Pediatric Tongue Tie Surgery in Portland
A Tongue Tie Specialist like Dr. Chargundla can help.
If your child had trouble breastfeeding, a tongue tie might still be affecting their eating, speech, or breathing. Pediatric tongue tie surgery can improve oral function and prevent future issues like speech delays or orthodontic problems. At Summit Oral Surgery, we focus on early care to support your child’s healthy development.
The Impact of Pediatric Tongue Tie
Why getting help early matters.
Identification and Management of Ankyloglossia and Its Effect on Breastfeeding in Infants: Clinical Report. Pediatrics August 2024; 154 (2): e2024067605. 10.1542/peds.2024-067605
The tongue guides the growth of the palate and airway. When it rests against the roof of the mouth, it promotes a wide, U-shaped arch ideal for proper teeth alignment and nasal breathing. A tongue tie or restricted mobility can result in a narrow, high palate, leading to crowded teeth, mouth breathing, snoring, sleep apnea, and chronic sinus issues. Poor airflow can also contribute to dry mouth, increasing the risk of cavities and gum disease.
Proper tongue posture balances the upper and lower jaws, supporting a healthy bite and facial bone development. Restricted tongue movement can push the lower jaw backward, raising the risk of TMJ disorders and airway obstruction. Chronic mouth breathing caused by poor tongue posture can alter facial growth, leading to a longer face, receding chin, and aesthetic changes. It also increases the likelihood of dry mouth, cavities, and gum disease.
The tongue’s ability to reach the palate is essential for clear speech, particularly for sounds requiring tongue elevation (e.g., “t,” “d,” “n,” “l”). During swallowing, the tongue presses against the palate to guide food or liquid, preventing compensatory behaviors like tongue thrust, which can lead to swallowing difficulties and orthodontic problems.
Proper tongue posture is vital for balanced facial growth, airway health, and restful sleep. Restricted movement can cause strain in jaw and neck muscles, disrupt posture (e.g., forward head posture), and even affect gait. In children, issues like an inability to seal the lips or keep the tongue on the palate can contribute to snoring or sleep apnea, further impacting their energy, focus, and overall development.
Restricted tongue or lip movement can lead to a dry mouth and difficulty maintaining oral hygiene, raising the likelihood of tooth decay and gum issues.
Pediatric Tongue Tie Surgery
Why Dr. Charugundla Prefers Z-Plasty.
Z-plasty is especially beneficial for children who may struggle with post-procedure exercises or physical therapy, particularly when age, discomfort or pain makes compliance challenging.
This technique not only releases the tongue but also lengthens it during surgery, reducing the reliance on post-surgical stretching. By addressing the majority of the restriction surgically, Z-plasty minimizes the need for extensive physical therapy, ensuring a smoother, more efficient recovery and lasting results.
A Comparison: Frenulectomy, Frenuloplasty & Z-Plasty
A frenulectomy is a surgical procedure where the frenulum is cut to release the restriction, allowing for improved tongue or lip mobility. This procedure is typically performed under local anesthesia, with a relatively quick recovery time.
Frenuloplasty is a more advanced procedure than a frenectomy. In addition to cutting the frenulum, it involves reshaping and repositioning the tissue to prevent it from reattaching in a restrictive manner.
Z-Plasty is a specialized technique frequently used in frenuloplasty, involving Z-shaped incisions to reposition and realign the frenulum. This method minimizes tension, enhances function and appearance, and supports optimal healing outcomes.
An Integrative Surgical Approach to Tongue Tie
A multi-disciplinary approach ensures pediatric tongue tie surgery has an impact.
For children undergoing tongue-tie surgery, making the procedure count requires an integrative approach that ensures lasting success. Dr. Charugundla emphasizes a multi-disciplinary strategy.
Orthodontists & Pediatric Dentists
Ensuring proper oral development and alignment is considered as a part of all treatment plans.
Speech Therapy
Support to address any articulation or language challenges stemming from tongue restriction.
Physical Therapy
Techniques to relieve tension in the jaw, neck, and shoulders caused by compensatory behaviors.
Myofunctional Therapy
Exercises to retrain the tongue for proper speech, swallowing, and breathing function.
The cost of tongue-tie release surgery for children varies based on individual needs. We provide clear and straightforward self-pay pricing for most pediatric services. If the procedure your child requires isn’t listed, we’re happy to give a detailed cost estimate. For families with insurance, we’re equally committed to ensuring cost transparency. Pricing & Accepted Insurance >
Dr. Charugundla looks forward to meeting you and evaluating your child for tongue-tie release surgery. Your first appointment is a consultation, surgery is scheduled afterwards. We provide information to help you prepare. Your First Appointment >