★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Surgical & Other Dental Services

Tongue Tie Release (Ankyloglossia)

Tongue Tie Release (Ankyloglossia)
Board-Certified Periodontal Care Narberth, PA

Laser Tongue Tie Release (Lingual Frenectomy) in Narberth, PA

Restoring Optimal Tongue Mobility, Speech Clarity, and Airway Health

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

Ankyloglossia, commonly known as tongue tie, occurs when the lingual frenum—the band of tissue connecting the underside of the tongue to the floor of the mouth—is unusually short, thick, or tight. This restriction prevents the tongue from moving freely, lifting to the palate, or protruding normally.

In children and adults, an untreated tongue tie can cause speech articulation difficulties (difficulty pronouncing sounds like "t," "d," "z," "s," "th," "r," and "l"), sleep-disordered breathing, impaired swallowing patterns, neck tension, and rapid gum recession behind lower front incisors.

At Main Line Dental Arts, our periodontists perform precise, gentle laser tongue tie releases. The laser frees the restricted lingual tissue in minutes with virtually zero bleeding, no scalpels, and rapid functional relief.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Difficulty lifting the tongue to touch the roof of the mouth or upper teeth
Inability to stick the tongue out past the lower lips, or a tongue tip that appears heart-shaped or notched
Speech articulation challenges, lisping, or rapid vocal fatigue
Gum recession on the lingual (tongue) side of the lower front teeth caused by tight muscle pull
Adults experiencing neck stiffness, TMJ tension, or mouth-breathing habits associated with restricted tongue posture

What to Expect: Step-by-Step

1

1. Functional Range-of-Motion & Lingual Evaluation

We assess tongue elevation, protrusion, lateral movement, and the degree of muscular tension pulling on lower gum tissue.

2

2. Gentle Topical & Local Numbing

Targeted topical and local anesthetic is applied to the frenum band so the patient feels no discomfort during the release.

3

3. Precision Soft-Tissue Laser Release

Laser energy vaporizes the restrictive fibrous tissue in just 2 to 3 minutes, freeing the diamond-shaped floor of the tongue while simultaneously sealing vessels.

4

4. Immediate Mobility & Post-Op Active Stretching

The patient immediately demonstrates improved tongue elevation. We provide simple stretching exercises to perform at home for 2 to 3 weeks to prevent tissue reattachment.

Key Clinical Advantages

Instant Mobility Improvement

Feel the tongue lift easily to the palate immediately following the release.

Virtually Painless Laser Method

No scalpels, minimal bleeding, and rarely any stitches needed.

Speech & Swallowing Relief

Supports clear speech articulation and natural swallowing mechanics.

Protects Lower Gum Margins

Eliminates muscular pull that causes recession behind lower front teeth.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Consultation & 3D Scan

Careful clinical examination, diagnostic imaging, and personalized treatment sequencing.

Phase 2
Comfort-First Surgery

Minimally invasive microsurgical procedure with gentle local anesthesia and sedation support.

Phase 3
Rapid Tissue Healing

Structured recovery protocol, proactive post-op care calls, and dietary guidance.

Phase 4
Long-Term Protection

Follow-up confirmation and ongoing preventative care coordinated with your primary dentist.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

Patients notice an immediate increase in tongue range of motion and flexibility right in the dental chair immediately after the laser release.

No. Complete local numbing ensures the procedure is painless. For the first few days post-op, the underside of the tongue may feel mildly sore, similar to a minor canker sore.

Oral tissues heal rapidly. Performing gentle tongue lifts and lateral stretches 3 to 4 times daily for 2 to 3 weeks prevents the released tissue from re-attaching or scarring prematurely.

Absolutely. Many adults who grew up with an undiagnosed tongue tie experience tremendous relief from chronic neck tension, improved speech ease, better sleep breathing, and protected lower gum health.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.