Understanding the Impact of Restrictive Frenulums

In this episode of Oral Health Matters, host Dr. Karlynn Sievers is joined by Dr. Thomas Chiodo for a conversation about ankyloglossia, commonly known as tongue-tie, and other restrictive frenulums. Dr. Chiodo explains how tongue-tie can affect tongue mobility and discusses the potential impact on infant feeding, including latch issues, poor suction, excess air intake, and related concerns such as bloating or reflux. The conversation also explores how restrictive frenulums may later influence speech development, oral function, and dental spacing. The episode walks through clinical evaluation approaches, including the use of assessment tools like the Tabby Bristol Tongue Tie Score and the Hazelbaker assessment, while emphasizing that some infants may naturally adapt or “grow into” their anatomy over time. Dr. Chiodo also reviews referral pathways, treatment options, procedural techniques, anesthesia considerations, and the importance of post-procedure stretching exercises to help prevent reattachment.   Oral Health Matters is produced by Association Briefings.