What a relief to hear you talk about compensation! Thank you so much! I was wandering if I don't have a tongue mobility issue because I can move it quite well. On the other hand I suffer from headaches, neck pain, tmj issues, clenching jaws and stuff. Now i got the answer. Thx
Thank you so much You put words and prove everything I have been working on as an ENT for years. Thank you for allowing us access to all this iconography. It helps me so much to change the ideas in Europe. We sometimes face ancestral theories from speech therapists who oppose MFT and frenuloplasty. It is only with scientific arguments that we will be able to convince them. Or not...😏
Exactly, my 4 years old went through hell until a doctor picked it up for him in Belgium. The consultant in the UK didn't know see it. The boy couldn't speak and breathe properly. Eating was also a struggle.
I knew my daughter had a tongue tie super early on. took her to a reputable pediatric dentist around 3 months (late, I know) he said yeah she has ties but is nursing well so you don't need to do anything. now she's over 2.5 and no one will release her tie because she's too old 😑😑😑😑😑😑 I'm so mad I didn't just do it years ago. she can't lift her tongue to the roof of her mouth and always has food on it and mouth breathes 😩
My brain having a hard time comprehending this. This is the first time I've heard of this and I was just trying to check if it might be the reason for my speech impediment or I just need extra training for it.
I tried doing myo for around 8 weeks, but couldn't make much progress because it would create SO much tension in the rest of my body, which was really bad because I already had so much tension throughout my body that I couldn't properly use ANY muscles in my body properly. We decided to do my tongue tie release sooner than planned, since it seemed like the best option (it was). It helped a lot right away, except for in one area of my body. I could breathe easier and all of my joints fell into alignment. The tension from that one area that remained of course spread to the rest of my body again, and I'm back to feeling as horrible as I did before. I get so much body/fascia work done, and I always have, but nothing lasts and my adjustments won't hold. My jaw continues to get worse and worse every day, and I already have pretty severe osteoarthritis. I believe that my dentist only released my anterior tie, and I have literally every symptom of a posterior tie. I can't function and am in so much pain, but my dentist won't even consider releasing the posterior tie for 6 months- she won't even check to see if I do have a posterior tie or if I have any other ties causing all of this. I still can't do myo exercises without making my full-body tension much worse and I can't open my mouth more than ~1cm without engaging every muscle in my entire body, even after doing lots of tongue stretches and myo exercises. Are there circumstances where it is necessary to get the rest of my tie released without waiting a full 6 months? I know kids are a bit different than adults, but when did that boy you showed get the second part of his two-stage procedure? I felt like I related to everything you said about him a lot. My dentist wants me to expand first, but I don't at all have a severely narrow palate (though it is a bit narrow). I'm totally fine with doing palate expansion, but I KNOW that my major issue is the posterior tongue tie, and I'm just not sure how to advocate for myself anymore at this point without getting kicked out of the practice, which is the only one around me that can help me.
I also have a tongue tie, I did do ant myo therapy, is it really important to do that before getting the surgery or should I just get it done? Reason is my health insurance is expiring this month and I want to get it done this month
Thanks for your question, sorry we are just seeing it here! In order for a functional frenuloplasty to be "functional", myofunctional therapy must be a part of the protocol. The results we see when incorporating myofunctional therapy are significantly better, and as such generally advocate for that approach.
Hi Dr. Zaghi. I watched the whole video, and I want to thank you for the great presentation and informative content. It was a great help. I notice that I have a floor compensation of mouth. Do I need suture release in the tongue?, I Evaluate the TRMR - TIP/LPS and both are normal (case 4/5), but I feel the simtons of neck pain, I have sleep apnea, and tired most often in the day. When I open my mouth wider as I can without pain or discomfort and rise the tongue up the floor gets compensate. I already went into speaking therapist and ENT specialist, and they confirmed I have floor compensation but not evaluate me as suture tongue release. And they never asked for x-ray to evaluate the tongue space/ mouth or. I just extract some of my adenoid. And I still have sleep disorder.
Just for your record: in my case because of core imbalance i cant lift the tongue properly. and when i improve the conection between my core and voluntary activation of it, then i can lift the tongue well
Thank you for a great information , can I ask for the last case what have we to do when tongue space not enough, orthodontic treatment or Tongue reduction surgery?
