Philadelphia Pediatric Dentistry

Tongue Tie and Lip Tie Solutions

A woman holds a child in the Philadelphia Pediatric Dentistry lobby

What are TOTs?

Tethered Oral Tissues (TOTs) are tight muscle attachments that restrict the lips, cheeks or tongue from their ideal function. TOTs present in two basic forms…


Ankyloglossia, or tongue-tie, is the restriction of tongue movement as a result of fusion or adherence of the tongue to the floor of the mouth. A tongue-tie is therefore caused by a frenum that is abnormally short or attached too close to the tip of the tongue.


A lip-tie occurs when the upper lip remains attached to the upper gum. It can lead to problems with speech and eating habits, jaw pain and protusion, clicking jaws, difficulty kissing, licking lollipops or ice cream, a gap between teeth, pain with breastfeeding, and other oral health issues.

A mother holds her son

Common Problems caused by TOTs


  • Difficulty latching during breastfeeding
  • Trouble sucking and swallowing


  • Speech and eating difficulties
  • Trouble sleeping

Our Collaborative Approach

We use a collaborative approach and work with Lactation Consultants, Infant and Child Feeding Specialists, Occupational Therapists, Physical Therapists, Speech Language Pathologists, and Oralfacial Myologists to deliver personalized and effective solutions.

Innovative Laser Treatment

Modern technology allows us to use highly precise laser treatments to treat common issues in children including breastfeeding difficulties, lip and tongue restrictions, and other concerns related to speech or long-term oral health.

lightscalpel laser

All frenectomy procedures are completed using a precision Lightscalpel laser. This laser does not emit heat or water and cauterizes as it works. As a result, there is minimal trauma, bleeding, and scar tissue.

Benefits of Treatment

helping infants

An infant’s struggle with breastfeeding can often be solved by a lactation consultant or bodyworker helping with posture and latching. However, there are cases when a baby’s lip or tongue are tethered in a way that makes nursing painful or ineffective. In these instances, a release (Frenectomy) of their lip or tongue attachment (frenum) may be necessary.

helping mothers

A frenectomy can help mothers restore joy to breastfeeding, relieve pain, regain healthy nipples and breasts, stimulate milk production by adequate stimulation, encourage bonding with her baby, and ensure adequate feeding and growth of the baby.

long-term growth and development

Laser frenectomy treatment creates normal tongue function. This proper function promotes normal speech development, makes it possible for a child to self-cleanse the mouth during eating, allows adequate swallowing patterns, allows for proper growth and development, and it makes fun little things like eating ice cream, kissing or sticking your tongue out to catch snowflakes possible.

Post-Operative Therapy

Thanks to Dr. Maria’s clinical expertise and the advancements of modern lasers, children typically heal quickly with minimal pain or discomfort. Before treatment, we will gladly answer any questions you may have. Following treatment, we will provide you with an informational sheet regarding post-operative care including managing discomfort, exercises, and other essential information.


Though we accept dental insurance, frenectomy treatment is often covered under medical insurance. We will assist you with information for medical billing.Lightscalpel Laser

We Can't Wait To Meet You & Your Child

We look forward to meeting you. Call (267) 507-1064 or request an appointment online to set up your first visit. For questions or more information, feel free to reach us at

Request An Appointment

Please call (000) 000-0000 or use the form below to schedule your appointment.

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