A tongue tie (ankyloglossia) is a structural sublingual restriction/frenulum (underneath the tongue) that is congenital (develops in utero), is present at birth and is hereditary. The medical term for a tongue tie is ankyloglossia, which may also be referred to as tethered oral tissue & lingual frenulum.
During an evaluation, we describe the lingual frenulum by appearance (thin, medium thin, thick, &/or submucosal) & sublingual location. This restriction may occur at any location underneath the tongue: anteriorly (at the tip), mid-anteriorly, mid, or posteriorly. The attachment to the floor of the mouth may occur mid tongue (Wharton’s duct) or anteriorly behind the lower central incisors. The appearance & location of the ankyloglossia does NOT determine the tongue function.
A tongue tie may result in dysfunctional skills such as the lingual (tongue) movements needed for breast &/or bottle feedings in infants, and in oral swallowing/chewing difficulties &/or articulation (sound) errors in toddlers to adults.
In our treatment sessions, we work with the structure that our clients have & refer for further medical assessment & possible tongue tie release to a specialized dentist &/or ENT as indicated. If a tongue tie release is indicated, we train the pre- & post-frenectomy lingual skills required for improved functional oral swallowing and/or speech skills.