SALTs - what speech difficulties could a child with tongue-tie have?

[pruners]

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[hairtwiddler]

Ok, from perspective of SALT who works with adults (adding this as disclaimer) I can comment on the phonology/phonetics.
/r/ is made with a retroflexed tongue so maybe, but then lots of kids without tongue tie have it so maybe not.
/f/ for 'th', unlikely to be to do with tongue tie as /f/ is a labio-dental (teeth on lips) sound.
Lisps vary...but if can make a hissing snake noise then should be physically able to make the sound.
Where are you in the country? Regional variations likely?
Does this help???

[pruners]

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[Mercy]

Pruners, I'm no expert but my mum, my brother and I are all tongue-tied. None of us have any speech difficulties.

Both my children said w for r, and f for th until 4+. In fact ds is only just 4 and says things like

fweet (sweet) not that we have them in this house of course
glubs
lellow
and lots w/r words (sounds run into one another iyswim)

[pruners]

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[hairtwiddler]

If someone can make /t/, you can change that to /s/ by teaching to keep tongue in same place and let air hiss through.
tbh Pruners, I have no idea if you can/should get help with it.... it's been a long time. Expect local SALT could advise you though. We're a friendly lot and would likely answer your questions if you gave your dept a call.
Hope moondog or another paeds salt comes along to help you soon!

[Mercy]

dd has grown out of it (irrc during Reception class, ie, age 4/5) and ds is still doing it 50% of the time (he was 4 last month)