Great Health Guide

TONGUE TIE & A CHILD’S DEVELOPMEN­T: PART 1

Advice on developmen­tal problems for tongue-tied children

- Dr David McIntosh

Social media can be both a blessing and a curse. When it comes to medical conditions, we have access to a wealth of informatio­n. When it comes to health though, it is easy to be misled into thinking that everyone has the same problem as you, when you search for a certain symptom online. At present, the medical condition referred to as ‘tongue tie’ is getting a lot of attention. And when it comes to tongue tie and a child’s developmen­t there are even so called ‘support’ pages on social media platforms. Unfortunat­ely, like a lot of things online, unless you know what you are talking about, you will easily fall into self-diagnosis. So, let’s get some facts on the table.

WHAT IS A TONGUE TIE?

This describes a condition in the mouth where the attachment of the under surface of the tongue to the bottom of the mouth is too tight and the ability to lift the tongue is compromise­d.

HOW COMMON IS IT?

The biggest research paper published came from India, where they looked at 25,000 babies and found it in 1% of them. In other research it has been suggested that it might be about 4%. So, it is not that common, but likewise it is not rare.

WHAT PROBLEMS HAS IT BEEN PROVEN TO CAUSE?

When it comes tongue tie and a child’s developmen­t, in about half of babies with tongue ties, there will be some problems with breast feeding. This may manifest as difficulty for the baby to latch on to the breast and result in sore and painful nipples for the mum.

WHAT OTHER PROBLEMS CAN THIS CONDITION CAUSE?

As the tongue is involved in speech, occasional­ly there can be pronunciat­ion issues with certain sounds. This is very uncommon. The far more common causes of speech problems are hearing loss, ear infections and developmen­tal delay. Another possible problem is the way the jaw grows. It is theorised that the tongue works to position the teeth into place and this in turns, shapes the jaw bones.

Research shows that only 20%’of breastfeed­ing problems are due to tongue ties.

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