Levin
Dentistry - Periodontics
1 doctor agrees

In brief: Don't rush

If your baby is feeding properly and sleeping well and otherwise thriving, i would not rush as this condition may improve with growth.
My suggestion is to see a pedodontist ( a specialist in children's dentistry). They are best suited to judge the severity of the situation. Treatment can be urgent to not urgent at all depending on the evaluation.

In brief: Don't rush

If your baby is feeding properly and sleeping well and otherwise thriving, i would not rush as this condition may improve with growth.
My suggestion is to see a pedodontist ( a specialist in children's dentistry). They are best suited to judge the severity of the situation. Treatment can be urgent to not urgent at all depending on the evaluation.
Dr. Barry Levin
Dr. Barry Levin
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1 comment
Dr. Arnold Malerman
Being tongue tied can adversely affect palatal width. While as Dr. Levin says there is no urgency, your child should be examined and treated as an infant. Don't wait until your baby is a toddler.
Dr. Arnold Malerman
Dentistry - Orthodontics

In brief: See pediatrician

This is simple uncomplicated surgery for an infant.
Have frenum checked by pediatrician, and (if necessary) treated by a pedodontist or an oral surgeon. Ankyloglosia (tongue tied) can adversely affect arch development and speech development. The arch development problems can lead to serious orthodontic problems. Seek consultations now.

In brief: See pediatrician

This is simple uncomplicated surgery for an infant.
Have frenum checked by pediatrician, and (if necessary) treated by a pedodontist or an oral surgeon. Ankyloglosia (tongue tied) can adversely affect arch development and speech development. The arch development problems can lead to serious orthodontic problems. Seek consultations now.
Dr. Arnold Malerman
Dr. Arnold Malerman
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1 comment
Dr. Ragan Faler
It can also prevent the ability of the baby to breast feed properly.
Dr. Roland Young
Surgery - Oral & Maxillofacial

In brief: Depends.

Depends. Most should wait until the adult lower incisors come in and evaluate their speech.
Usually around age 5-6. In severe cases maybe younger.

In brief: Depends.

Depends. Most should wait until the adult lower incisors come in and evaluate their speech.
Usually around age 5-6. In severe cases maybe younger.
Dr. Roland Young
Dr. Roland Young
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1 comment
Dr. Arnold Malerman
Being tongue tied can adversely affect palatal width. While as there is no urgency, your child should be examined and treated as an infant. Don't wait until your baby is a toddler. It's easier to prevent palatal-width problem than to treat it.
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Dr. Jonathan Jassey
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