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Writer's pictureDr. Shahin Bina, DDS

Understanding Tongue Tie Issues in Adults: Signs, Symptoms, and Solutions

While tongue tie is often diagnosed in infants and children, many adults live with the condition without realizing it. Understanding the signs and symptoms can help you determine if tongue tie might be affecting you. Tongue tie, or ankyloglossia, is a condition where a person has an unusually short, thick, or tight band of tissue (lingual frenulum) tethering the bottom of the tongue's tip to the floor of the mouth. This restriction can lead to various functional problems, impacting speech, eating, and oral hygiene.


Signs and Symptoms of Tongue Tie in Adults


Tongue ties in adults can manifest in numerous ways, often leading to frustrations and challenges in daily life. Here are some common signs and symptoms:


  1.  Speech Difficulties

    1. Lisping or Slurred Speech - The restricted movement of the tongue can cause speech impediments.

    2.  Difficulty Pronouncing Certain Sounds, particularly -"t," "d," "z," "s," "th," "n," "l," and "r." 

    3. Rapid Fatigue When Speaking -Speaking for extended periods may cause your tongue to feel tired or strained.


  2.  Eating and Swallowing Problems

    1. Difficulty Swallowing - You may feel like food gets stuck in your throat or have trouble moving food around in your mouth.

    2. Trouble with Certain Foods -  Chewing tough or fibrous foods, like steak or raw vegetables, can be challenging.

    3. Gagging or Choking Sensation - Especially when trying to swallow pills or large pieces of food.


3.    Oral Hygiene Issues

a. Dental Health Problems - Difficulty cleaning certain areas of your mouth can lead to increased plaque buildup, cavities, and gum disease..

b. Bad Breath -  Poor oral hygiene due to limited tongue mobility can result in chronic bad breath.


4.   General Discomfort and Pain

a. Jaw Pain - Compensating for restricted tongue movement can cause tension in your jaw and facial muscles.

b. Frequent Tongue Biting - Limited tongue movement can lead to accidentally biting your tongue while eating or speaking.


How to Determine if Tongue Tie is Affecting You

Recognizing these symptoms is the first step, but how can you be sure tongue tie is the root cause? Here are some methods to help you determine if you have a tongue tie:


Self-Examination Techniques


  • Tongue Mobility Test - Try to stick your tongue out as far as possible. If you can't reach the roof of your mouth or the tip of your tongue is heart-shaped when extended, it may indicate a tongue tie.

  • Elevation Test -  Attempt to lift your tongue to touch the roof of your mouth with your mouth open wide. Difficulty in doing so can be a sign of restriction.

  • Side-to-Side Movement -  Move your tongue from side to side. Limited lateral movement can also suggest a tongue tie.


Professional Evaluation


  • Consult a Specialist - Visit a dentist, orthodontist, or a speech-language pathologist. They can perform a thorough examination and provide a diagnosis.

  • Speech and Swallowing Assessments -  Professionals can conduct specific tests to evaluate how tongue tie affects your speech and swallowing.

  • Oral Health Check - A dentist can assess if your oral hygiene issues are related to tongue tie.


tongue-tie consultation

Treatment Options for Adult Tongue Tie


If you suspect that tongue tie is affecting your quality of life, several treatment options are available:


  1.  Frenectomy

    1. Laser Frenectomy: A quick, minimally invasive procedure using a laser to release the tongue tie.

    2. Surgical Frenectomy: A more traditional approach involving a minor surgical procedure to cut the lingual frenulum.


  2.  Speech Therapy

    1. Customized Exercises: A speech therapist can provide exercises to improve tongue mobility and address speech issues.

    2. Post-Procedure Therapy: After a frenectomy, therapy can help you adapt to increased tongue movement and optimize speech and swallowing functions.


  3.  Myofunctional Therapy

    1. Exercises and Techniques: Focused on retraining the muscles of the mouth and face to improve function and alleviate symptoms.


Final Thoughts

Tongue tie in adults is more common than you might think and can significantly impact daily life. By understanding the symptoms and seeking appropriate evaluation, you can determine if tongue tie is affecting you. Various treatment options are available, ranging from simple procedures to therapeutic interventions, all aimed at improving your quality of life.


If you suspect tongue tie is behind your speech, eating, or oral hygiene challenges, consult with a specialist to explore your options. Don’t let tongue tie hold you back from living your best life!



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