Tongue-tie is referred to as an embryological remnant of the tissue in the midline between the undersurface of the tongue and floor of the mouth. This tissue is known to inhibit the normal flexible movements of the tongue. The attachments of this tissue can be normal or multiple variants of the normal. Many a times, tongue-tie presents with subtle signs which explains why more than frequently the condition is missed on evaluation and subsequent diagnosis by various professionals.
Most common pointer that brings parents or the providers to check for the tongue-tie is speech alteration. Children with tongue-tie are unable to pronounce some of the speech sounds such as, CH, S, M, K, G, N, G, T, D, N, L , R, Z. They might stutter and may also be observed to avoid certain talking situations and words.
When the diagnosis is confirmed, treatment should be considered as like any other condition, tongue-tie needs expert attention and does not subside on its own. The team of experts that are involved in proper diagnosis and evaluation of tongue-tie include:
Tongue-tie release using Erbium or Diode lasers is a short, quick, simple procedure performed in office, with or without the use of Conscious sedation (laughing gas). Lasers exempt the need for post operative sutures, antibiotics, and at times even pain killers. Follow up appointments are scheduled in one week, two weeks and stretch exercises are practiced for three to four times a day for four to six weeks.