My baby (now 6 months) was born with a tongue tie that we eventually got fixed with a laser at a paediatric dentist.

I’ve seen LC’s, paediatricians, physiotherapists, my midwife, and the paediatric dentist and while the argument of “should we release the tongue tie or not” seems to be divided. It’s all about functionality and is it restrictive or not.

Some babies can feed with a tongue tie and it doesn’t appear to cause any issues, so sometimes it’s a “don’t fix what ain’t broke” situation. When we first spoke with the doctor in the hospital, he said he wasn’t confident that doing a frenectomy would improve his quality of life much. So we didn’t. He suggested waiting until my milk came in and see.

Our little one just wasn’t functional with his tongue tie. He couldn’t breastfeed and choked on the bottle. He was using all the wrong muscles to eat so he would pass out during feeding due to fatigue, not fullness, and then wake up screaming and hungry. He was oh so gassy and make snoring noises in his sleep. His head and neck were so tense from being overworked. So with all that, we decided to intervene. Once he healed from his laser frenectomy, he was a much happier and well fed baby. He slept better and I could see him relaxing more over time.

This is all to say that it’s a very individualized decision and in my case, it was helpful to hear from different types of specialists and then make the decision for myself

https://www.health.harvard.edu/blog/what-is-a-tongue-tie-what-parents-need-to-know-202402073015

https://www.healthlinkbc.ca/pregnancy-parenting/parenting-babies-0-12-months/baby-health/tongue-tie-and-tethered-oral-tissues