Tongue-tie (ankyloglossia) - Diagnosis and treatment

Diagnosis

Tongue-tie is often identified during a physical examination. For infants, healthcare providers may use specific screening tools to evaluate the tongue's structure, appearance, and movement. Early detection can help determine if intervention is necessary for feeding, speech, or other developmental concerns.

Treatment Options

Treatment for tongue-tie varies and often depends on the severity of the condition and its impact on feeding or speech. Some experts recommend immediate intervention, particularly for newborns experiencing feeding difficulties. Others prefer a more conservative, "wait-and-see" approach, as the lingual frenulum may naturally loosen over time.

Non-surgical interventions may include consulting a lactation specialist for breastfeeding support or working with a speech-language pathologist to address speech concerns. However, surgical procedures may be necessary in cases where tongue-tie significantly affects feeding, speech, or oral health.

Surgical Treatments for Tongue-Tie

Frenotomy

Frenotomy is a quick and minimally invasive procedure that can often be performed without anesthesia in a hospital nursery or doctor’s office. Using sterile scissors or cautery, the doctor releases the lingual frenulum, which allows the tongue greater freedom of movement.

Benefits: Immediate improvement in feeding, minimal discomfort, and a quick recovery time.

Risks: Rare complications, such as slight bleeding, infection, or reattachment of the frenulum.

Frenuloplasty

A frenuloplasty is a more extensive procedure, often recommended for cases where the lingual frenulum is too thick or additional repairs are necessary.

Procedure: Performed under general anesthesia, it involves surgical tools to release the frenulum and sutures that dissolve naturally as the tongue heals.

Risks: Similar to frenotomy, including potential scarring, reactions to anesthesia, and rare occurrences of bleeding or infection.

Aftercare: Tongue exercises may be suggested to enhance mobility and reduce the risk of scarring.

Preparing for Your Appointment

Being well-prepared for a consultation can help you make the most of your visit. Consider the following:

What You Can Do

Prepare a list of questions, such as:

How severe is the tongue-tie?

Is treatment necessary, or should we wait?

What surgical options are available, and what are the risks?

Will the procedure improve breastfeeding or speech?

Should I consult a specialist?

What to Expect From Your Doctor

The doctor will likely ask questions to assess the impact of tongue-tie, such as:

Are you experiencing breastfeeding difficulties with your infant?

Does your older child have speech issues or difficulty maintaining oral hygiene?

Are you or your child limited in certain activities due to restricted tongue movement?

Conclusion

Tongue-tie treatment depends on individual circumstances, ranging from non-invasive support to surgical procedures like frenectomy or frenuloplasty. Early diagnosis and timely consultation with healthcare professionals can provide clarity and ensure the best outcomes for infants, children, or adults with tongue-tie.

FAQs

What is tongue-tie, and how is it diagnosed at AllKidz Urgent Care?

Tongue-tie is a condition where the tongue's movement is restricted by the lingual frenulum. At AllKidz Urgent Care, we diagnose it through a physical exam and screening tools tailored for infants and children.

What are the benefits of a tongue-tie release procedure?

A tongue-tie release improves breastfeeding, reduces feeding challenges, and supports better speech development.

Does AllKidz Urgent Care offer frenotomy for newborns?

Yes, we perform safe and effective frenectomy procedures for newborns, ensuring minimal discomfort and quick recovery.

What risks are associated with tongue-tie surgery?

At AllKidz Urgent Care, we minimize risks such as bleeding or infection through expert care and sterile techniques. Complications are rare and manageable with proper aftercare.

How soon will my child recover after a tongue-tie procedure?

Recovery is quick, with most babies able to breastfeed immediately after surgery. Our team ensures close follow-up to monitor progress.