A short tongue tie in a pediatric patient requires a pediatric nurse practitioner or oral surgeon, as the pediatric nurse practitioner will regularly check the child’s development. A short tongue tie can cause articulation disorders, such as a lack of clarity in speech or abnormal articulation. If the tongue tie is particularly short, some children will need surgery to untie the tongue tie so that it can be normalized and no longer interfere with articulation and speech. If the tongue tie is a little short, it does not affect the pronunciation and does not constitute a speech impediment, so it does not need special treatment. The length of the tongue tie should also be categorized into mild and severe cases, with mild cases left untreated and severe cases treated surgically.