Dental specialists are frequently confronted with the task of attempting to determine whether a cause and effect relationship exists between a short or restricting lingual frenum (ankyloglossia or tongue-tie) and a specific oral motor dysfunction. Because there is no standardized definition of what constitutes a condition of tongue-tie, the dental practitioner is often unsure as to the appropriate course of action with a patient with suspected ankyloglossia. This paper describes clinical measures that permit quantifying several anatomic and functional aspects of the tongue. Such baseline analysis provides a more definitive appraisal of lingual function as well as a more objective basis for making pre- and posttreatment comparisons.

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