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Mid Bay Dental

Tongue Tie

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Understanding Tongue Tie

Medically known as ankyloglossia, tongue tie is a condition where the tongue’s movement is restricted due to an unusually tight or short lingual frenulum. This condition can affect children and adults, leading to various oral health and functional issues.

 

Tongue tie treatment in Niceville has been made easy at May Bay Dental – we offer comprehensive tongue tie treatment, including Orofacial Myofunctional Therapy, to help individuals of all ages overcome the challenges associated with tongue tie. Tongue tie occurs when the thin membrane (frenulum) that attaches the tongue to the floor of the mouth is too short or tight. This restriction affects the tongue’s ability to move freely, impacting essential functions such as speaking, swallowing, and proper oral posture.

What Causes Tongue-Tie?

Tongue-tie is a congenital condition, meaning it is present at birth. It occurs when the lingual frenulum does not separate or lengthen properly during fetal development. While the exact cause isn’t always known, tongue-tie can sometimes run in families, suggesting a genetic component.

 

In many cases, tongue-tie may go undiagnosed during childhood and continue into adulthood. Over time, restricted tongue movement can contribute to oral health concerns, muscle strain, and functional challenges that affect everyday activities such as speaking, eating, and maintaining proper oral posture.

 

Early evaluation and timely treatment can help prevent long-term complications and improve overall oral function.

Symptoms of Tongue Tie in Adults

Tongue-tie is often associated with infants, but many adults experience symptoms without realizing the underlying cause. The severity of symptoms can vary depending on the degree of restriction.


Common signs of tongue tie in adults include:


  • Difficulty speaking clearly or pronouncing certain sounds
  • Limited tongue mobility or inability to lift the tongue properly
  • Jaw, neck, or facial muscle tension
  • Chronic headaches or discomfort related to muscle strain
  • Difficulty swallowing or chewing efficiently
  • Mouth breathing or improper oral posture
  • Gum recession or spacing issues due to abnormal tongue pressure

If left untreated, tongue-tie can contribute to ongoing discomfort and oral health issues.

Treatment for Tongue-Tie

At Mid Bay Dental, tongue tie treatment in Niceville is tailored to each patient’s needs, age, and level of restriction. Our goal is to restore proper tongue function while supporting long-term oral health and comfort.
Treatment begins with a thorough assessment of tongue mobility, oral function, and overall symptoms. This allows us to determine the most effective treatment approach for lasting results.
Orofacial Myofunctional Therapy plays a key role in tongue-tie treatment. This therapy focuses on retraining the muscles of the tongue, lips, and face to promote proper movement, posture, and function. It is often recommended before and after corrective procedures to ensure optimal outcomes.
Successful tongue-tie treatment doesn’t end with a procedure. Follow-up care and therapy help reinforce proper muscle function and prevent recurrence of symptoms.

The lingual frenulum is a small fold of mucous membrane that extends from the floor of the mouth to the midline of the underside of the tongue. Find your own lingual frenulum by looking in the mirror, opening you mouth, and stretching your tongue towards the palate. See the whitish cord beneath your tongue? Ankyloglossia or tongue tie, is simply a lingual frenulum that is tight enough to restrict the movement of the tongue. It is a congenital oral anomaly caused by an unusually thick, or unusually short, lingual frenulum.

The infant frenectomy is a straightforward outpatient procedure that can be completed during the same visit as the initial assessment. If a release is recommended, the treatment takes only a few minutes and a baby can go to the breast immediately following. The baby is swaddled and safety goggles are always used to protect baby’s eyes – I use a pen-sized laser on infants to remove the tight lingual frenulum. I apply an effective topical anesthetic gel on the frenular tissue prior to treatment, allowing for zero to minimal discomfort during the procedure. The anesthetic lasts for approximately 30 minutes.

Yes, indeed it can. Untreated tongue ties in infants can lead to difficulty chewing and swallowing firmer foods, altered jaw and dental development including a high palate and narrow facial structure, poor sleep patterns, mouth breathing, and increased gas and bloating resulting from poor tongue coordination and corresponding swallowing of air. Significant ties may result in delayed speech development due to the tongue being restricted in movement. Also, when tongue movement is restricted, the tongue cannot sweep across tooth surfaces and spread saliva, both crucial to oral cleansing.

Studies have shown that an infant with ankyloglossia can have issues latching, gaining weight, creating suction and staying awake during feeds due to the extra exertion required. In addition, mothers with infants who are tongue tied may experience significant pain in their nipples, to the extent that they can become cracked and abscessed. If symptoms including inadequate latch, poor breast draining, painful nipples and/or fussiness at the breast have not improved and a lactation consultant is concerned about a possible tongue tie, she will refer over mom and baby.

Breastfeeding is encouraged immediately following the procedure, however typically there is a healing period that your infant must undergo before the full benefits are realized. I teach each mother proper active wound management and daily stretching exercises in order to facilitate healing. As explained in another post, I cannot stress enough the importance of continued lactation support following the frenectomy procedure. Post-treatment follow up is just as important as pre-treatment care. I send a detailed report of my assessment and/or procedure to the lactation consultant and stay up to date with baby’s progress after our 4-day follow up. Baby will continue to build strength over the healing period and will require further guidance on developing positive breastfeeding habits.

It is not only the tongue and jaw that prove to be key components in breastfeeding but in fact, the whole body. For this reason, tongue tied babies often have additional structural stressors to be addressed and I will recommend taking baby to see a bodyworker, a licensed professional such as an occupational, craniosacral or physical therapist. Bodywork encourages body awareness and encourages an infant to express postural reflexes and explore natural movement inclinations through the nervous system. After a tongue tie release, the infant’s tongue will need to adapt to a new and profound range of motion.

Hear from our Patients

Lee is such a wonderful, caring, and knowledgeable therapist. My teenage son has completed 10 sessions of Myofunctional therapy with her and has made so much progress. She has always allowed me, the parent to be included in the therapy sessions, so I can see what he needs to be doing at home in between visits. After meeting her on that very first visit, I felt as though I had known her my entire life. She really knows how to put people at ease and treats them like family. I highly recommend Lee!
– Angie
★★★★★

Take the First Step Toward Better Oral Function

If tongue tie is affecting your comfort, speech, or daily activities, we’re here to help. Schedule a tongue tie evaluation at Mid Bay Dental and discover personalized treatment options designed to restore proper function and long-term oral health.

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