Tongue and Lip Ties
Tongue tie (ankyloglossia) and lip tie (ankylognathia) are congenital conditions where the band of tissue that connects the tongue or lip to the mouth — the frenulum, is shorter or tighter than usual. Abnormal movement of the tongue or the lip can be observed, and can lead to functional issues including difficulties with breastfeeding, speech, eating, and oral hygiene
Tongue Tie (Ankyloglossia):
With a tongue tie, the frenulum under the tongue is unusually tight or short, which can restrict the tongue's movement. Latching during breastfeeding can be challenging, leading to inadequate milk intake, pain for the mother, and poor weight gain. Later in life, tongue ties impact speech, oral motor skills, and an increase in mouth breathing due to improper tongue position.
​
Lip Tie (Ankylognathia):
Lip tie occurs when the frenulum under the upper lip is too tight, which may restrict the movement of the upper lip. Like tongue tie, it can cause issues with breastfeeding latching, and may also contribute to dental problems, speech issues, and challenges with certain oral activities such as kissing or drinking from a cup.
​
Myofunctional Therapy and Its Role:
Myofunctional therapy is particularly helpful for individuals with tongue and lip ties as it focuses on re-educating the muscles of the tongue, lips, and cheeks and can be especially beneficial both before, during, and after surgical intervention (frenectomy). ​
-
Before Frenectomy (Surgical Release): Myofunctional therapy prepares the mouth and muscles for release by improving muscle function and coordination. This leads to a more effective surfical outcome, and reduces recovery time.
-
After Frenectomy: Rehabilitation is particularly important post surgery. Once there is no longer a restriction physically, therapy prevents the muscles from reverting back to inefficient patterns, and reduces the likelihood of the tie re-attaching.
-
Enhancing Overall Oral Function: After a surgical release, myofunctional therapy can improve overall oral function, addressing poor tongue posture and difficulty with swallowing. It helps integrate proper tongue movements and oral habits into everyday life.
-
Preventing Future Issues: Therapy will address functional problems that may persist beyond the correct of the tie. Prevention of future issues with eating and overall oral health can be reduced through strengthing and training the muscles.