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November 08, 2009 SEARCH drSpock 
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Dr. Robert Needlman
Specialist in pediatric behavior and development.
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Tongue Tie
QUESTION
Dear Dr. Needlman,
My grandson's frenulum is very tight. His doctor does not seem to want to do anything about it. He was first seen at three months of age and now he is now nineteen months old and it is still just as tight.

— Frantic Grammie in Richmond, Vermont

ANSWER
May 10, 2001
Dear Frantic Grammie,
The frenulum is a small bit of tissue that runs between the bottom of the tongue and the floor of the mouth. A short frenulum is sometimes called "tongue tie." In the past, it was common for doctors to treat tongue tie by cutting the frenulum, a minor surgical procedure. Nowadays doctors usually leave the frenulum alone, because short frenulums rarely cause any problems. In an extreme case, when the frenulum is short enough to interfere with speech or with eating, then having the surgery makes sense.

— by Robert Needlman, M.D., F.A.A.P.

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