Related to Lingual Frenulum
Tongue-tie is a popular term used to characterize a common condition that often goes undetected. It occurs during pregnancy when a small portion of tissue that should disappear during the infant’s development remains at the bottom of the tongue, restricting its movement. When an infant is born with tongue-tie, it is important to research other family members, since this change has a genetic influence.
A specialist in Orofacial Myofunciotnal Therapy should be well suited to detect a tongue-tie since they should know about the lingual frenulum and also the normal way the newborn sucks. In the case of infants, a pediatrician and a lactation consultant may also be involved.
Yes, but there are varying degrees of tongue-tie, so the importance of having a test or validated protocol that evaluates the tongue and the “trickle” under the tongue (lingual frenulum) is crucial, as well as the way the infant sucks. This will ensure an accurate diagnosis, and indicate whether or not the need to do a frenotomy (or small “cut” under the tongue) is recommended.
When the tongue cannot perform all the necessary movements and thus jeopardizes the way of sucking, swallowing, chewing or talking, a small surgery or frenotomy in the tongue is indicated. The “cut” of the frenum in infants is a simple procedure done with scissors, scalpel, or laser and anesthetic gel, which lasts about five minutes. In older children and adults the most common procedure is the frenectomy (partial removal of the lingual frenulum).
In infants, surgery is usually indicated when the lingual frenulum restricts the tongue’s movement and compromises breastfeeding. In older children and adults, the indication is made when the tongue is visibly restricted, is unable to adequately reach the palate, or when possible distortions in speech are caused by limitation of the elevation of the tongue tip (especially in producing the sound of the “L” and “R”) that could not be corrected in speech therapy. A lactation consultant may also be indicated for consultation.
Many people with tongue-tie suffer the consequences without knowing the cause. There are infants who have changes in the feeding cycle, causing stress for the infant and for the mother; there are also children with difficulties in chewing, children and adults with speech problems affecting communication, social relationships and professional development. With the chronic oral rest posture of the tongue in the floor of the mouth, many of the Orofacial Myofunctional Disorders (OMDs) enumerated above may result.
This project, FREQUENTLY ASKED QUESTIONS AND ANSWERS IN THE AREA OF OROFACIAL MYOFUNCTIONAL THERAPY, is coordinated by the Academy of Orofacial Myofunctional Therapy (AOMT), a USA based post graduate training institution that specialises in training allied health professionals in Orofacial Myofunctional Therapy. This pamphlet has been created with the support of the Brazilian Speech Pathology Society (Sociedade Brasileira de Fonaudiologia/SBFa) and their Orofacial Myofunctional Therapy Committee, upon whose original work, “Repostas Para Perguntas Frequentes Na Area De Motricidade Orofacial,” originally published in 2011, with a second edition in 2012. Brazil is the world’s leader in research, protocols, and standards in Orofacial Myofunctional Therapy and the SBFa has consistently been at the forefront. This project is also supported by the Academy of Applied Myofunctional Sciences (AAMS), an international, non-profit NGO and membership association engaged in advancing research, standards, education, and public health initiatives in the area of Orofacial Myofunctional Therapy worldwide.
SBFa LEADERSHIP 2012-2013
BOARD OF DIRECTORS
Irene Queiroz Marchesan_President
Ana Cristina Cortês Gama_Vice President
Lia Inês Marino Duarte_Secretary
Aline Epiphanio Wolf_Deputy Secretary
Ana Elisa Moreira-Ferreira_Treasurer
Adriana Tessitore_Deputy Treasurer
Marileda Cattelan Tomé_Scientific Director
Hilton Justino_Deputy Scientific Director
DEPARTMENT OF OROFACIAL MYOFUNCTIONAL THERAPY
Andrea Motta_Deputy Coordinator
REVISION COMMITTEE 2012-2013
Ana Paula Dassie Leite
Ana Cristina Gama
Aline Wolf e Lia Duarte
© AOMT. All Rights Reserved. Reproduction requires the permission of the AOMT – This is intended for information purposes only and should not be used to diagnose or treat. Any person seeking care should consult with their doctor prior to any form of treatment. AOMT disclaims any and all liability for the accuracy of the information presented and for any use of the information for any purpose.
OROFACIAL MYOFUNCTIONAL THERAPY COMMITTEE
Daniele Andrade da Cunha_Coordinator
Carmen das Graças Fernandes_Deputy Coordinator
TRANSLATION AND COPY UPDATES 2014
ACADEMY OF OROFACIAL MYOFUNCTIONAL THERAPY
Marc Richard Moeller
Nicole Archembault Besson
Samantha Danielle Weaver