Great question. When tongue space is an issue, there are a number of techniques we can employ for expansion; from appliance therapies and minimally invasive procedures like the MIND protocol developed by Dr. Kevin Coppelson here at TBI, all the way up to more intensive procedures such as MMA. The approach we select will depend upon the specifics of a patients case/lifestyle/goals and the experience and preferences of the provider. Hope this helps.
I have a tongue tie but it’s not as bad the one you showed , will removing it help me mew better? I also have a lip tie , will removing my lip tie give me any benefits? I’m getting my tongue tie removed next week
What is the name of the surgery that you did, that improved his tongue range of motion, where the floor of the mouth before the surgery was lifted to compensate. And then after the surgery, the floor of mouth did not lift anymore for compensation?
What do you do when the maxillary teeth overjet so far that you can't get the dip in the ruler over the mandibular incisors to do the measurement? I've had this happen a few times and I'm like....now what?
My 3 month old baby just got diagnosed with lip tie, the ENT didn’t give me a grade but judging by the picture I think it’s a stage 3 maybe 4. She also has what he said was a very mild tongue tie. My question is if I should get both revised? or just have the lip tie revised?.
It would be impossible to give any guidance on care without a consultation and reviewing the specifics of your lil one's case. But if you are seeking support, we are happy to help, or to work with you to find a provider in your area who can!
With LPS, I didn't read where it says what the floor of the mouth should (or shouldn't) be doing when you measure the LPS measurement. My LPS is very different if my floor rises versus if I pull it down. Where should it be for proper measurement?
Great question. The floor of the mouth should not elevate. If it does, it means you're likely engaging more muscles than necessary in order to compensate for lack of tongue mobility by pushing the tongue up with the floor of the mouth, and possibly neck muscles etc. Hope that helps.
I don't have a measuring device but tongue to top I can put two fingers in my mouth but it hurts. Comfortably open four and suctioned I can only fit one. Me thinks I have this.
I'll feel a bit bad, but I'm going to have to ask my dentist if she's aware of all this. I clipped a few spots and saved the posterior tongue mobility article, and I'm still at the beginning of the video. My dentist didn't mention myofunctional therapy, which has made me iffy on her. As a full-grown man, I'll have no problem doing that on my own like I have been for the last week. A few weeks of trying to mew will probably help as well. It's hard to accept that my parents could have completely changed my life if they had known speech wasn't the only issue. I wish I would have had speech problems so it would have been taken care of. All those horrible migraines, so bad I have to puke, my not so great posture and back pain, not reaching my genetic potential in the face department. Sucks but better late than never.
of course they don't. All of the issues in the mouth associated with mouth breating. The dentistry inndustry, the pharma companies and so the rich do not want you to be aware of the truth because all of their incomes would disappear.
To be a true functional frenuloplasty, yes one must suture. We always advocate for primary intention healing in scissor and laser cases. Even more importantly, be sure to incorporate pre/post op orofacial myofunctional therapy!
@@TheBreatheInstitute for a frenectomy do you recommend laser release? Or scissors and suture? I need to get one but feel like the laser option would be best / less work?
@@bbr00tal96 thanks for your question. Choosing laser/scissors, etc is completely dependent upon the individual case, the anatomy present and the experience and skill of the provider. Dr. Zaghi quite frequently employs his lightscalpel and his scissors, both together, and individually depending upon the case.
Doc. I just did a surgery for my submandibular duct, after this surgery my tongue is very tie and i feel some hard thing in the surgery location, can you help me
Hello doctor, I consulted an ENT for my tongue tie , he said it's perfectly fine. But I have a deep bite and tight neck and right trapezius pain . Also the back of my tongue does not rest on the roof of my mouth. What should I do ? Kindly guide. Thank You.
Hi Dear, I am here in jeddah Saudi Arabia. I have tongue tie and can't pronounce letter "R" properly. After surgery i will be able to pronounce R correctly. Thanks sir. Waiting for your reply.
Yes, tongue tie has been associated with acid reflux related to inadequate oral phase preparation of food could as well as the negative intrathoracic pressure from sleep disordered breathing causes gastric contents to reflux.
Thanks for the question, Wound healing is generally completed in approximately two weeks. Of course each case is unique, but that is a good average to consider.
hefty price tag? its under 1000 dollars for an infant... under 600 sometimes... of course its worth it... thats not a hefty price tag lmfao... if ur that broke, u shouldnt be having a baby and u should give it up for adoption lol
You are not just a doctor. You are a scientist.
Well, if medicine isn't informed by the scientific process, it's just a bunch of well intentioned guesses :) - CK
Thank you for sharing your knowledge !! Dr Zaghi is one of the best educators I have had the honour to learn from.
