Tongue Tie In Babies: How To Check For Symptoms And Treatment For This Condition

Have you been painfully trying to breastfeed your newborn? Is he having trouble latching? Then you might want to get your baby checked for a tongue tie. Should you be worried if your baby has a tongue tie? What can you do once you determine that your newborn has this condition? We lay out all the information for you. Read on.

What Is Tongue Tie In Babies: Information for Parents

A tongue tie or ankyloglossia, is a condition where a short thick tissue connects the bottom of a tongue’s tip to the floor of the mouth. This restricts the movement of the tongue, making it difficult for a baby to stick his tongue out, breastfeed, swallow or sometimes even vocalise.

Your newborn having a tongue tie is not a serious condition. You can correct it with a small surgical procedure, but you will first have to identify it.

Symptoms of Baby Tongue Tie

Now that we know what is tongue tie in babies, it’s wise to know how to check for tongue tie.

Here are some of the most common characteristics of this condition:

• Has lip blisters, an accordion fan of the tight upper lip (line under his nose) or upper lip tucks inwards
• He has a two-tone tongue, vaulted palates, dents in the tongue, tongue curl, frenulum pop (underneath the baby’s tongue)
• Difficulty lifting his tongue or moving it from one side to the other
• Inability to stick tongue out, especially past the lower teeth
• The tongue is heart-shaped at the tip
• Problem latching or breastfeeding
• You get recurring mastitis, blocked ducts, and sore or cracked nipples because the baby is chewing and not sucking
• The baby attaches to your breast for a very long time
• He makes a ‘clicking’ sound while trying to feed (try different feeding positions)
• Feeding means spraying into your baby’s mouth (milk ejection reflex)
• Your baby hasn’t gained much weight post-birth and is hungry all the time

If you notice these symptoms of tongue tie, bring your newborn to the doctor. They may check your baby’s tongue for movement and structure, as well as its appearance. Your doctor will do this during a physical examination.

But why do babies suffer from this condition?

Reason for Tongue Tie in Babies

Typically, the lingual frenulum (the short thick tissue) separates itself from the tongue before birth. This allows the tongue free movement and a larger range. However, in some babies, the lingual frenulum remains attached to the tongue, thereby, restricting free movement.

Why this happens remains largely unsolved, but it could be a result of genetics. And the condition could have its fair share of complications, especially if it is left untreated.

Complications in a Tongue Tie

Your baby’s tongue can directly affect his speech, breastfeeding patterns and overall dental development.

But there are more issues that tag along with this condition.

• Difficulty in speech

If left untreated, a tongue tie can also interfere with your child’s speech development. For instance, he may be unable to make sounds that start with ‘z,’ ‘s,’ ‘d,’ ‘th,’ and even ‘I.’ He may also be unable to roll his tongue to clearly pronounce the word ‘r’.

• Poor oral hygiene

For a child born with a tongue tie, cleaning the lower gum can be quite difficult. This can ultimately lead to the collection of germs, tooth decay and sometimes even gingivitis (inflammation of gums). A tongue tie can also lead to a gap between the two lower front teeth.

• Restriction of movement

Apart from the two aforesaid complications, a child with a tongue tie may also feel restricted in activities such as licking (food or even his lips), kissing or even playing a wind instrument. That is why it is advantageous that you know how to check for tongue ties.

As mentioned before, a tongue tie is not necessarily a serious condition. But you can correct it through a small surgical procedure.

Treatment: Tongue Tie Surgery

Treatment may not be necessary for a baby who has a tongue tie but can feed with ease. Sometimes doctors carry out the tongue tie surgery before they discharge the newborn. Other times, they wait for the tissue to loosen up on its own.

But, if your baby is unable to latch on or his feed is getting affected, your doctor may recommend any of the two tongue tie division procedures, based on the level of complication.

• Frenotomy: In this procedure, the thick and short (lingual frenulum) that connects the tongue to the floor of the mouth is cut. It is usually pain-free and may or may not involve local anaesthesia. The doctor may examine the lingual frenulum and then use a numbing medicine in that area.

Then, using sterile scissors, he may cut it from the middle. This procedure is usually quick and mostly blood-free since there are fewer nerve endings and blood vessels in that area.

• Frenuloplasty: This is another procedure that is carried out if the frenulum is too thick and needs or if any additional repair to the area is required. Patients go under anaesthesia and doctors use sterile surgical tools.

After the doctor cuts the frenulum, he will use dissolvable sutures to close the wound. Post-treatment, tongue exercises may be recommended so the child gets used to the free movement.

Depending on the procedure, tongue tie surgery does not appear to hurt babies. The reason for this is there are only very few nerve endings in the area around the bottom of the mouth. Some babies sleep through the surgery without anaesthesia, while others may cry.

As with any medical procedure, the risks are the same for Frenotomy as well as Frenuloplasty. The foot of the mouth could get an infection, there can be excessive bleeding, or there may be damage to the tongue or salivary glands.

Therefore, you should be ready before fixing up the doctor’s appointment.

Here are a few things you can do on your own before opting for the surgical procedure.

Preparing Your Baby for Tongue Tie Surgery

• Prepare a set of questions for the doctor before the consultation.
• You can ask about the severity of the condition, the requirement of the surgical procedure and the risks therewith. You can also ask if the doctor can perform the procedure at home. Ask about post-procedure care as well.
• And finally, you must also know if your baby would also need the care and attention of an ear, nose and throat specialist.

This way, you know exactly what you are going in for and also what to do after the treatment. The important thing to remember here is that you should first speak with your doctor to know if they think your baby has this condition. And if you get a go-ahead from them, refer your baby to a specialist.

Take a look at this video to get a better understanding of what happens during a tongue tie division treatment.

Updates from Romy Pena Cruz

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