While you may think of being “tongue-tied” when you’re having trouble enunciating certain words, it’s an actual oral condition in children that can impact things such as breastfeeding, airflow, speech, and even dental health. The condition is present at birth. Some cases are not enough to cause problems for the child, while others may require a simple surgical procedure to correct the problem.
Dr. Smith can perform these procedures at Pound Ridge. Call 914.764.3540 today to schedule your tongue-tie consultation at our office!
What is tongue-tie?
When a baby is born with tongue-tie, clinically known as ankyloglossia, he or she will have an overly short or thick frenulum that restricts the tongue’s movement. The frenulum is a small band of tissue that extends from the floor of the mouth to the bottom of the tongue.
Tongue-tie may be classified as anterior or posterior, or it may be assessed using the Hazelbaker assessment tool for lingual frenulum function (HATLFF). The HATLFF tool assesses tongue function and determines whether the baby is a candidate for surgical intervention.
What are the symptoms of tongue-tie?
When a child has tongue-tie, these are the signs and symptoms:
-
Difficulty lifting the tongue to the upper teeth or moving the tongue from side to side
-
Trouble sticking out the tongue past the lower front teeth
-
A tongue that appears notched or heart-shaped when stuck out
How can tongue-tie affect a baby’s development?
Tongue-tie can affect a baby’s oral development as well as how he or she eats, speaks, and swallows. Tongue-tie can lead to these problems:
-
Breastfeeding problems – Breastfeeding requires a baby to keep his or her tongue over the lower gum while sucking. If unable to move the tongue or keep it in the right position, the baby might chew instead of suck on the nipple. This can lead to inadequate nutrition and prevent the baby from thriving.
-
Speech difficulties: Tongue-tie can interfere with the ability to produce certain sounds, such as “t,” “d,” “z,” “s,” “th,” “r,” and “l.”
-
Poor oral hygiene – For an older child or adult, tongue-tie can make it difficult to sweep food debris from the teeth. This can contribute to tooth decay and gum inflammation. Tongue-tie can also lead to a gap between the two bottom front teeth.
-
Challenges with other oral activities: Tongue-tie can interfere with activities such as licking the lips, licking an ice cream cone, kissing, or playing a wind instrument.
The exact numbers are unknown, but current statistics indicate a 3 to 5 percent prevalence of tongue-tie in children. The numbers may be higher, however, depending upon severity. Newer research points to a higher incidence because it has demonstrated that the part of the tongue responsible for suction is the middle, not the tip. And this is more frequently impacted by tongue-tie.
Typically, the lingual frenulum separates before birth, allowing the tongue free range of motion. But in cases of tongue-tie, the lingual frenulum remains attached to the bottom of the tongue. The reason this occurs is a mystery, but some cases of tongue-tie have been associated with certain genetic disorders.
There are differing opinions on the need to treat tongue-tie. Some doctors recommend correcting it right away, even before a newborn is discharged from the hospital. Others prefer to see if the lingual frenulum may loosen over time, resolving the issue.
When treatment is deemed necessary, Dr. Smith and Feng can perform a frenotomy at Pound Ridge. This is a simple surgical procedure where sterile scissors are used to snip the frenulum free. The procedure is quick with only minimal discomfort because there are few nerve endings or blood vessels in the lingual frenulum.
If there is any bleeding, it’s likely only a couple of drops of blood. After the procedure, a baby can breastfeed immediately.
If the lingual frenulum is too thick for a frenotomy, a more extensive procedure, known as frenuloplasty, is necessary. Dr. Smith can refer you to a surgeon for this procedure
Patient Testimonial:
This is the practice you want. The entire team is not only enjoyable to be around, but completely honest and trustworthy when it comes to your dental health. Love this group!
Does tongue-tie treatment hurt?
Frenotomy is a simple procedure performed in our offices on Westchester Avenue in Pound Ridge. As mentioned above, there is minimal, if any, bleeding. The baby feels little due to the lack of nerve endings in the lingual frenulum. These are simple, painless procedures.
What are long-term problems linked to untreated tongue-tie?
Tongue-tie can affect a baby’s ability to thrive by affecting breastfeeding. But problems go beyond those early issues.
Left unaddressed, tongue-tie can cause problems with dental occlusion (misalignment) and orthodontic health. Speech articulation and oral biomechanics may also be impacted by tongue-tie. The ability to learn speech isn’t the problem; it’s problems with the pronunciation of certain words.
Schedule your tongue-tie consultation at Pound Ridge Cosmetic Dentistry!
If you are interested in learning more about the tongue-tie treatment options offered at our practice, or to determine whether you are a candidate for treatment, give our skilled dentists a call today to schedule a personalized appointment. Call 914.764.3540 to reach our Pound Ridge office or fill out the form on our contact page. Our practice looks forward to serving you!
