Tongue Tie (Ankyloglossia)
Tongue Tie (Ankyloglossia): A restricted tongue can prevent normal tongue posture, which is crucial for shaping the upper jaw and preventing misalignment of the teeth.
How Tongue Tie Leads to Oral Myofunctional Issues Poor Tongue Posture
The tongue is meant to rest against the roof of the mouth when at rest.
A tongue tie prevents full elevation of the tongue, forcing it to rest low in the mouth or on the floor.
Consequences
- Mouth breathing
- Open-mouth posture
- Poor nasal airway development
Abnormal Swallowing (Tongue Thrust)
A restricted tongue can’t elevate or move freely during swallowing.
This leads to:
- Tongue thrust—where the tongue pushes forward against or between the teeth
- Compensatory movements of the lips, jaw, or cheeks
- Improper swallowing pattern that affects facial development and speech
Speech Difficulties
Restricted tongue movement may impair:
- Articulation of sounds like “t,” “d,” “l,” “s,” and “r”
- Clarity of speech
- Rate or rhythm of talking due to compensatory movements
Oral Habit Formation
Children with tongue ties often develop compensatory oral habits:
- Mouth breathing
- Lip sucking
- Using facial muscles to help with swallowing or speech
These habits become ingrained, contributing to long-term dysfunction.
Impaired Breastfeeding or Feeding (in Infants)
In infants, tongue tie can:
- Limit the ability to latch properly
- Cause nipple pain or ineffective feeding
- Lead to inadequate tongue strength development early in life
Poor oral function in infancy often leads to speech, breathing, or dental issues later.
Tongue Tie (Ankyloglossia): Understanding the Connection and How Oral Myofunctional Therapy Can Help
While a tongue tie release (frenectomy) may be necessary, OMT is critical both before and after the procedure to ensure long-term success.
Before Release:
- Prepares muscles for improved function
- Increases awareness and control
Prevents overcompensation patterns
After Release:
- Retrains tongue posture and mobility
- Establishes correct swallowing, breathing, and speaking patterns
- Prevents reattachment of the tissue
Take Action for Your Child's Health
A tongue tie isn’t just a physical restriction—it often leads to adaptive patterns that cause orofacial dysfunction over time. Early recognition and a combined approach (release + myofunctional therapy) offer the best outcomes for restoring healthy function and development.