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    Caring for your child
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Welcome to Sydney Specialist Tongue Tie Clinic

We are a clinic specialising in the management of infants and children with feeding difficulties and tongue-ties

About Us

We have unique rooms and facilities to perform surgery and provide lactation and feeding support.


About tongue-ties

Everyone has a thin piece of skin joining the tongue to the floor of the mouth. called a “frenum“. Tongue-tie, or ankyloglossia, is where the tongue is tethered to the floor of the mouth or gum with of a short or restrictive lingual frenum. This is considered to be a variation of normal tissue and not pathological..

Lingual FRENOTOMY, is a procedure indicated in young infants where a significant tongue-tie is affecting breast or bottle feeding. A lactation consultant or speech pathologist usually assesses attachment and feeding practices in order to determine the need for a frenotomy. It is normally performed on babies from birth up to 6 months of age. A frenectomy involves complete excision of the frenum under the tongue and is usually performed after 18 months of age for speech or other dental reasons.

Lingual frenotomy is simple and quick with few complications. The frenum is usually a very fine translucent tissue and is easily cut reliving the tie.

Important facts
% of babies with tongue tie

  • 10%
  • % of babies with tongue -ties and feeding problems

  • 45%
  • % of mothers still breast feeding after 6 months following frenotomy

  • 60%
Information for parents
Having a tongue-tie does not mean that your child will have problems with speech, but there are some articulation errors that are more often seen in children with tongue-ties. These children have difficulty elevating the tongue tip and may have problems with sounds using t, d, l and n.

    Breast-feeding problems associated with tongue-tie may include:

  • Difficult attachment onto the breast
  • Prolonged feeding times
  • Nipple pain or damage
  • Recurrent mastiti
  • Low weight gain

Bottle-feeding problems associated with tongue-tie may include:

  • Clicking sounds made by the tongue during feeding
  • Poor saliva control and drooling
  • Swallowing of air while feeding
  • An inconsolable ‘colicky’ child

There is currently NO evidence that a thick or short labial frenum has any negative influence on breast-feeding. The mere presence of a labial frenum does NOT indicate a need for surgery.

Releasing a upper labial frenum is a traumatic procedure that may also lead to more dental problems later including the persistance of an anterior diastema (gap between the front teeth) that is difficult to close orthodontically.

Our Services

We offer a range of services supporting infants with feeding issues and young children with tongue ties.
The practice also has a full-time clinical psychologist who specialises in parent infant attachment.


Lingual frenotomy

A FRENOTOMY invovles a simple cut of the lingual frenum with scissors without the need for local anaesthesia. Please note that we do NOT use lasers or othe invasive methods.

lingual frenectomy under general anaesthesia

A lingual FRENECTOMY is usually performed on older children (greater than 18 months of age) under general anaesthesia.

Our Team

All our team are specialists in infant and child health.

A/Prof Angus Cameron Paediatric Dentist BDS(Hons) MDSc FDSRCS(Eng) FRACDS FICD

Angus was the first specialist in paediatric dentistry to graduate from Sydney University and is Head of Paediatric Dentistry at Westmead Hospital and the Unviersity of Sydney. He also holds teaching appointments at the University of Newcastle and Charles Sturt University and lectures nationally and internationally. He has been involved with the development of the Tongue Tie Clinic at Westmead for almost 30 years.

Dr Anastasia Georgiou Oral Medicine Specialist BDS MDSc MRACDS(Oral Med) FRACDS FICD FOMMA

Dr Anastasia Georgiou is a Consultant Oral Medicine Specialist at Westmead Hospital with specialist clinics in mucosal pathology and a dedicated paediatric pathology clinic. She is a Clinical Lecturer with The University of Sydney and supervises general and specialist clinics. Anastasia is a Fellow of the Royal Australasian College of the Dental Surgeons. Anastasia has a particular interest in paediatric oral medicine and has been invovled in the Tongue tie clinic at the Hospital. She is the current President of the Oral Medicine Academy of Australasia, the peak body representing Oral Medicine Specialists and the field of Oral Medicine.

Caroline Fox Mothercraft nurse RN RN Cert ChildFamilyHealth

Caroline is a registered Karitane mothercraft nurse and breast-feeding specialist with over 30 years experience in perinatal child care and support. She has worked at The Royal Women’s Hospital, Randwick for many years and Karitane. She provides lactation support for our mothers following the tongue tie release and early infant settling and feeding advice.

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Contact Us

We welcome any enquiry regarding our services and how we can help your child.