Managing cases of tongue tie
Historically, the presence of a labial frenulum resulted in its division immediately after birth, usually by the attending midwife. The need for this practice came into question in the 1940s and 1950s, in part brought about by the rise in popularity of bottle feeding.
The textbooks and literature from this period, and for many years after, record this change in approach. Indeed, the 14th edition of Nelson’s Textbook of Pediatrics There is also a difference in opinion, depending upon the training of health professionals. In a Canadian and American survey, some 69 per cent of lactation consultants, 30 per cent of ENT surgeons and just 10 per cent of paediatricians agreed with a statement that ankyloglossia was associated with feeding problems.
Over the last 15 years, there has been an ever-growing body of evidence to support the impact that ankyloglossia has on feeding and its management.
There has been an Interventional Procedure Guidance written by the National Institute for Health and Clinical Excellence (NICE). Evidence for the benefits of breastfeeding has also been well documented during this time.
These include reduced infant infection rates, reduced risk of diabetes, atopy, obesity and hypertension, as well as improved IQ scores and it aids maternal-infant bonding.
I have a personal interest in ankyloglossia because three of my six children required frenotomy in order to facilitate breastfeeding. As a result of my experiences over the last 12 years, I now provide a frenotomy service.
What is ankyloglossia? The tongue is a highly mobile organ comprised of horizontal, longitudinal, vertical and transverse intrinsic muscles and the extrinsic muscles of the genoglossus, styloglossus and hyoglossus. The sub-lingual frenulum is a mucosal fold connecting the midline of the inferior surface of the tongue to the floor of the mouth.
Tongue tie, or ankyloglossia, is the condition whereby the sublingual frenulum is unusually thick, tight or short.
Tongue At Midline - News
The sub-lingual frenulum is a mucosal fold connecting the midline of the inferior surface of the tongue to the floor of the mouth. Tongue tie, or ankyloglossia, is the condition whereby the sublingual frenulum is unusually thick, tight or short.
Days took it up the middle himself on the midline option for 7 yards and the score to make it 28 to 0. So while everything was working well, our first gaffe was a fumble by a B-Back not wrapping the ball after the mesh point. Then we had a flashback to
Vibration For Oral Motor Stimulation | Therapy Fun Zone
I am seeing a little girl who enjoys eating, but she does not yet move her tongue to the side (tongue lateralization) in order to move her food around in her mouth. I will often use vibration in the mouth to stimulate more tongue and cheek movement.
Sometimes I will have parents get a baby vibrating toothbrush to use (yes these are real), but for this little girl, I tried out the DnZ-Vibe by ARK . The great thing about using the DnZ-vibe as a therapist is that it has screw off tips, so each child that I work with can have their own tip, while I just have one vibe. When using the vibrating toothbrush, I would have to have a whole toothbrush for each student that needed to use it. With the DnZ-Vibe, I just need to have a tip for each child, and only one vibe.
The little girl loved the vibration, and she was enjoying biting the tip between her molars. I gave gentle pressure to the sides of her tongue with the vibe, and by the end of the session, I saw her showing more reflexive lateral tongue movement. We will keep working on this to get that tongue movement to be less reflexive and more controlled.
Materials:
ARK’s DnZ-Vibe, or vibrating baby toothbrush.Tongue At Midline - Bookshelf
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tongue: Definition, Synonyms from Answers.com
tongue n. The fleshy, movable, muscular organ, attached in most vertebrates to the floor of the mouth, that is the principal organ of taste, an aid