As a parent, you may have heard the term "tongue tie" and wondered what it means for your child's health and well-being. This condition can cause a variety of issues, from breastfeeding challenges to speech development delays, making it important for parents to understand what tongue tie is and how it can affect their baby. At Songbird Pediatric Dentistry, we're dedicated to providing comprehensive care and support for families navigating this condition. Below, we’ll explore what tongue tie is, its symptoms, how it's diagnosed, and the available treatments.

Understanding Tongue Ties

Tongue tie, medically known as ankyloglossia, is a congenital condition that some babies are born with. It occurs when the lingual frenulum—the small fold of tissue that connects the underside of the tongue to the floor of the mouth—is shorter or tighter than usual. This abnormality restricts the movement of the tongue, which can interfere with a variety of oral functions that are essential to a baby’s early development.

In the early stages of life, the ability to move the tongue freely is crucial for feeding, whether the baby is breastfeeding or bottle-feeding. The tongue's mobility affects how well a baby can latch onto the nipple, draw milk, and swallow efficiently. Beyond feeding, tongue movement is important for the baby’s oral exploration, which is a precursor to speech and eating solid foods. If a tongue tie is present, these activities can be more difficult, leading to frustration for both the baby and the parents.

Tongue Tie Symptoms

Recognizing the symptoms of a tongue tie early on is essential for ensuring that your baby receives the appropriate care. Here are some of the most common signs that may indicate your baby has a tongue tie:

• Difficulty Latching During Breastfeeding: One of the earliest and most noticeable signs of a tongue tie is difficulty latching onto the breast. Babies with tongue tie may struggle to maintain a proper latch, leading to ineffective feeding sessions. This can result in prolonged feeding times, a frustrated baby, and discomfort for the mother.
• Poor Weight Gain: Because a baby with a tongue tie may not be able to breastfeed effectively, they may not get enough milk, leading to poor weight gain. This can be concerning for parents and may require monitoring by a healthcare provider.
• Clicking Sounds While Nursing: Some parents notice a clicking sound while their baby is nursing. This sound is often associated with the baby losing suction due to a restricted tongue movement. It can be a sign that the baby is struggling to feed effectively.
• Heart-Shaped or Forked Tongue: A more visible sign of tongue tie is when the tip of the baby’s tongue appears heart-shaped or forked when they try to stick it out. This shape occurs because the tight frenulum pulls the center of the tongue downward, preventing it from extending fully.
• Gagging or Choking During Feeding: A restricted tongue can cause difficulty in coordinating the movements necessary for effective swallowing, leading to gagging or choking during feeding sessions.
• Excessive Drooling: While drooling is common in infants, excessive drooling that persists beyond the typical teething stage could be a sign of oral motor issues related to a tongue tie.

Diagnosing Tongue Ties

Diagnosing a tongue tie is usually straightforward and can be done through a physical examination of the baby's mouth. At Songbird Pediatric Dentistry, Dr. Breanna Barnes and her team are experienced in identifying this condition. During the examination, Dr. Barnes will assess the length and flexibility of the lingual frenulum and observe how the tongue moves when the baby is crying or trying to feed.

In some cases, the examination might include a functional assessment to determine the extent to which the tongue tie is affecting the baby's ability to feed or perform other oral functions. Dr. Barnes will also take into account any symptoms you’ve observed, such as those mentioned earlier, to make a comprehensive diagnosis. If a tongue tie is confirmed, she will discuss the best course of action to address the issue and ensure your baby’s oral health is on the right track.

Treatment for Tongue Ties

If your baby is diagnosed with a tongue tie that is causing problems, such as difficulty feeding or noticeable speech issues as they grow older, treatment may be recommended. The most common and effective treatment for tongue tie is a procedure called a frenectomy.

A frenectomy is a minor surgical procedure that involves releases the frenulum, allowing the tongue to move more freely. At Songbird Pediatric Dentistry, we perform frenectomies using either a sterile surgical tool or a laser, both of which are safe and effective methods.

• Quick and Simple Procedure: The frenectomy is a quick procedure, typically taking only a few minutes. For infants, it can often be performed in the office without the need for general anesthesia. A topical anesthetic may be applied to minimize discomfort, and most babies tolerate the procedure well.
• Fast Recovery: Babies generally recover quickly from a frenectomy, often showing immediate improvement in feeding ability. Any discomfort is usually minimal and can be managed with over-the-counter pain relief if needed. In many cases, babies can resume breastfeeding or bottle-feeding right after the procedure.
• Post-Procedure Care: After a frenectomy, Dr. Barnes will provide you with instructions on how to care for your baby’s mouth as it heals. This may include exercises to encourage proper tongue movement and prevent reattachment of the frenulum.

Long-Term Effects of Untreated Tongue Ties

If a tongue tie is not treated, it can lead to a variety of long-term effects that may impact your child's oral and overall health. These can include:

• Speech Difficulties: A restricted tongue can limit the range of sounds a child can produce, leading to articulation problems and speech delays. Some children with untreated tongue ties may struggle with certain consonants that require the tongue to touch the roof of the mouth or the back of the teeth.
• Dental Issues: Tongue tie can affect the development of the jaw and teeth, leading to malocclusion. The restricted movement of the tongue can also impact oral hygiene, as the tongue plays a role in cleaning food debris from the teeth and gums.
• Challenges with Eating Solid Foods: As your baby grows and transitions to solid foods, a tongue tie can make it difficult to chew and swallow properly. This can lead to frustration during meals and may require intervention to ensure your child is getting the nutrition they need.

Fairview's Trusted Pediatric Dentist

At Songbird Pediatric Dentistry in Fairview, TN, we understand the concerns that come with discovering your child has a tongue tie. Dr. Breanna Barnes is highly experienced in diagnosing and treating tongue ties, ensuring that your child’s oral health is in the best hands. Our team is committed to providing compassionate, comprehensive care that addresses not only the physical aspects of tongue tie but also the emotional and practical concerns parents may have.

If you have any concerns about your baby’s feeding habits or suspect they may have a tongue tie, don't hesitate to reach out to us at (615) 544-5541 to request an appointment. Your child's health and happiness are our top priorities, and we're here to support you every step of the way.