TONGUE TIE & LIP TIE
Tongue tie is also known as “Ankyloglossia”
- Tongue tie is a tight string of tissue under the tongue that can prevent the tongue from functioning properly.
- Ideal tongue function and tongue rest posture initiates proper growth and development of dental arches and airway development.
- There has to be a functional limitation and anatomical finding under the tongue to meet the criteria for a tongue tie release.
How to identify the Presence of Tongue-tie during Breastfeeding:
Tongue tie baby’s issues:
- Painful nursing
- Poor latch
- Bleeding nipples
- Poor breast drainage
- Nipple thrush
- Using nipple shield
- Feeling like feeding the baby is a full-time job
Symptoms of Tongue tie in toddlers:
- Poor latch at breast or bottle
- Falls asleep during feeding
- Reflux symptoms
- Gassy burps
- Poor weight gain
- Biting/chewing the nipple
- Short sleep episodes
- Mouth breathing, snoring, noisy breathing
Symptoms of tongue tie in children:
- Gagging, choking with textured food.
- Inability to use straw cups for liquids
- Picky eater, slow eater
- Pouching food on one side
- Unilateral chewing
- Poor weight gain
- Delayed speech
- Food in feces
- History of bottle/pacifier use
- Difficulty in brushing upper front teeth
- Difficulty in pronouncing specific letters like T, D, Z, S
- Spacing in between upper front teeth
- Teeth grinding
- Mouth breathing
- Restless sleep posture
- Neck tension and pain (hyperextended neck)
- Moodiness and behaviour issues
- Hyperactivity and cognitive problems
When swallowing is impaired and the elevation of the tongue is restricted, the eustachian tube cannot open and equalize the pressure in the middle ear normally.
- Lip tie can contribute to nursing difficulties for the baby and can make breastfeeding painful.
- Lip tie shape is highly variable, but main factor is the impact on function.
- Lip tie and Tongue tie cannot be diagnosed with a picture.
- Untreated lip tie may contribute to mouth breathing habit eventually.
- Followed by cavities on the upper front teeth.