12/12/2025
A lot of parents see this divot AFTER a tongue tie surgery and panic.
Let me explain.
This baby had a severe tongue restriction in utero. After a proper release and ongoing therapy, the tongue is now functionalâbut when he sticks out his tongue, you may still see a central groove or âheart-shapedâ appearance.
đ Important distinction:
A visible midline indentation alone is NOT an indicator of restriction, re-attachment, or a failed release.
From a medical and OT perspective, what matters is function, not just appearance. He has optimal:
⢠Tongue movements
⢠Lip seal and nose breathing
⢠Can bite, chew, and swallow foods
⢠No tension in the jaw, neck, and body
⢠Saying lots of words
This is why post-surgery therapy matters. OT focuses on neuromuscular re-education, oral motor coordination, and whole-body integrationânot just the tongue itself.
đ Bottom line:
A tongue can look âtiedâ and still be free.
Assessment should always be functional, not visual alone.
Contact: info@oralties.com
www.oralties.com