It is commonly observed that a person with tongue tie cannot protrude the tongue tip beyond the edges of the lower incisors, or to the upper incisors. Sometimes when a person with tongue tie attempts to protrude the tongue it forms a characteristic ‘W’ shape.
Symptoms
1. Speech development
It is important to note that tongue tie does impair speech, for the words like tta, tha.
2. Dental health and oral hygiene
Cavities (‘dental caries’) can occur due to food debris not being removed by the tongue\’s action of sweeping the teeth and spreading saliva.
3. Breast feeding- make suckling difficult
4. Sexual function
Restricted tongue movements may affect sexual expression in adolescent and adults for kissing
Tongue tie surgery
Lingual frenectomy and lingual frenotomy are different procedures. Lingual frenotomy is often performed on newborns and neonates with tongue-tie to enable them to latch and suckle. Lingual frenotomy is sometimes referred to as “tongue clipping”. It is done with a local anesthetic.
Children should be assessed by a speech-language pathologist prior to tongue tie surgery. Some require pre-operative exercises, and most require post-operative exercises under a speech-language pathologist’s supervision.
Laser frenotomy-Release by laser is the easiest, done under an inhalation anesthesia in very young, or under local anesthesia in older children.
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Email: drpaulose@yahoo.com