Is it possible for a baby with a tongue tie to extend their tongue beyond their lips?

Indeed, a baby with a tongue tie may still be able to protrude their tongue out past their lips. Having normal movement in one direction doesn’t guarantee normal movement in every direction. For breastfeeding, the critical motion for the tongue is upwards rather than outwards. Thus, the ability to move the tongue outward is less critical than one might think for breastfeeding success.

Does undergoing laser treatment for tongue tie result in scar tissue formation?

Indeed, any form of wound could lead to scar tissue formation. The focused energy of laser treatment is believed to reduce the risk of extensive scar tissue formation. However, with the complete removal of the tongue tie, including its deeper (posterior) part, the likelihood of scar tissue formation increases due to the deeper wound and the closer proximity of the tissue edges at the incision site.

Are exercises necessary to avoid reattachment after a tie release?

Specific exercises are crucial to prevent the reattachment of both lip ties and released posterior tongue ties. If only the front part of the tie is released, exercises might not be as significant. However, for lip and posterior tongue ties, the proximity of the wound edges could lead to reattachment without proper stretching exercises.

Is it necessary to perform a procedure for a thick lip tie in a surgical setting due to potential bleeding?

Not necessarily. Proper preparation can minimize the need for surgical settings. Using a small amount of anesthetic with adrenaline can significantly reduce bleeding, allowing for the procedure to be comfortably performed in an office setting.

How common is it for a tongue tie to accompany a lip tie?

Based on my experience, more than 90% of tongue tie cases also present with a lip tie.

Is a posterior tie always present with an anterior tie?

Absolutely. The primary restriction in a tongue tie often lies in the posterior part, crucial for the necessary movements during breastfeeding.

Why does my baby’s tongue still appear heart-shaped after cutting the tie?

When cut, the tethering band that previously attached the tongue to the mouth’s floor doesn’t remove the internal segment within the tongue. While this might alter the tongue’s shape, it usually doesn’t hinder its function.

Can tongue ties lead to speech difficulties?

Tongue ties can definitely affect the articulation of various sounds, making it challenging to string sounds together in speech. Though not all studies show a clear benefit, targeted frenotomy and speech therapy can improve speech in some instances where the tie significantly restricts movement.

Do lip ties impact speech?

Generally, lip ties do not affect speech. However, in severe cases where the lip tie causes discomfort and affects mouth opening, it might lead to speech issues as the child adjusts their oral movements to reduce pain.

Are lip ties associated with tooth decay?

Yes, especially for the incisors located near an upper lip tie. At the same time, cavities in molars are more related to tongue ties, as they prevent proper cleaning of those areas with the tongue.