Assessment Tool for Lingual Frenulum Function ATLFF 2025

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The first step to determining if your child has a tongue-tie is to visually assess the tongues appearance and function by using proper positioning, good lighting, and ARKs Z-Vibe. This tool is the perfect vibrating oral motor tool for speech therapy, feeding therapy, and sensory stimulation.
The Bristol Tongue Assessment Tool (BTAT) provides an objective, clear and simple indication of the severity of the tongue-tie. The BTAT showed good internal reliability, and correlated well with the Hazelbaker Assessment Tool for Lingual Frenulum Function (short form).
Here are some quick steps of assessment: 1) Open your mouth comfortably wide. 2) Let your tongue tip rest right behind your teeth(i.e Spot). 3) Measure the ratio of mouth opening when tongue tip is on the spot to the measurement of mouth when its comfortably wide open.
Assessment is usually carried out with the baby on the assessors lap or a flat surface such as a table or couch. It involves observing how the baby uses their tongue. Professionals assessing babies for tongue-ties should assess elevation, lateralisation and extension.
A baby who scores lower than 11 on the added function item scores and lower than 8 on the added appearance item scores is tongue-tied and needs surgery. A baby scoring greater than 1113 on function and 8 or 9 on appearance either has a borderline but functional lingual frenum or a issue from another cause.
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ASSESSMENT OF ANKYLOGLOSSIA This examination should include palpation of the hard and soft palate, gingivae, and sublingual areas in addition to the movements of the tongue, and the length, elasticity, and points of insertion of the sublingual frenulum.
The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) has been developed to give a quantitative assessment of the tongue-tie and recommendation about frenotomy (release of the frenulum). The aim of this study was to assess the inter-rater reliability of the HATLFF.

hazelbaker assessment tool for lingual frenulum function