Thank God we have you, Dr Saroush Zaghi! There is so much old info, and poor evaluations and treatment out there !
What a relief to hear you talk about compensation! Thank you so much! I was wandering if I don't have a tongue mobility issue because I can move it quite well. On the other hand I suffer from headaches, neck pain, tmj issues, clenching jaws and stuff.
Now i got the answer. Thx
Thank you so much
You put words and prove everything I have been working on as an ENT for years. Thank you for allowing us access to all this iconography. It helps me so much to change the ideas in Europe. We sometimes face ancestral theories from speech therapists who oppose MFT and frenuloplasty. It is only with scientific arguments that we will be able to convince them. Or not...😏
Hello doctor Brugmans. It is Henzo's mum.
@@beatamafulu2405 it’s nice to see you here !
Issue is finding a pediatrician that will actually do a thorough examination.
Dr. Chelsea Pinto can help you find someone in your area.
Exactly, my 4 years old went through hell until a doctor picked it up for him in Belgium. The consultant in the UK didn't know see it. The boy couldn't speak and breathe properly. Eating was also a struggle.
My integrative dentist found my son’s.
I knew my daughter had a tongue tie super early on. took her to a reputable pediatric dentist around 3 months (late, I know) he said yeah she has ties but is nursing well so you don't need to do anything. now she's over 2.5 and no one will release her tie because she's too old 😑😑😑😑😑😑 I'm so mad I didn't just do it years ago. she can't lift her tongue to the roof of her mouth and always has food on it and mouth breathes 😩
I appreciated the tables, and LOL’d at the “pregnancy” comparison. Heard it many times in the groups! Having been pregnant, they’re not wrong 😂
Ive noticed i compensate with the entire floor of my mouth lifting up. Mind blown after seeing to hold it down! Going to Run to my mirror to look! Lol
My brain having a hard time comprehending this.
This is the first time I've heard of this and I was just trying to check if it might be the reason for my speech impediment or I just need extra training for it.
I tried doing myo for around 8 weeks, but couldn't make much progress because it would create SO much tension in the rest of my body, which was really bad because I already had so much tension throughout my body that I couldn't properly use ANY muscles in my body properly. We decided to do my tongue tie release sooner than planned, since it seemed like the best option (it was). It helped a lot right away, except for in one area of my body. I could breathe easier and all of my joints fell into alignment. The tension from that one area that remained of course spread to the rest of my body again, and I'm back to feeling as horrible as I did before. I get so much body/fascia work done, and I always have, but nothing lasts and my adjustments won't hold. My jaw continues to get worse and worse every day, and I already have pretty severe osteoarthritis. I believe that my dentist only released my anterior tie, and I have literally every symptom of a posterior tie. I can't function and am in so much pain, but my dentist won't even consider releasing the posterior tie for 6 months- she won't even check to see if I do have a posterior tie or if I have any other ties causing all of this. I still can't do myo exercises without making my full-body tension much worse and I can't open my mouth more than ~1cm without engaging every muscle in my entire body, even after doing lots of tongue stretches and myo exercises. Are there circumstances where it is necessary to get the rest of my tie released without waiting a full 6 months? I know kids are a bit different than adults, but when did that boy you showed get the second part of his two-stage procedure? I felt like I related to everything you said about him a lot. My dentist wants me to expand first, but I don't at all have a severely narrow palate (though it is a bit narrow). I'm totally fine with doing palate expansion, but I KNOW that my major issue is the posterior tongue tie, and I'm just not sure how to advocate for myself anymore at this point without getting kicked out of the practice, which is the only one around me that can help me.
I also have a tongue tie, I did do ant myo therapy, is it really important to do that before getting the surgery or should I just get it done? Reason is my health insurance is expiring this month and I want to get it done this month
Thanks for your question, sorry we are just seeing it here! In order for a functional frenuloplasty to be "functional", myofunctional therapy must be a part of the protocol. The results we see when incorporating myofunctional therapy are significantly better, and as such generally advocate for that approach.
Hi Dr. Zaghi. I watched the whole video, and I want to thank you for the great presentation and informative content. It was a great help. I notice that I have a floor compensation of mouth. Do I need suture release in the tongue?, I Evaluate the TRMR - TIP/LPS and both are normal (case 4/5), but I feel the simtons of neck pain, I have sleep apnea, and tired most often in the day. When I open my mouth wider as I can without pain or discomfort and rise the tongue up the floor gets compensate. I already went into speaking therapist and ENT specialist, and they confirmed I have floor compensation but not evaluate me as suture tongue release. And they never asked for x-ray to evaluate the tongue space/ mouth or. I just extract some of my adenoid. And I still have sleep disorder.
