Can’t say ‘R’ or ‘L’ yet? It might not just be baby talk.
Let’s decode unclear speech in kids!
Dr. Aishwarya Kamble
8/7/20252 min read


At 5 years of age, most children are chatterboxes — forming sentences, expressing emotions, and telling stories (even wild ones!). But what if your child’s words are still unclear, muffled, or difficult to understand?
Parents often ask:
👉 “Is it a tongue problem?”
👉 “Do we need speech therapy?”
👉 “Does my child need tongue tie surgery?”
Let’s break it down.
👅 What is a Tongue Tie?
A tongue tie is when the tissue (lingual frenulum) under the tongue is too short or tight, restricting movement. It can cause:
• Difficulty sticking the tongue out
• Trouble licking, sucking, or clearing food from teeth
• Speech issues — particularly sounds like t, d, l, r, s, z
But here’s the catch: Not all speech issues are caused by a tongue tie. And not all tongue ties need surgery.
🧠 Other Causes of Unclear Speech in 5-Year-Olds:
• Delayed speech/language development
• Hearing problems (often due to undiagnosed ear infections)
• Oral muscle weakness or poor coordination
• Habitual mispronunciation (articulation disorder)
• Multilingual confusion (common in Indian homes!)
👩⚕️ How Do You Know What’s Causing It?
Your first step: 📍 Visit a Pediatric Dentist or ENT to check for tongue tie. They’ll assess tongue mobility, appearance, and function.
Your second step: 📍 Speech-language evaluation by a certified speech therapist (SLP). They assess whether your child’s speech issues are:
• Developmental (will improve with time)
• Articulation-based (needs therapy)
• Structural (needs surgical correction)
✂️ Does My Child Need Tongue Tie Surgery?
Only if:
• The tongue can’t move freely enough for feeding, speaking, or oral hygiene
• It’s confirmed by both dentist and speech therapist
• Speech therapy alone isn’t improving function
Surgery (frenectomy) is safe and quick when done by trained professionals — but it’s never the first step.
💬 Takeaway:
If your 5-year-old isn’t speaking clearly:
✅ Don’t jump to surgery.
✅ Get a thorough evaluation from a pediatric dentist + speech therapist.
✅ Early speech therapy can do wonders — the earlier you start, the better the outcomes.
🔔 Parent Reminder:
You're not alone, and your child is not “behind.” Every tongue, every brain, and every child develops at their own pace — some just need a little extra support.
Book a consult at Smile Safari Dental Clinic, where we specialise in child-friendly tongue tie assessments, myofunctional evaluations, and can guide you on whether your child truly needs speech therapy or surgical correction.
📍 Let’s bring back your child’s confident smile — one word at a time!
SMILE SAFARI
CHILD AND FAMILY DENTAL CLINIC
Address
Building no. 12, Shop No. 2, Andheri Sahakari CHS Ltd. Ganesh Chowk, D.N. Nagar, Andheri West, Mumbai-400053
Contact Us
+918169138816
smilesafaridentalclinic@gmail.com