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6 Steps Of Assessment: Do I Have A Tongue Tie?

  • 6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie | verified expert in TONGUE TIE
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
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NORMAL TONGUE RESTING POSTURE

NORMAL/OPTIMAL
WIDE OPEN AIRWAY
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
LOW TONGUE POSTURE
TONGUE BLOCKING AIRWAY
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |

The back of the tongue should be resting high up on the palate. This helps in keeping the airway wide open. If the tongue is resting low it, the posterior part of the tongue falls back and can narrow the airway, contributing to mouth breathing, noisy breathing, snoring or blocking the airway completely causing sleep apnea

A tongue tie assessment remains incomplete if only the length of the tongue and in and out movement of tongue is considered. A tongue tie assessment must also consider the entire mobility of tongue in and up and down direction. A TRMR scale (i.e Tongue Range of Motion Ratio) which was developed by Dr. Soroush Zaghi, a world renowned Sleep Surgeon and Dr. Audrey Yoon who is a renowned sleep orthodontist is being used globally to assess tongue mobility.
Here are some quick steps of assessment:
1) Open your mouth comfortably wide.
2) Let your tongue tip rest right behind your teeth(i.e Spot).
3) Measure the ratio of mouth opening when tongue tip is on the spot to the measurement of mouth when it’s comfortably wide open.
4) Suck the entire tongue up and measure the mouth opening.
5) Measure the ratio of the mouth opening when the tongue is sucked up to the measurement of the mouth when it’s comfortably wide open.
6) Make a note of any additional strain or compensations in the neck, shoulder, jaw or floor of mouth muscles, teeth grinding, speech or swallowing.

Want to know if you have a tongue tie? Follow our 6-step assessment to determine if you have a tongue tie.Schedule a consultation with our experienced team to discuss your options and improve your quality of life.

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FUNCTIONAL CLASSIFICATION OF ANKYLOGLOSSIA BASED ON TONGUE RANGE MOTION RATIO (TRMR)

6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
6 Steps Of Assessment: Do I Have A Tongue Tie? | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | Tongue Tie |
If the tongue can reach only upto 5-50% of the mouth opening, it is considered severely restricted. If the patient cannot reach the back of the tongue more than 30% then also it is considered restricted. A thorough look at compensations needs to be taken into account to decide whether the tongue tie needs a release or not.
Want to know if you have a tongue tie? Follow our 6-step assessment to determine if you have a tongue tie.Schedule a consultation with our experienced team to discuss your options and improve your quality of life.
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RESEARCH

Recent research has shown that restricted tongue mobility can affect growth of jaws. It also narrows the upper jaw and elongates the soft palate that can result in Sleep Disordered Breathing. Myofunctional Therapy, Lingual Frenuloplasty and Orthodontic treatment play a critical role in the treatment of sleep disordered breathing.

1) Soroush Zaghi, Sanda Valcu‐Pinkerton, Mia Jabara, Leyli Norouz‐Knutsen, Chirag Govardhan, Joy Moeller, Valerie Sinkus, Rebecca S. Thorsen, Virginia Downing, Macario Camacho, Audrey Yoon, William M. Hang, Brian Hockel, Christian Guilleminault, Stanley Yung‐Chuan Liu. Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases. Laryngoscope Investig Otolaryngol. 2019 Oct; 4(5): 489–496.

2) A. J. Yoon, S. Zaghi, S. Ha, C. S. Law, C. Guilleminault, S. Y. Liu. Ankyloglossia as a risk factor for maxillary hypoplasia and soft palate elongation: A functional – morphological study. Orthod Craniofac Res. 2017;1–8.

3) So-Jeong Jang, Bong-Kuen Cha, Peter Ngan, Dong-Soon Choi, Suk-Keun Lee, Insan Jang. Relationship between the lingual frenulum and craniofacial morphology in adults. American Journal of Orthodontics and Dentofacial Orthopedics. April 2011;139:4(1)

4) Audrey Yoon; Soroush Zaghi; Rachel Weitzman; Sandy Ha; Clarice S. Law; Christian Guilleminault; Stanley Y.C. Liu. Towards a Functional Definition of Ankyloglossia: Validating Current Grading Scales for Lingual Frenulum Length and Tongue Mobility in 1052 Subjects Sleep And Breathing.January 2017;21(3)

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Comprehensive Care for Tongue Tie and TMJ Disorders

At our institute, we take pride in providing complete care for issues related to tongue tie and TMJ. To enhance your quality of life, we treat a range of ailments with state-of-the-art technology and expert care. If you’re searching for an effective tongue-tie operation option or a TMJ specialist in India, you have arrived at the right place.

