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Tongue Tie Demystified: The Impact on Myofunctional Therapy

The condition known as tongue tie, medically referred to as ankyloglossia, has long been a matter of curiosity and confusion. In recent years, research has shed light on the impact of tongue tie on various aspects of oral health, including its relationship with myofunctional therapy. This blog aims to demystify the condition and explore its implications for myofunctional therapy.

Understanding Tongue Tie

Tongue tie is a condition that occurs when a person’s lingual frenulum, the band of tissue connecting the underside of the tongue to the floor of the mouth, is shorter or tighter than normal. This restricts the movement of the tongue, often impairing functions such as speech, swallowing and proper oral rest posture.

While tongue tie is occasionally hereditary, it can also occur as a random anatomical variation. It is estimated to affect about 4 to 11 percent of newborns, with males being more commonly affected than females. Tongue tie can present differently in each individual, ranging from mild cases that cause minimal disruption to severe cases that significantly impact oral function and overall well-being.

Effects on Oral Function

Tongue tie can have a profound effect on oral function, particularly in infants and children. Breastfeeding difficulties are one of the most common complications of tongue tie in newborns. Due to the restricted tongue movement, infants may struggle to latch onto the breast properly and maintain a consistent milk supply, potentially leading to inadequate nutrition and weight-gain issues.

In older children and adults, tongue tie can interfere with speech production, articulation and clarity. It can also contribute to difficulties with proper swallowing patterns, causing food or liquids to be swallowed in a disorganized manner. Over time, this may increase the risk of choking, digestive problems and inadequate nutrient absorption.

Introducing Myofunctional Therapy

Myofunctional therapy is a specialized rehabilitation technique aimed at improving the function and coordination of the muscles involved in swallowing, breathing and facial expression. It also addresses improper tongue posture, which is often a consequence of tongue tie.

The therapy typically involves a series of exercises and techniques designed to strengthen and retrain the muscles of the face, tongue and throat. These exercises focus on promoting correct tongue posture at rest, improving swallowing coordination and optimizing nasal breathing. Myofunctional therapy can be beneficial for individuals of all ages, including infants, children and adults.

The Impact of Myofunctional Therapy on Tongue Tie

While myofunctional therapy cannot directly treat or correct tongue tie, it plays a crucial role in optimizing oral function and mitigating the negative effects associated with the condition. By addressing issues like improper tongue posture, swallowing difficulties and speech problems, myofunctional therapy aims to improve overall oral health and function.

In infants, myofunctional therapy can help improve breastfeeding success by teaching proper tongue positioning and encouraging a more effective latch. This, in turn, can enhance the overall breastfeeding experience for both the baby and the mother. For older children and adults, myofunctional therapy can help retrain the tongue muscles to achieve optimal swallowing patterns and improve speech clarity.

The Role of Myofunctional Therapists

Myofunctional therapists are specialized health care professionals trained in assessing and treating issues related to oral function, including those associated with tongue tie. They work closely with individuals affected by tongue tie, providing personalized therapy plans and guidance tailored to each person’s unique needs.

In collaboration with other health care providers, myofunctional therapists help individuals navigate the challenges associated with tongue tie and promote optimal oral health. They often work alongside pediatricians, dentists and speech-language pathologists to ensure comprehensive care and the best possible outcome.


Tongue tie, although often misunderstood, can significantly impact oral function and overall well-being. However, with the integration of myofunctional therapy as part of a comprehensive treatment plan, individuals affected by tongue tie can experience significant improvement in their oral function and overall quality of life. Through the expertise of myofunctional therapists and the advancement of research in this field, the impact of tongue tie can be reduced, offering greater understanding and support for those affected.