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Tongue-tie occurs when a string of tissue under the tongue limits tongue movement to the point where it affects functions such as feeding and speaking. Tongue-tie can improve on its own by the age of two or three years.
A posterior tongue tie, also commonly known as ankyloglossia, is an abnormally short web of skin (lingual frenulum). A lingual frenulum is the piece of tissue between the bottom of the tongue and the floor of the mouth. People of all ages can have posterior tongue ties, as well as anterior tongue ties and lip ties.
Examine the tongue or lip \u2013 Lay your baby down on your knees, facing you. Run your finger under their tongue. Does this membrane feel short, strong, or excessively thick? A normal tongue will allow for a smooth and uninterrupted swipe underneath the frenulum.
Older children and adults Untreated tongue-tie may not cause any problems as a child gets older, and any tightness may resolve naturally as the mouth develops.
To properly release a tongue-tie, you must have a complete evaluation and full history from the parent. A quick look under the tongue with no gloves and only a tongue depressor is what we most commonly hear from patients was the only exam performed on their child. This is not even close to a full exam.
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The primary care provider will usually be able to make a diagnosis of tongue tie based on a physical exam. The primary care provider will then likely refer your child to an otolaryngologist or an ENT physician (ear, nose and throat specialist).
The posterior tie is most easily identified by coming from behind the patient and lifting the tongue with both index fingers on either side of the tongue. The fascia or connective tissue bunches up and forms the appearance of a string or frenum, and often there is a good bit of tension as well.
Signs of tongue-tie Here are some signs that your baby or child might have tongue-tie: The tip of your baby's tongue looks heart-shaped when their tongue sticks out. The tip of your baby's tongue can't reach the roof of their mouth or further than the edge of their lower lip. Your baby's tongue can't move sideways.
The piece of skin between your lips and gums or under your tongue (frenulum) may tear or rip. Usually this type of injury will heal without stitches. It is generally not a concern unless the tear was caused by physical or sexual abuse.
Tongue-tie occurs when a string of tissue under the tongue limits tongue movement to the point where it affects functions such as feeding and speaking. Tongue-tie can improve on its own by the age of two or three years.

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