Dr. Mark Irving
Tongue Tie Release
Tongue tie release is a focused procedure designed to address the limitations caused by a restrictive lingual frenulum, a condition known as ankyloglossia. This treatment can have a profound impact on feeding, speech, and overall oral function, especially in infants and young children. The procedure involves gently releasing the tight band of tissue under the tongue, allowing for greater mobility and improved quality of life. We understand that concerns around tongue tie can be stressful for families, and our approach is centred on providing clear information, compassionate care, and effective treatment to support every patient’s health and development.
Why is it done?
After careful assessment, I may recommend a tongue tie release—also known as a frenectomy—when the thin band of tissue under the tongue (the lingual frenulum) restricts tongue movement. This condition, known as ankyloglossia or “tongue tie,” can interfere with speech, feeding, or oral hygiene, and in some cases, may even impact dental or jaw development.
During the procedure, I gently release the tight or thickened tissue to allow the tongue to move more freely. The release is usually straightforward and performed under local anaesthetic, ensuring your comfort throughout. Early intervention, particularly in infants and children, can make a significant difference in breastfeeding, speech development, and overall oral function.
Ultimately, tongue tie release is about improving quality of life—restoring proper tongue movement, supporting clear speech, and promoting long-term healthy oral development.
Key areas of Tongue Tie Release include:
Assessment and Diagnosis
Before recommending tongue tie release, Dr Irving conducts a thorough assessment to determine the extent of lingual frenulum restriction and its impact on speech, feeding, and oral hygiene. Diagnosis may involve collaboration with lactation consultants, speech pathologists, or other specialists.
Procedure Technique
Tongue tie release, also known as a frenectomy, is a minor surgical procedure in which Dr Irving carefully incises or removes the restrictive tissue beneath the tongue. This can be performed with surgical scissors, a scalpel, or a specialised laser, depending on the case and the patient’s needs. Local anaesthesia is used to ensure comfort.
Patient Age and Timing
The procedure is commonly performed in infants experiencing feeding difficulties, but it can be carried out at any age if the restriction causes functional problems. Dr Irving will advise the appropriate timing based on the severity of the tongue tie and the individual patient’s needs.
Recovery and Aftercare
Recovery from tongue tie release is typically quick and straightforward. Dr Irving provides detailed aftercare instructions, which may include oral exercises or stretches to prevent reattachment and promote optimal tongue mobility. Follow-up appointments help monitor healing and address any concerns.
Benefits and Outcomes
The primary goals of tongue tie release are to restore normal tongue movement, enhance feeding and speech function, and promote overall oral health. Successful treatment often results in immediate and noticeable improvements in quality of life, particularly in infants and young children struggling with feeding or speech issues.
Please use the following information as a general guideline. If you have any concerns after surgery, please get in touch with Dr. Irving's office at (02) 9890 1822.
Post-Op Care
Important
You should reach out to your surgeon, general practitioner, or the nearest accident and emergency department if you experience any of the following issues:
Severe pain that is not relieved by the recommended medication
Ongoing bleeding
Any other significant problems following the operation
