Title: Tied talks: Understanding and managing tongue tie in pediatric dentistry
Abstract:
Ankyloglossia, or tongue tie, is a frequently overlooked congenital anomaly characterized by a restricted lingual frenum that limits the tongue’s range of motion. Though seemingly minor, it can significantly affect functions such as breastfeeding, speech articulation, swallowing, and even long-term orofacial development.This presentation will delve into the diagnosis and multidisciplinary management of tongue tie in children, emphasizing clinical indicators beyond infancy. We will explore classification systems (e.g., Kotlow, Coryllos), functional assessments, and diagnostic criteria that go beyond anatomical appearance.Through case-based discussions, attendees will be introduced to real-world applications in clinical practice. One featured case includes a 3-month-old infant with painful breastfeeding and poor latch, who showed immediate improvement following a frenotomy. Another case presents a 6-year-old child with speech delay and tongue thrust, treated successfully with a laser-assisted frenectomy in conjunction with speech therapy.A comparative overview of surgical techniques—scissors, electrocautery, and diode lasers—will be presented with pros and cons in terms of precision, healing, and patient comfort. Key emphasis will be placed on behavior management, pain control, post-op care, and collaboration with lactation consultants, speech therapists, and myofunctional therapists.The goal is to equip pediatric dental professionals with the confidence to assess, counsel, and manage tongue tie cases efficiently—bridging the gap between clinical signs and functional outcomes for better patient care.
