Medical Practice · Sleep & Airway
Laser release of a restrictive tongue-tie (lingual frenum) to improve tongue mobility, jaw development, and airway function.

A lingual frenectomy is a procedure that releases or removes the tight band of tissue underneath the tongue, called the lingual frenum. When this tissue is too tight or short, it can restrict tongue movement — a condition commonly known as a "tongue tie." A tongue tie can affect the way the jaw and mouth develop over time. When the tongue cannot rest properly on the roof of the mouth, it may contribute to a narrower upper jaw, crowding of the teeth, bite issues, or improper oral posture. The tongue plays an important role in guiding healthy jaw growth and supporting the airway. In some individuals, restricted tongue movement may also contribute to airway problems and sleep-disordered breathing, including snoring or obstructive sleep apnea. If the tongue sits lower in the mouth or falls backward during sleep, it can partially block the airway and make breathing more difficult at night. Releasing the tongue tie may help improve tongue posture and airway function, although additional treatment may still be needed depending on the severity of the airway restriction. During the procedure, the provider carefully releases the tight tissue to allow the tongue to move more freely. The procedure is usually quick and is commonly performed using a laser under local anesthesia. After the procedure, patients can expect some soreness and swelling for a few days. Stretching exercises may also be recommended to help retrain tongue movement and reduce the chance of the tissue tightening again during healing. Often, if the patient does not perform the exercises regularly, scar tissue will form around the area of the tongue tie and removal of this tissue will be needed at another visit.
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