Lip Tie in Babies: Symptoms, Treatment, and What to Know

Lip Tie in Babies: Symptoms, Treatment, and What to Know

A lip tie occurs when the tissue connecting the upper lip to the upper gum (the labial frenulum) is unusually thick, tight, or attached close to the gum line, restricting upper lip movement. While lip ties are common and often harmless, they can sometimes interfere with breastfeeding by preventing the baby from flanging the upper lip properly to create a good seal. Treatment, when needed, involves a simple frenectomy procedure.

2 min readMedically reviewed contentLast updated March 26, 2026

Key Takeaways

  • Lip ties are very common and are only treated when they cause functional problems like feeding difficulties.
  • Signs of a problematic lip tie include a shallow latch, lip blisters from friction, and gassiness from swallowing air.
  • A lip tie frenectomy takes 1 to 2 minutes and can be done with a laser or scissors.
  • Not all medical professionals agree on when lip tie treatment is necessary, so get a second opinion if unsure.
  • Recovery after laser frenectomy takes about 1 to 2 weeks, with stretching exercises to prevent reattachment.
  • Lip ties that do not affect feeding may eventually cause a gap between the front teeth, though many resolve on their own.

Understanding Lip Tie in Babies

A lip tie occurs when the tissue connecting the upper lip to the upper gum (the labial frenulum) is unusually thick, tight, or attached close to the gum line, restricting upper lip movement. While lip ties are common and often harmless, they can sometimes interfere with breastfeeding by preventing the baby from flanging the upper lip properly to create a good seal. Treatment, when needed, involves a simple frenectomy procedure.

Your pediatric dentist can evaluate your child's specific situation and recommend the most appropriate treatment approach. Early intervention and regular dental visits are key to maintaining your child's oral health.

When to Seek Professional Care

If you have concerns about your child's dental health, schedule an appointment with a pediatric dentist. Pediatric dentists complete two to three years of additional training beyond dental school, focusing specifically on the dental needs of infants, children, and adolescents.

Early evaluation allows for timely treatment and better outcomes. Most dental issues are easier and less expensive to treat when caught early.

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Pediatric dentists specialize in the dental care of children from infancy through adolescence. Search by location on My Specialty Dentist to find a pediatric dentist near you.

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Frequently Asked Questions

What should I know about lip tie treatment?

A lip tie occurs when the tissue connecting the upper lip to the upper gum (the labial frenulum) is unusually thick, tight, or attached close to the gum line, restricting upper lip movement. While lip ties are common and often harmless, they can sometimes interfere with breastfeeding by preventing the baby from flanging the upper lip properly to create a good seal. Treatment, when needed, involves a simple frenectomy procedure.

Should I see a pediatric dentist or a general dentist for my child?

A pediatric dentist has two to three years of additional training beyond dental school, specializing in the dental needs of children. For complex issues, anxious children, or children under age 3, a pediatric dentist is generally the best choice. General dentists can handle routine care for older, cooperative children.

How do I prepare my child for a dental visit?

Use positive, simple language about the visit. Avoid words like 'hurt,' 'needle,' or 'shot.' Read children's books about going to the dentist. Schedule the appointment when your child is rested and fed. Bring a comfort item like a stuffed animal.

Will insurance cover this treatment?

Most dental insurance plans and Medicaid programs cover medically necessary dental treatment for children. Coverage details and percentages vary by plan. Contact your insurer for specific coverage information about your child's recommended treatment.

How often should my child see the dentist?

The American Academy of Pediatric Dentistry recommends dental visits every 6 months starting by age 1. Children at higher risk for dental problems may need more frequent visits. Your pediatric dentist will recommend the right schedule for your child.

What if my child is afraid of the dentist?

Dental anxiety in children is common and manageable. Pediatric dentists are trained in behavior management techniques including tell-show-do, distraction, and positive reinforcement. For severe anxiety, sedation options like nitrous oxide or oral sedation are available.

Sources

  1. 1.American Academy of Pediatric Dentistry. Clinical Practice Guidelines.
  2. 2.American Dental Association. Pediatric Dentistry.
  3. 3.Centers for Disease Control and Prevention. Children's Oral Health.
  4. 4.National Institute of Dental and Craniofacial Research. Children's Oral Health.
  5. 5.American Academy of Pediatrics. Oral Health.

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