Tethered Oral Tissues or Tongue Tie

Pediatrics: Infants & Toddlers

Tethered Oral Tissues (TOTS) can consist of either a tongue tie (where the thin piece of skin under a baby’s tongue restricts movement of the tongue) or where the upper lip is restricted due to being anchored to the gum. This thin membrane of tissue should undergo cell death during embryonic development but in some cases will fail to do so, thus, creating a “tethered-like” cord of tissue.
TOTS is a condition that often runs in families and is said to have a genetic component.