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Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study.

Authors
  • Baxter, Richard1
  • Merkel-Walsh, Robyn2, 3
  • Baxter, Barbara Stark4
  • Lashley, Ashley1
  • Rendell, Nicholas R5
  • 1 Alabama Tongue-Tie Center, Pelham, AL, USA.
  • 2 TalkTools, Charleston, SC, USA.
  • 3 Ridgefield Board of Education, Ridgefield, NJ, USA.
  • 4 Allergy and Asthma Preston Center, Dallas, TX, USA.
  • 5 University of London, London, UK.
Type
Published Article
Journal
Clinical Pediatrics
Publisher
SAGE Publications
Publication Date
Sep 01, 2020
Volume
59
Issue
9-10
Pages
885–892
Identifiers
DOI: 10.1177/0009922820928055
PMID: 32462918
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Recent studies suggest that speech, solid feeding, and sleep difficulties may be linked to restricted tongue function. Children with tongue restrictions and speech, feeding, and sleep issues underwent lingual frenectomies with a CO2 laser, paired with myofunctional exercises. Questionnaires were completed before, 1 week after, and 1 month following treatment. Thirty-seven patients participated in the study (mean age 4.2 years [range 13 months to 12 years]). Overall, speech improved in 89%, solid feeding improved in 83%, and sleep improved in 83% of patients as reported by parents. Fifty percent (8/16) of speech-delayed children said new words after the procedure (P = .008), 76% (16/21) of slow eaters ate more rapidly (P < .001), and 72% (23/32) of restless sleepers slept less restlessly (P < .001). After tongue-tie releases paired with exercises, most children experience functional improvements in speech, feeding, and sleep. Providers should screen for oral restrictions in children and refer for treatment when functions are impaired.

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