Tongue Ties 101: Separating Facts From Myths
Tongue ties have been in the spotlight for years, and parents often feel overwhelmed by conflicting advice. Some say tongue ties are just a “fad,” while others stress early treatment is critical. The truth lies somewhere in the middle — and understanding the facts can help you make confident decisions for your child.
This guide breaks down common myths about tongue ties and clarifies what’s true, so you can support your child’s feeding, speech, and overall oral health without confusion.
What Is a Tongue Tie?
A tongue tie (or ankyloglossia) is a small piece of tissue under the tongue that may restrict how far the tongue can move.
Why does it matter? Tongue mobility isn’t just about breastfeeding or eating. It can also influence:
Tongue posture at rest – the tongue’s position affects the roof of the mouth, jaw alignment, and even nasal breathing.
Feeding and swallowing – an efficient tongue movement supports coordinated sucking, chewing, and swallowing.
Speech development – certain sounds require precise tongue placement.
Regulation and nervous system support – the tongue’s contact with the palate can stimulate the vagus nerve, helping the body feel calm and organized.
Sleep and airway – restricted tongue movement can influence breathing patterns during sleep, contributing to snoring or restless sleep.
Even a “small” tie can affect one or more of these areas depending on your child’s overall oral and sensory development.
Common Tongue Tie Myths (and the Facts)
Myth 1: Tongue ties always need surgery
Fact: Not every tongue tie requires a procedure. Some children adapt well with therapy, exercises, or supportive feeding strategies. Surgery may be recommended when the tie limits function or contributes to ongoing challenges.
Myth 2: Tongue ties only affect breastfeeding
Fact: Tongue ties can impact speech, oral posture, chewing, sleep and even digestion and breathing. Feeding challenges are often the first clue, but effects can appear in other areas as a child grows.
Myth 3: Once released, everything is fixed
Fact: Follow-up care matters. After a release, exercises and guided support help the tongue move efficiently, maintain proper posture, and support long-term function. Skipping follow-up may limit the benefits of a procedure.
Myth 4: Tongue ties are rare or “just a little flap”
Fact: Tongue ties are more common than most people realize. Even a subtle tie can create challenges, especially if the tongue cannot rest against the palate or move freely for swallowing and speech.
Key Takeaways for Parents
Early evaluation is important – ideally by a professional familiar with oral function, breathing, sleep, etc. like a skilled speech language pathologist, pediatric dentist or ENT.
Individualized care matters – every child’s tongue tie and oral function are unique. What works for one child may not work for another.
Supporting tongue posture at home helps – gentle exercises, encouraging proper oral rest posture, and mindful feeding can all make a difference.
It’s more than a feeding issue – tongue ties can affect speech, breathing, posture, and overall regulation. Supporting the tongue supports the whole child
Understanding tongue ties beyond the myths empowers you to make informed decisions for your child. Whether it’s surgery, therapy, or home support, knowing the facts helps you prioritize what’s best for their feeding, speech, and overall well-being — without the stress or confusion.
Further Reading & Trusted Sources
Dr. Ghaheri – Evidence-based guidance on tongue tie assessment and care.
Zaghi et al. – How tongue posture affects airway, breathing, and overall oral function.
Messner & Lalakea (2000) – Classic study on tongue ties and feeding.
Martinelli et al. (2015) – Review of tongue ties’ impact on speech and feeding.
Stephen Porges, Ph.D. – The Polyvagal Theory explains how oral function supports calm and regulation.