Why Choose a Tongue Tie Operation?

A tongue tie operation or tongue tie surgery is a life-changing procedure that not only restores tongue mobility but also has a full body effect. While most people associate tongue tie with breastfeeding difficulties in infants, it can also affect speech, breathing, posture, dental health, and sleep patterns in older children and adults. By undergoing this minimally invasive fascia release procedure, patients often experience immediate improvements in functionality and overall well-being.

Benefits of a Tongue Tie Surgery

For individuals considering tongue tie surgery, the benefits are far-reaching:

  • Improved Speech Clarity : Eliminating the restriction improves the tongue's range of motion, which improves the articulation of words and sounds.
  • Better Oral Hygiene : Increased tongue movement makes it easier to maintain good oral hygiene, which lowers the chance of dental issues.
  • Enhanced Eating and Swallowing : Adults and children with eating difficulties often find relief post-surgery.
  • Improved Sleep : In some cases, releasing a tongue tie can alleviate sleep apnea or other breathing-related issues.
  • Improvement in Breathing efficiency : Surgery can improve nasal breathing efficiency, helping individuals transition away from compensatory mouth breathing that often leads to health concerns like dry mouth or increased susceptibility to infections.
  • Better Posture : The tongue plays a role in stabilizing the head and neck. Releasing a tongue tie can alleviate strain on these areas, promoting better posture and reducing tension in the shoulders, neck, and jaw.

TMJ Specialist Mumbai: Advanced Care Tailored to Your Needs

The Temporomandibular Joint (TMJ) that is your Jaw Joint has a significant impact on one’s quality of life, as they leave the person feeling exhausted and irritable. It not only affects essential functions like chewing, speaking, yawning but also affects one’s posture, breathing and sleep. As a leading TMJ specialist in Mumbai, we offer comprehensive diagnostics and personalized treatment plans to address your unique needs.

Innovative Treatments by TMJ Specialists in India

Our approach to TMJ disorders combines state-of-the-art technology with evidence-based practices. We specialize in:
  • GNeuromuscular (GNM) Orthotic Therapy: Using advanced techniques like TENS & Jaw Tracking machines to achieve a balanced jaw and body alignment.
  • Non-Invasive Pain Management: Treatments such as laser therapy, myofunctional therapy, and physiotherapy.
  • Holistic Interventions: Integrating multidisciplinary care related to diet and mental health to treat the root cause of TMJ pain.

The Role of Tongue Tie in TMJ Disorders

Many patients are unaware that tongue tie and TMJ disorders can also be interconnected. A restricted tongue can lead to compensatory behaviors that strain the jaw, progressing towards TMJ issues.

Personalized Treatment for All Ages

Infants

For newborns, a tongue tie operation is critical in supporting breastfeeding. Infants struggling to latch or feed effectively benefit greatly from a quick and safe procedure.

Children

Tongue tie in children might affect their oral health and speech development. They can significantly enhance their quality of life with a tailored tongue tie surgery.

Adults

Adults often seek tongue tie operations for relief from symptoms such as speech impediments, TMJ pain, or even snoring. Combining tongue tie surgery with myofunctional therapy ensures optimal results.

Integrated Myofunctional Therapy

An integral part of our treatment protocols is myofunctional therapy. Exercises used in this therapy help to strengthen and coordinate the muscles of the tongue and face. Whether you’re undergoing a tongue tie operation or being treated for TMJ issues, myofunctional therapy plays a pivotal role in ensuring lasting outcomes.

Expertise and complete treatment are essential for treating TMJ issues or tongue tie. Whether you’re searching for the best tongue tie surgery options or a trusted TMJ specialist in Mumbai, we ensure personalized care and transformative results. Don’t let these conditions stop you—reach out to us today to book your consultation and start your journey toward better health and wellness.