Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum. Severity varies from mucous membrane bands to complete ankyloglossia, where tongue is tethered (attached) to floor of mouth.
What do you see – Presentation
Difficulty of tongue protruding from the mouth, speech articulation may be affected
When I see such patients, I find….. A thin or thick band from the tip of tongue to floor of mouth. * Clinical examination only by inspecting the opened mouth * Impossible to touch roof of mouth with tongue * V shaped notch at the tip of tongue. * Restriction in side to side movement of tongue.
Poor orodental hygiene - Due to inability to clean the mouth with tongue & stasis of food material. Oral play : Child can’t do play routines involving tongue movements.
Treatment Surgical release of the tongue tie.
Follow Up care
Day care procedure,hospital stay is for one day only,child can take liquids after few hrs of surgery,sutures are dissolvable,follow up after two weeks.
I have done more than three thousand tongue tie releases.