Tongue-Tie in Children: Clinical Controversies and a Comprehensive Review

This review examines the ongoing controversy surrounding the treatment of tongue-tie, particularly the lack of evidence supporting the long-term efficacy of diagnosis and surgical intervention (tongue-tie release). It identifies the need for further research to support evidence-based practice and proposes a multidisciplinary, function-centered treatment approach. Furthermore, it explores various theories and causes of tongue movement restriction in children, including neurological, muscular, structural, acquired, and functional factors that must be differentiated from tongue-tie.