A tongue-tie is an abnormality in connective tissue at the bottom of the tongue. In 5-10% of children this tissue does not lengthen or narrow properly while developing in the uterus. This limits the normal motion of the tongue. Because the tongue is so critical to feeding, speech, breathing, and proper oral development and function, a restriction in its motion has major impacts on infant development. Tongue tie symptoms can include difficulty with breastfeeding, abdominal discomfort from excess ingestion of air, trouble with speech development, and abnormal breathing patterns. Similar thickening or shortening of connective tissue can happen in the upper lip (lip-tie) or the sides of the mouth (cheek/buccal-tie), and both can cause similar developmental problems.

An expert evaluation of oral anatomy and function can determine if a tongue, lip, or cheek-tie requires treatment. These oral tissue abnormalities do not always require a release and it is important to first exclude other potential causes of symptoms (i.e. nasal or airway obstruction, acid reflux, etc.). Dr. Nadine will guide the patient and families through an in-depth discussion exploring symptoms, potential causes, and treatment options. After a thorough interview, if an oral tissue abnormality is determined to be the cause of infant feeding difficulties, then an oral tie release is recommended. The same principle that emphasizes oral function applies to older ages. If an older child or adult has difficulties with speech or breathing patterns, for example, then treatment may be recommended in conjunction with pre and post release therapies.

Through myofunctional therapy we help our patients achieve better sleep, effective breathing, reduced jaw pain, and enhanced outcomes from tongue tie release, orthodontics and cpap usage.

Myofunctional therapy focuses on improving function in four areas. Nasal breathing, proper tongue posture, lip seal, and proper swallowing pattern. By restoring these basic functions through specially tailored therapy programs, our patients can see lifelong improvements in their overall health.

The first step at Untwined is a thorough discussion with Dr. Nadine regarding tongue function, oral symptoms, and causes of these symptoms. Based on this discussion, a referral to a feeding specialist, lactation consultant, chiropractor, craniosacral therapist or myofunctional therapist may be recommended before and/or after a tongue-tie release for an infant. The goal of this detailed evaluation is to prevent an unnecessary or premature procedure. Moreover, our multidisciplinary approach helps to optimize the patient’s oral function to achieve the best potential/possible outcome. It is important to us that the families we treat always feel supported by us no matter what treatment pathway they choose.

Untwined provides out-of-network care for all medical and dental insurance. We are a fee-for-service practice. This allows us to provide the best personalized care for our patients without restrictions imposed by insurance companies, along with the opportunity to spend ample time with our patients without limitation. At the end of the treatment plan, we provide documentation called a super-bill that may be reimbursed in part by your insurance. We recommend that patients check with their insurance providers ahead of time to learn how much insurance may provide reimbursement.