Understanding Tongue Tie

Tongue tie, or ankyloglossia, is a condition that affects many infants and children, often leading to challenges in breastfeeding. Despite its prevalence, tongue tie is frequently misunderstood, leaving parents and caregivers with numerous questions.

What is Tongue Tie?

Tongue tie occurs when the band of tissue connecting the tongue to the floor of the mouth is shorter or tighter than usual. This can restrict the movement of the tongue, leading to various issues. The severity of tongue tie can vary significantly from one individual to another, with some experiencing minimal impact while others face significant challenges.

Symptoms of Tongue Tie

• Breastfeeding difficulties: Infants may struggle to latch properly, leading to ineffective feeding, sore nipples and frustration for both the baby and the mother.

  
  

Types of Tongue Tie

Tongue tie varies in severity with mild restriction with minimal impact on function, moderate restriction that may cause some difficulties in breastfeeding or speech, severe restriction leading to significant challenges in feeding, speech and oral hygiene. This is graded with the Hazelbaker tool to determine the need for division by checking the tongue's appearance and function.

Identifying Tongue Tie

• Limited tongue movement: The tongue may not extend beyond the gums.

• Heart-shaped tongue: When the baby sticks out their tongue, it may appear heart-shaped due to the restriction.

• Difficulty with breastfeeding: The baby may struggle to maintain a latch or may be unable to suck effectively.

  
  

Causes of Tongue Tie

The exact cause of tongue tie is not fully understood but it is believed to be a congenital condition, meaning it is present at birth. Genetic factors may play a role, as tongue tie can run in families.

Diagnosis of Tongue Tie

Diagnosing tongue tie typically involves a physical examination by a healthcare professional. Paediatricians, lactation consultants or dentists trained in oral health can assess the condition. They will look for signs of restriction and evaluate how it affects feeding.

When to Seek Help

If you notice any symptoms of tongue tie in your child, you should consult a healthcare provider. Early intervention can make a significant difference in managing the condition and preventing complications, especially with breastfeeding.

FAQs About Tongue Tie

Is tongue tie common?

Yes, tongue tie is relatively common, affecting approximately 1:10 babies.

Can tongue tie affect breastfeeding?

Absolutely. Many mothers report difficulties with breastfeeding due to their baby's inability to latch properly because of tongue tie.

Will tongue tie resolve on its own?

In some cases, mild tongue tie may resolve as the child grows. However, if it is causing significant issues, intervention may be necessary and a frenulotomy indicated.