You, your child and your Speech Pathologist can get frustrated with the lack of progress or very slow one in speech disorder correction.
However, your child’s speech problem can be related to physical impairment such as narrow upper jaw where is no room for the proper function of the tongue (articulator) and/or Tongue tie preventing tongue from moving freely.
The expansion of the upper jaw will have impact on the progress of the speech pathology treatment.
Tongue tie or “Ankyloglossia” are the terms used when the lingual frenum is short and restricts the mobility of the tongue.
Identification of tongue tied is very important especially in malocclusions where lower tongue position may contribute to excessive mandibular growth and at the same time a lack of stimulation for maxillary development.
The muscular impairment of the tongue function can also lead to tongue thrust and open bites.
Tongue tie has adverse effect on oromuscular function, feeding, swallowing and speech impairment specially with sounds such as “t”, ”d”, ”n” and tongue movements like difficulties with extension of the tongue beyond upper or lower lip.
Surgical indications to realise tongue tie are as follow: Breastfeeding difficulties, speech impediment, dental problems, medical (indigestion, snoring, OSA) and personal such as licking ice-cream.
From Normal, Short to Ankyloglossia where tongue movement is very restricted.