Posterior Tongue Tie Diagnosis

how-to-diagnose-tongue-and-lip-ties-3To diagnose if your baby is posterior tongue-tied, have them stick their tongue out while looking at you. This can be hard to do since your baby won’t immediately respond to your request. A good technique to do is to stick out your tongue and let him/her copy you.

If they are unable to fully extend the tongue, or if it has a heart form on the edge, get them checked up by their pediatrician immediately. You can also attempt putting your finger inside the mouth with the pad facing up until they begin sucking it. See if the tongue protrudes over the gum line to cup underneath the finger. If not, you should consult a pediatrician.

This is how pediatricians diagnose posterior tongue tie:

1, feeding weakness, the baby could not wrap his tongue nipple.

2, at the posterior tongue tie when teething recurrent ulcers.

3, Shenshe not stretch lips, or tongue was forked when Shenshe or “w” shape.

4, the speech is not clear.

5, tongue shape does not look good.

6, parents feel their child psychology is not the same with others, my heart sad.

7, the gap between the lower front teeth and posterior tongue tie is sometimes related.

8, “to package Days” children with orthodontic surgeon recommends surgery tongue tie line.

9, eat more difficult to maintain hygiene lips, you can not lick fine.

10, vocal learning needs of individual children due to issue some tone higher than normal pronounce tongue required flexibility doctor.

11, learn special musical instruments such as the flute and other instruments needed to play the tongue with the situation.

How do I know if my baby has a Posterior Tongue Tie?

However, the totality posterior tongue-tied just under the surface causes the because of the time after numbing medicine is injected into the area device called completion surface dissection is carried out into the tongue-tied thereby with his it is important that a session be carried out to the muscle was completed cannot receive fibers fast observing suture and placed the suture typically dissolves away with it.

If you found when feeding live baby feeding nipple and wrapped milk leakage occurs phenomenon should consider the posterior tongue tie is too short may, but parents often ignore it; when most posterior tongue tie is too short children undergo a medical examination to be Doctors discovered by accident. Thus, when there is the following situation should go to hospital for further examination: the emergence of the phenomenon of leakage of milk could not wrap baby feeding nipple; Let children Shenshe, the tongue like being just hold something like; when his tongue was protruding tongue “V” type recessed; short, thick lingual frenulum.



1, need to see whether the lingual frenulum attached to the tongue position is too close to the tongue and gums.

2, need to see whether there is after fronting forked tongue shape or Shenshe heavy activity limitation.   Related Recommended: posterior tongue tie is too short how to do


Of course, in the end there is no posterior tongue tie is too short, only regular oral specialist to check out. However, it is worth noting that the only reason not to pronounce a short posterior tongue tie are not allowed.

1, causing the pronunciation is not accurate for many reasons, the main thing is congenital physical defects: such as congenital cleft lip and palate, tooth loss or deformity and tongue tie is too short will cause the pronunciation is not exactly the case. Secondly, acquired disease caused by child childhood illness causes higher nervous system damage, or due to head trauma, the brain’s motor area of language impairment, or because of hearing impairment, etc. are not allowed to listen to the sound result, the child can not correct imitate that speech is unclear.

2, the impact on the environment can also cause children to speak pronunciation is not accurate. For example, a dialect of the area talk about after the birth of a child has grown up listening to the dialect, Putonghua to learn from nature is poor. Adult around children speak Mandarin enough standard, even ambiguous, then the child will be affected to speak. It is worth recalling that the parents should pay attention to correct the child on child kid speak and pronounce, if not pay attention to school early to speak correct, then a long time, the child is very easy to form habits is not easy to correct pronunciation is not clear.

Second, the surgery may not be accurate pronunciation

Many parents found the child tongue tie is too short, pronunciation is not accurate, it will go to the hospital to let the baby back to normal pronunciation by surgical methods. General surgery pain is very small, less than 1 year old child surgery without anesthesia, immediate surgery. 3-6 year-old children will be anesthetized during surgery in outer posterior tongue tie. Just keep your mouth clean after surgery, often gargle. Usually after a week can be disconnected.


The clinical criteria used to diagnose vary greatly ankyloglossia in the literature. Many authors (8,9,10,12,13,14,15,16). They used based on the physical characteristics of the patient’s anatomy oral criteria. The most commonly used criterion is when the bridle is presented abnormally short and thick, causing the tongue takes a heartshape in the protrusion.

The criterion also includes functional signs of commitment, as the impediment to protrude the tongue past the gingival margin and other indications that cause a reduction in the movement of the tongue. A consensus on the diagnostic criteria for comparing treatment studies (17) is necessary.

We must also remember the importance of interdisciplinary diagnosis, speech therapy and dental evaluation to see if we opt for a surgical or conservative treatment. Opting for the latter are indicated some exercises which can obtain the elongation of the lingual frenulum.

The importance of functional assessment of the language has been emphasized by several authors, who noted that the lingual frenulum may seem short, but may still have sufficient elasticity to fulfill its function. The only tool available and designed to assess breastfeeding in infants with posterior tongue tie and severity of the problem is the “Assessment Tool for Lingual Frenulum Function” (ATLFF) (18). This quantitative tool mark 03 Rating: perfect, acceptable and poor function (19) the latter would dictate the need for surgical indication. It has been used in some previous studies (9,10,19) finding in some cases some limitations in scoring and in others, little use to identify the severity of posterior tongue tie.