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Maxillary Frenulum Tie

A lip tie is the relation of the upper lip frenum insertion and position. Common findings with a prominent labial frenum have been associated with breastfeeding difficulties among newborns. It can also interfere with proper oral hygiene measures which can lead to caries as well as initiation and progression of gum disease due to difficulty with cleaning the upper teeth area.


What symptoms can be observed in a child having lip tie (maxillary frenulum tie) ?

Diastema or a gap between teeth can be affected by the position of the upper lip frenum. A thick frenum can also prevent the space closure once all the front teeth erupt. A proper evaluation and diagnosis for lip tie must be done by the pediatric dentist or specialist to determine the need for treatment and timing.







  • » Examinations
  • » Cleanings
  • » Fluoride treatment
  • » Digital X-rays
  • » Fillings
  • » Extractions
  • » Endodontic treatment (root canals)
  • » Stainless-steel and aesthetic crowns
  • » Ankiloglossia: Tongue Tie
  • » Maxilary Lip Tie
  • » Nasoalveolar Molding

Tongue Tie

Tongue tie or ankyloglossia is a congenital condition that negatively affects breastfeeding. The thickened, tightened, or shortened frenulum affects the infant’s ability to suck and frequently results in sore and painful nipples. Other problems that have been associated to this condition are speech pathology, malocclusion, and gingival recession.


What symptoms can be observed in a child having ankyloglossia (tongue tied) ?

A newborn or infant that suffers from limited movement of the tongue can be acting irritable or fussy, even after feeding. This is because the baby is experiencing difficulty creating or maintaining suction and latching onto the nipple, so then they may become tired in 1 or 2 minutes, or fall asleep before eating enough. Some consequences are poor weight gain or weight loss.

Many mothers visit their pediatrician frustrated because their child is not gaining weight even though they are breast-feeding them. The breast-feeding mother may have problems with breast pain, plugged milk ducts, or painful breasts.







Speech problems and other conditions related to ankyloglossia

The speech can be affected by ankyloglossia due the restricted movements of the tongue intervening with pronunciation and development of sounds. A tounge tie can limit tongue movement and create swallowing problems. Abnormal tongue position may also affect skeletal development.

Reports also have been made regarding the association between frenal attachment and gingival recession.

Some studies report that patients with tongue tied have low tongue postures and undeveloped pharyngeal airways leading to problems like sleep apnea.







Management and treatment

An evaluation must be done carefully by any of the following:

• Pediatricians
• Pediatric Dentists
• Otolaryngologists
• Lactation Specialists
• Surgeons
• Speech Therapists


After an accurate diagnosis of ankyloglossia or lip tie has been established, an individualized treatment plan will be recommended based on the patient’s weight, medical history and developement.

The surgical intervention for correction is called frenectomy (simple cutting of the frenulum) or frenuloplasty (various methods to release the tongue or the lip tie and correct the anatomic situation) depending on the severity of the attachment of the frenum.

The exact time to perform the treatment will be established by an individual basis. Interventions may be performed early at ten days after being born. If the baby is not gaining weight or is losing weight, treatment must be considered as soon as possible.







  • » Examinations
  • » Cleanings
  • » Fluoride treatment
  • » Digital X-rays
  • » Fillings
  • » Extractions
  • » Endodontic treatment (root canals)
  • » Stainless-steel and aesthetic crowns
  • » Ankiloglossia: Tongue Tie
  • » Maxilary Lip Tie
  • » Nasoalveolar Molding

What can we do

Star Kids | Pediatric Dentistry

As your child’s first dental-home provider, Star kids Dentistry offers a wide array of dental health services beyond what a general dentist can provide. No matter what your child needs, Star kids Dentistry can help.




Other services...


Emergency care

Hospital dentistry
We are fully credentialed with: El Paso Childrens Hospital and Sierra-Providence Memorial Hospital.

Neonates and Special health care needs children

Interceptive orthodontic treatment

Ankiloglossia: Tongue Tie
Tongue tie or ankyloglossia is a congenital condition that negatively affects breastfeeding. The thickened, tightened, or shortened frenulum affects the infant’s ability to suck and frequently results in sore and painful nipples. Other problems that have been associated to this condition are speech pathology, malocclusion, and gingival recession.

Maxilary Lip Tie:
A lip tie is the relation of the upper lip frenum insertion and position. Common findings with a prominent labial frenum have been associated with breastfeeding difficulties among newborns. It can also interfere with proper oral hygiene measures which can lead to caries as well as initiation and progression of gum disease due to difficulty with cleaning the upper teeth area. Diastema or a gap between teeth can be affected by the position of the upper lip frenum.

Nasoalveolar Molding:
is a nonsurgical way to reshape the gums, lip and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries your child needs because it makes the cleft less severe. NAM is used mainly for children with large or wide clefts, and has greatly changed cleft repair.

  • » Examinations
  • » Cleanings
  • » Fluoride treatment
  • » Digital X-rays
  • » Fillings
  • » Extractions
  • » Endodontic treatment (root canals)
  • » Stainless-steel and aesthetic crowns
  • » Ankiloglossia: Tongue Tie
  • » Maxilary Lip Tie
  • » Nasoalveolar Molding

The First Visit to the Dentist

Star Kids | Pediatric Dentistry

The pediatric dental specialists of Star kids Dentistry are committed to providing quality, affordable dental care to children of all ages. Our doctors will utilize state-of-the-art technology, the most advanced procedures available and patient-management skills to make your child’s dental experience safe, fun and comfortable.

  • » A preventive home-care program.
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  • » Information about early childhood caries.
  • » Tips on the best nursing habits and sippy-cup use.
  • » The latest facts on finger, thumb and pacifier habits.
  • » Guidance on preventing mouth and tooth injuries.
  • » Information on growth and development.

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This will help us establish a closer rapport with your child when you are not present. Our goal is to gain your child’s confidence and help them overcome apprehension.

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Specialist Services

Star Kids | Pediatric Dental

As your child’s first dental-home provider, Star kids Dentistry offers a wide array of dental health services beyond what a general dentist can provide. No matter what your child needs, Star kids Dentistry can help.

  • Examinations
  • Cleanings
  • Fluoride treatment
  • Digital X-rays
  • Fillings
  • Extractions
  • Endodontic treatment
  • Aesthetic crowns

More Information

Have a question or concern? Give us a call.

East Side
1800 McRae Boulevard
El Paso, Texas 79925
915-592-4168
915-591-5014 (Fax)

West Side
7211 N Mesa St, Ste. 1E
El Paso, Texas 79912
915-833-2952
915-242-1927 (Fax)

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