Carol Krakower, M.A. CCC-SLP

Brook 35 Park

2130 Highway 35, Suite 311

Sea Girt, NJ 08750

Serving Monmouth County and Ocean County




Tongue Tie

A tongue tie (also called ankyloglossia) occurs when the band of tissue that attaches the blade of the tongue to the floor of the mouth (the frenum) is too tight or restricted.  

A child who has a tongue tie often:

  • Does not swallow correctly
  • Has difficulty with oral hygiene
  • Cannot elevate his tongue for all speech sounds and has articulation difficulties
  • Can develop cranio-facial problems.  The tongue should be resting on the hard palate, because this tongue posture helps develop the palate correctly.  Without the tongue on the hard palate, the palate bone can grow vertically into the sinus cavity, creating many different issues.
Depending on the severity of the tongue tie, it can easily be corrected using laser surgery in your dentist’s office or may require the services of an oral surgeon.  After surgery, your child will most likely need orofacial myology therapy (tongue muscle therapy) to help your child develop the ability to move the tongue for normal articulation and swallowing.  
If you notice a tongue tie, it should be corrected.
Carol Krakower is one of only ten specially trained speech pathologists in New Jersey  in Orofacial Myology, (which deals with muscle postures of the mouth) and is a member of the International Orofacial Myology Association.    
A tongue tie is restrictive for a child.  Correction is usually easy and effective and is often covered by insurance.  The most important considerations are the degree of tongue tie and the skill of the professionals who help your child with its correction.  


Speech-Language Pathologists