TONGUE TIES & TMD

How Are Tongue tie and TMJ Disorders Related?

Tongue Tie Release
temporomandibular
disorder treatment

Tongue Ties & TMD | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | |
Have you ever wondered if our tongue could be one of the most important muscles playing a very important role in controlling various functions within our body?
Consisting of eight muscles, our tongue is connected to a floating bone known as the hyoid bone. This hyoid bone is further attached to the muscles of the head, face and neck (often called the strap muscles). Collectively, all of these muscles are essential for the process of swallowing and maintaining the posture of the neck and shoulders. Additionally, they also play a crucial role in diaphragmatic breathing. Are you surprised by that revelation?

WHAT IS A TONGUE TIE?

Tongue tie, commonly referred to as “Ankyloglossia”, is a string of tissue called the frenulum that can restrict the movements of the tongue if it is shorter and thicker than normal. The tongue can be anterior as well as posterior. There are different grades of fascial restriction and tongue functionality that are essential for breastfeeding, sucking, swallowing, eating, drinking, chewing, breathing, speech, jaw growth, posture and digestion.
Tongue Ties & TMD | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | |

How Are Tongue Tie And TMJ disorders Related?

In cases of tongue tie, certain muscles become tight and begin pulling on the tongue when it tries to function. However, this process is hindered as the tongue remains anchored to the floor of the mouth. This restricts the normal movements and functioning of the tongue. Consequently, the movements of the ‘tied’ tongue are accompanied by many compensations like unfavourable movements of the TMJ, lower jaw, and tension in the floor of the mouth, face, neck and head.

The tongue performs many functions, including keeping the airway open (in compensation to which one starts mouth breathing, snoring, clenching and grinding their teeth), assisting with chewing, swallowing, and most importantly, facial and jaw development, speech and digestion. An open mouth, incorrect bite, clenching and grinding or constant compensations of the muscles while swallowing and speaking can result in Orofacial pain and TMJ dysfunction.

HOW IS THE TONGUE CONNECTED TO OUR BODY?

Your tongue is such a crucial part of your body. This may surprise you! “The anterior deep fascial line starts from beneath the tongue and goes till the lungs to the pelvic bones down to the arches of your feet.” This means there is a direct connection between the orofacial function-tongue function – diaphragmatic breathing – cervical posture. Let’s understand the compensations of a tongue tie: fascial restrictions, tension and pain. The neuromuscular system is intertwined with the brain, digestive system, neck, spine, and teeth.

Headaches, shoulder, and neck pain commonly attributed to TMD or clenching or bruxing have been relieved by releasing the untreated tongue-tie. The ‘tied’ tongue can also lead to sleep-disordered breathing, leading to bruxing, as well as pain in the neck or upper back. Some adults also experience digestive and reflux problems, tightness in the chest, bow feet, tingling in calves and feet.

Tongue Ties & TMD | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | |

DIAGNOSING A TONGUE TIE

There are various related issues, such as airway complications, posture challenges, and sleep disturbances, that may arise due to tongue restriction. In certain cases, tongue ties may be found when identifying the causes of TMJ pain areas/ orofacial pain, clenching of teeth, disturbed sleep and breathing and poorly developed jaw growth and teeth alignment. It is also essential to note that a tongue tie cannot be self-diagnosed. A comprehensive functional assessment by a specialist of the tongue is essential to diagnose a tongue tie.

Hence, it is best to let a specialist who is specifically trained to identify Tongue Ties diagnose you.

TREATING A TONGUE TIE

In our practice, we use the Functional Frenuloplasty procedure to release tongue ties for toddlers, children and adults. This approach has been adapted from Dr. Soroush Zaghi of The Breathe Institute, Los Angeles, who is a globally renowned ENT & sleep surgeon who has established this functional approach to tongue ties.

The success of our practice is based on our capability to deliver a comprehensive and successful release of tethered oral tissues. We achieve this success by implementing by multidisciplinary protocol that integrates myofunctional therapy (and also physical therapy in some instances) before, during, and after surgery. Our entire togue tie release procedure relies on precision, ensuring appropriate extent of tissue is released for maximum patient relief, neither excessive nor too little. Additionally, at TMJ, Tongue Tie & Sleep Institute we also do understand that TMJ patients require special care when opening their mouths for prolonged periods of time and have adapted the procedure to ensure minimal discomfort.

Undergoing Oral Motor Rehabilitation and Physical Therapy after your procedure is crucial to maintaining the released fascia and making sure the body and tongue can be re-trained on how to maintain this muscle- balance -posture. Our patients have also reported less TMJ pain after Myofunctional Therapy for their tongue ties.

Frequently Asked Questions

Temporomandibular Joint (TMJ) pain can occur in various areas. The common TMJ pain areas, where individuals are likely to experience pain and discomfort, include the jaw, face, head, neck, shoulder, ears, and teeth. Note- The TMJ pain and its intensity may vary from patient to patient. Not everyone will experience TMJ pain in all of these areas. Hence, it is important to seek timely intervention from a TMJ specialist.

Seek Temporomandibular Disorder Treatment
No, the procedure of Functional Frenuloplasty is painless as we use anesthesia to numb the area to be treated. In certain cases, patients might experience mild discomfort. However, the procedure of functional frenuloplasty is mostly painless.

Diagnosing a tongue tie on your own can be difficult, as it requires a comprehensive assessment of the tongue's function. It is always best to see a tongue-tie specialist for a proper diagnosis and treatment.

Speak To A Tongue Tie Specialist

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Tongue Ties & TMD | | TMJ, Tongue Tie & Sleep Institute – Tongue Tie Treatment in Mumbai, India | |

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