Tongue Ties

Tongue ties (or ankyloglossia) can significantly impact your child’s speech, eating habits, and oral hygiene. This condition involves a tight band of tissue under the tongue that restricts movement, often leading to difficulties in everyday activities like breastfeeding, bottle feeding, and speech development.

At Pediatric Associates of Austin, we understand the challenges that come with managing tongue ties. Our team of experienced professionals in Austin, Texas, is here to provide you with the information and support you need to ensure your child’s well-being. Contact us today!

What Are Tongue Ties?

Tongue ties—which are medically known as ankyloglossia—occur when the lingual frenulum (the small piece of tissue connecting the tongue’s underside to the floor of the mouth) is unusually short, thick, or tight.

This condition restricts the tongue’s range of motion, making it difficult for the tongue to move freely and do things like licking a lollipop or ice cream cone. It can also affect a baby’s ability to breastfeed effectively and may lead to speech issues as the child grows older.

What Causes Tongue Ties?

The exact cause of tongue ties remains unknown, but they are often present at birth. It is believed that genetics may play a role, as tongue ties can run in families. Some researchers suggest that certain environmental factors during pregnancy could also contribute to this condition.

What Are the Signs of Tongue Ties?

Identifying tongue ties early is crucial for timely intervention. Here are some common signs to look out for:

• Breastfeeding Difficulties: Many babies with tongue ties may have trouble latching onto the breast.
• Bottle Feeding Issues: Difficulty in bottle feeding can also be a sign, as the baby may struggle to create a proper seal around the bottle’s nipple.
• Speech Problems: Older children might have trouble making certain sounds, such as “t,” “d,” “z,” “s,” “th,” “l,” and “r.” This can lead to noticeable speech impediments.
• Oral Hygiene Issues: Difficulty in moving the tongue around the mouth can prevent proper clearing of food debris. This can potentially lead to tooth decay.
• Physical Signs: The tongue may appear notched or heart-shaped when extended, and the tongue’s tip might look unusually short or tight. They may not be able to stick out their tongue past their lower lip or reach their upper teeth while their mouth is open.

How is Tongue Tie Diagnosed?

To diagnose tongue tie, your doctor will carry out a physical examination of the tongue and observe its movement. A healthcare provider, such as a pediatrician, will assess the tongue’s appearance and function.

They will observe your child’s ability to lift their tongue, move it side to side, and stick it out past the lower lip. In some cases, additional tests may be conducted to evaluate the impact on feeding and speech.

What Are the Tongue Tie Treatment Options?

Treatment for tongue ties varies depending on the severity and the child’s age. For many children, no treatment is necessary as the lingual frenulum may loosen over time. If your pediatrician decides on treatment, they may include the following:

• Frenotomy: This simple procedure involves snipping the lingual frenulum to release the tongue. It can often be done in the doctor’s office with minimal discomfort and a quick recovery.
• Frenuloplasty: For more complex cases where the frenulum is too thick, a frenuloplasty may be necessary. This surgical procedure involves more extensive correction of the lingual frenulum and may require anesthesia.

Living With and Managing Tongue Ties

Living with a tongue tie can be challenging, but with proper management and support, your child can thrive. Here are some tips for managing tongue ties:

• Breastfeeding Support: Consult a lactation consultant to help improve breastfeeding techniques and ensure your baby receives adequate breast milk.
• Regular Check-ups: Keep up with regular pediatric visits to monitor your child’s growth and development.
• Oral Hygiene: Encourage good oral hygiene habits, such as brushing and flossing, to prevent tooth decay and maintain a healthy mouth.
• Speech Therapy: If your child has speech issues, working with a speech-language pathologist can make a significant difference in their ability to pronounce those difficult sounds.
• Be Patient: Understand that managing a tongue tie may take time and require patience. Every child is different, and their needs will vary based on the severity of their condition.

Book Your Appointment Today

At Pediatric Associates of Austin, we offer comprehensive services to help diagnose and treat tongue ties. Our dedicated team is here to support you and your child every step of the way. If you suspect your child may have a tongue tie, contact us today to schedule an appointment!