Doha, Qatar: Manager of Preventive and Promotive Oral Health at the Primary Health Care Corporation (PHCC) Dr. Najat Alyafei has said that tongue-tie occurs when the small tissue under the tongue (the frenulum) is too short or tight, restricting its normal movement.

“It can be detected as early as birth when examined carefully by healthcare professionals or attentive parents,” she said.

She noted that signs such as difficulty latching during breastfeeding, clicking sounds, or a heart-shaped tongue tip should alert parents to seek an early evaluation.

Dr. Alyafei emphasised that the impact of tongue-tie extends beyond feeding or speech. Restricted tongue movement can lead to mouth breathing, which may cause disturbed sleep, snoring, or restless nights-affecting the child's growth and concentration.

She also mentioned that limited tongue movement may affect the development of the jaw, leading to a narrow palate or crowded teeth. Moreover, it can reduce saliva flow, contributing to dry mouth and tooth decay.“The tongue is not only for speech it is a vital muscle that maintains oral balance and dental health,” she added.

Regarding speech, Dr. Alyafei noted that children with severe tongue-tie often struggle with certain sounds such as“t,”“d,”“r,”“l,” and“s,” which can affect their communication confidence. Early diagnosis and treatment, therefore, play a key role in supporting both oral and emotional development.

As for treatment, Dr. Alyafei explained that a simple and safe procedure called frenotomy cutting the tight frenulum is usually sufficient and most effective during the first few months of life. However, she pointed out that successful recovery also requires follow-up exercises to improve tongue mobility and function.

Dr. Alyafei said,“Early detection and timely treatment ensure a healthy smile and proper growth for the child, preventing future complications.” She encouraged parents to consult paediatricians or paediatric dentists whenever early signs are observed, stressing that“prevention begins with awareness and observation.”

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