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A lip tie release is commonly performed to address latching difficulties in infants, as a tight upper lip frenulum can prevent a deep flange during breastfeeding.

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Lip Ties

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Take the tension out of their smile.

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An upper lip tie occurs when an unusually short, thick, or tight labial frenulum tethers the upper lip to the upper gum. While some children experience no symptoms, others may struggle with nursing latches, dental alignment or spacing (such as gaps between front teeth), and maintaining oral hygiene along the gumline. Identifying these functional limitations early allows families to select appropriate care options that foster optimal feeding, dental health, and overall oral development.

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Clinicians evaluate a lip tie through a physical exam, a review of medical history, and a functional assessment. They examine the labial frenulum’s length, thickness, and attachment point while checking the upper lip’s ability to flare outward. Diagnostic focus varies by age: clinicians look for latching difficulties by observing lip flanging and seal during infant feedings, whereas in older children, they assess dental spacing, lip mobility, and plaque buildup along the upper teeth.

\n

If a lip tie causes ongoing functional issues, surgical intervention may be recommended. Providers typically perform a frenectomy or frenotomy, also known as a lip tie release, to free the restricted tissue band. This allows a resolution of the tissue restriction in infants with minimal discomfort. At select locations, this is performed using LightScalpel® CO2 Laser technology.

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Choosing the appropriate approach depends on the child’s age, anatomy, severity of symptoms, and clinical guidance. For many patients, this intervention successfully restores upper lip mobility and function.

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Symptoms

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Symptoms of a lip tie (labial restriction) stem from a tight band of tissue anchor connecting the upper lip to the gum tissue above the front teeth. While some children experience no symptoms, a restricted lip can interfere with latching, dental spacing, and oral hygiene.

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Physical Signs (All Ages)

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Symptoms in Infants

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In babies, a lip tie prevents the upper lip from flanging outward to form a tight, comfortable seal around the breast or bottle nipple.

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For the Baby:

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For the Nursing Parent:

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Symptoms in Children

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As primary teeth emerge, the attachment point of a lip tie creates dental and hygiene challenges.

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Symptoms in Adults

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If an upper lip tie persists into adulthood, symptoms typically center on esthetic, orthodontic, and periodontal issues.

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