DefinitionTongue tie is the improper positioning of tongue tissue in the mouth, which restricts the tongue's free movement.Alternative NamesAnkyloglossiaCauses, incidence, and risk factorsTongue tie occurs when the tissue on the underside of the front of the tongue is positioned too far forward on the tongue, making it difficult to move the tongue. This tissue is called the lingual frenulum.If the tissue reaches the tip of the tongue, a V-shaped notch may be seen.Tongue tie may cause feeding problems, tooth problems, and speech problems.SymptomsCan't stick the tongue forwardDifficulty feedingExcessive attachment of tongue to bottom of the mouthV-shaped notch in tip of tongueSigns and testsA doctor can diagnose this condition during a physical exam. The exam will show that the tongue tissue