Tongue-tie (ankyloglossia) is a congenital condition that restricts the tongue's range of motion. An unusually short, thick or tight band of tissue (lingual frenulum) attaches the bottom of the tongue's tip to the floor of the mouth, causing difficulties in infants to adulthood through adolescence. Breast-feeding in infants, difficulty while eating, speaking, swallowing malocclusion, sleep apnea are few to mention.
Introductions
Tongue-tie (ankyloglossia) is a congenital condition that restricts the tongue's range of motion. An unusually short, thick or tight band of tissue (lingual frenulum) attaches the bottom of the tongue's tip to the floor of the mouth, causing difficulties in infants to adulthood through adolescence. Breast-feeding in infants, difficulty while eating, speaking, swallowing malocclusion, sleep apnea are few to mention.
Clinical assessment of tongue tie
The most common used scales for tongue tie assessment are
A) Hazelbaker scale
B) Koltow scale
In infants full feeding assessment is also required
Treatment
Tongue tie treatment depend on severity and is a very controversial topic. There are two variants of tongue-tie, Anterior and posterior. Posterior tongue tie is difficult to detect and treat. The lingual frenulum may loosen over time, resolving tongue-tie. In other cases, tongue-tie persists causing problems. Surgical treatment of tongue-tie may be needed for such infants, children or adults as tongue-tie causes problems. Surgical procedures include a frenotomy or frenuloplasty.
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