Tongue Tie Release
Dr. Mandeep Johal is proud to offer Frenectomy (Tongue and Lip Frenum Release).
What is Tongue Tie?
When the lingual frenum, a piece of tissue under the tongue that is connected to the floor of the mouth, is short or restricted the tongue's mobility is affected.
Issues related to Tongue Tie
Food Texture issues: If infants with tongue-ties encounter solid foods, issues may begin to present themselves. It may seem like picky eating, or the child will gag on food as they try to eat it or they won’t eat it at all because of how it feels in their mouth. The child may also show signs of loud or messy eating. The tongue is designed to help move food around the mouth as well as to clean food out of the mouth. When someone is tongue-tied, the tongue isn’t able to perform these functions. When someone can’t chew food properly one of two things can happen: indigestion because food that isn’t adequately chewed cannot be digested properly, or the person avoids those foods altogether. Neither of these solutions is great for our long-term health.
Speech issues: In order to properly form sounds, the movement and position of the tongue need to be functioning as they should. If tongue-tied, it may not be possible to form the sounds as they should. Sometimes people are able to compensate for the lack of mobility, but this isn't the case for everyone. In those situations, the only way to properly produce the sound is to release the tongue enabling it to move.
TMJ & Chronic Head and Neck Pain: Generally if something isn't right in one part of the body it could somehow affect the rest of the body. The tongue is no exception. The tongue is connected to so many muscles throughout the head and neck that if it is restricted it can throw all of the other muscles off the balance. As an adult, the tongue-tie can manifest itself as chronic TMJ, headaches/migraines, head and neck tightness, snoring and sleep apnea as well as the need for an ongoing chiropractic adjustment. Releasing the tie can allow the body to relax in a way that was not possible with a tongue tie, which could relieve years of tension-causing problems.
Overbite: In addition to growing the maxilla laterally, the tongue also leads the development of the face forward. When the tongue is tied down, we will often see kids with an overbite where the mandible is recessed. Not only will you notice the aesthetic but it can also cause other health issues. Since the tongue is attached to the mandible when the mandible is recessed the tongue will also be farther back in the mouth which is not ideal. When this happens, the tongue often invades the airway space and can interfere with breathing.
How is the Tongue Tie Release (Frenectomy) Done?
Dr. Mandeep Johal uses a multidisciplinary protocol that integrates Myofunctional therapy both before, during, and after surgery. The technique is based on precision: releasing the appropriate extent of tissue for maximal relief. She uses scissors and suture technique that causes no thermal tissue damage (as compared to laser) and allows for the placement of sutures to promote healing by primary intention. Dr. Mandeep Johal has had the opportunity to learn from Dr. Soroush Zaghi (ENT), who is pioneering the way for a standard in delivering of tongue-tie release surgery. Dr. Zaghi has also developed The functional frenuloplasty technique.
What is Orofacial Myofunctional Therapy (OMT)?
OMT is physical therapy for the oral/facial musculature which is used to improve muscle function related to tongue position, speaking, chewing, swallowing, and breathing.
Three major Orofacial Myofunctional disorders are Tongue Tie, Tongue Thrust, and Mouth Breathing. All three can easily be corrected with OMT and sometimes dental intervention is needed.
For more information on Myofunctional therapy please click here.
What Causes Mouth Breathing?
The common factors that cause us to breathe through the mouth are, allergies, thumb or finger sucking habit, enlarged tonsils or adenoids, tongue tie and deviated septum. When mouth breathing it may change facial growth and development, leading to long face, crooked teeth, and narrow jaws. Other effects such as poor sleeping (sleep apnea), enlarged tonsils, poor concentration, bad breath, digestive disturbances, may result from mouth breathing.
What is Tongue Thrust?
Tongue Thrust is an oral habit, occurring when the tongue rests low in the mouth and pushes forward or through the sides of the teeth when swallowing or speaking. Ideally, your tongue should rest high in the top of your mouth to help shape and support the teeth and jaws.