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Posterior tongue tie in 2 month old baby
Visited pediatric dentist today, baby is 2.5 months old she was diagnosed with posterior toungue tie at 2 month. They suggested to do thereoy for a month before release. Dentist told that dont have mich hope you can expect only 10% improvement after release. I am really worried. Should I continue therepy and leave the release for now.
Baby takes expressed breast milk by bottle. The intake is very less 40-50 ml in a single feed. Baby feeds every two hours in morning. In night 4-5 hrs still take 60 ml only.feed is very slow. Cry has reduced in between feeding but not stopped
Answers (8)
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I recommend you to get pediatric surgeon or plastic surgeon opinion...
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If you think there is difficulty for feeding, the baby may require minor surgical procedure of releasing the tongue tie. Mostly it is for cosmetic purpose. It is not a compulsory operation.
Next Steps
Dental surgeon can guide you or a plastic surgeon.
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Dr. Keerthana Sarapu
Pediatrician
2 yrs exp
Hyderabad
Requires Pediatric surgery opinion
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Abhishek Jain
Pediatrician
6 yrs exp
Pune
Posterior tongue tie at 2.5 months with slow feeds and low intake (40–60 ml) is functionally significant — the dentist's "10% improvement" estimate is unusually pessimistic and not the standard view.
My advice:
Continue therapy, but also get a second opinion from a pediatric surgeon or ENT experienced in tongue tie
Frenotomy + therapy together gives far better outcomes than therapy alone
Monitor weight gain closely — if >20–25 g/day, you have time; if faltering, release is urgent
Don't delay release based on this one opinion. The procedure is simple and low-risk for a symptomatic baby.
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Dr. Jay Gajjar
Pediatrician
6 yrs exp
Surat
Posterior tongue tie is a controversial diagnosis, and the decision for release should be based on the baby’s symptoms, feeding difficulties, weight gain, and examination findings rather than the appearance alone.
If your baby is having persistent feeding difficulty, slow feeds, poor milk transfer, or inadequate weight gain despite appropriate feeding support and therapy, a release procedure may be considered.
However, many babies improve with feeding therapy and lactation support alone.
Next Steps
•Continue the recommended feeding/oral therapy for now.
•Monitor weight gain closely.
•Record total milk intake over 24 hours.
•Seek a second opinion if you remain uncertain about the need for release.
•Reassess after the therapy period as advised.
Health Tips
The most important factor is whether the baby is gaining weight adequately and feeding efficiently.
Tongue tie treatment decisions should be based on function, not only on the anatomical finding.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings
Continuing the recommended therapy is common practice to improve oral function, but given your worry and the low intake, getting a second opinion from a pediatric ENT or a specialized lactation consultant is highly advisable. Three distinct management options to support your baby include oral motor therapy exercises, trialing different slow-flow bottle nipples, and moving forward with a surgical release if supported by a specialist.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.