Just for your record: in my case because of core imbalance i cant lift the tongue properly. and when i improve the conection between my core and voluntary activation of it, then i can lift the tongue well
Once again, mewing n tongue posture.👏
Thank you for a great information , can I ask for the last case what have we to do when tongue space not enough, orthodontic treatment or Tongue reduction surgery?
Great question. When tongue space is an issue, there are a number of techniques we can employ for expansion; from appliance therapies and minimally invasive procedures like the MIND protocol developed by Dr. Kevin Coppelson here at TBI, all the way up to more intensive procedures such as MMA. The approach we select will depend upon the specifics of a patients case/lifestyle/goals and the experience and preferences of the provider. Hope this helps.
Who would you recommend treat/diagnose tongue ties? ENT? Dentist? etc? I need to take my son to someone who’s experienced! Please help.
I have a tongue tie but it’s not as bad the one you showed , will removing it help me mew better? I also have a lip tie , will removing my lip tie give me any benefits? I’m getting my tongue tie removed next week
What is the name of the surgery that you did, that improved his tongue range of motion, where the floor of the mouth before the surgery was lifted to compensate. And then after the surgery, the floor of mouth did not lift anymore for compensation?
What do you do when the maxillary teeth overjet so far that you can't get the dip in the ruler over the mandibular incisors to do the measurement? I've had this happen a few times and I'm like....now what?
👍🏻
What are the two little bumps that a lot of people have around the middle of their frenum?
Wharton's duct....the salivary gland under your tongue.
there are several bits of anatomy in there, depending on which you are referring to, it could be salivary ducts, or the sub-lingual caruncles.
My 3 month old baby just got diagnosed with lip tie, the ENT didn’t give me a grade but judging by the picture I think it’s a stage 3 maybe 4. She also has what he said was a very mild tongue tie. My question is if I should get both revised? or just have the lip tie revised?.
It would be impossible to give any guidance on care without a consultation and reviewing the specifics of your lil one's case. But if you are seeking support, we are happy to help, or to work with you to find a provider in your area who can!
Sir in kotlow grade 4 in 10 month age, can it be done under LA?
I have the lingual palatal suction tongue tie. Can I please have an estimated cost for this removal
Totally depends on the provider and on the complexity of your case. feel free to reach out to us at hello@thebreatheinstitute.com
hi are you in New Zealand
With LPS, I didn't read where it says what the floor of the mouth should (or shouldn't) be doing when you measure the LPS measurement. My LPS is very different if my floor rises versus if I pull it down. Where should it be for proper measurement?
Great question. The floor of the mouth should not elevate. If it does, it means you're likely engaging more muscles than necessary in order to compensate for lack of tongue mobility by pushing the tongue up with the floor of the mouth, and possibly neck muscles etc. Hope that helps.
@@TheBreatheInstitute Can tongue tie sometimes be a factor in acid reflux?
@@TheBreatheInstitute my floor of mouth elevates, it means i'm tongue tied?
I don't have a measuring device but tongue to top I can put two fingers in my mouth but it hurts. Comfortably open four and suctioned I can only fit one. Me thinks I have this.
I'll feel a bit bad, but I'm going to have to ask my dentist if she's aware of all this. I clipped a few spots and saved the posterior tongue mobility article, and I'm still at the beginning of the video. My dentist didn't mention myofunctional therapy, which has made me iffy on her. As a full-grown man, I'll have no problem doing that on my own like I have been for the last week. A few weeks of trying to mew will probably help as well.
It's hard to accept that my parents could have completely changed my life if they had known speech wasn't the only issue. I wish I would have had speech problems so it would have been taken care of.
All those horrible migraines, so bad I have to puke, my not so great posture and back pain, not reaching my genetic potential in the face department. Sucks but better late than never.
of course they don't. All of the issues in the mouth associated with mouth breating. The dentistry inndustry, the pharma companies and so the rich do not want you to be aware of the truth because all of their incomes would disappear.
Do we have to give sutures if doing frenuloplasty with laser
To be a true functional frenuloplasty, yes one must suture. We always advocate for primary intention healing in scissor and laser cases. Even more importantly, be sure to incorporate pre/post op orofacial myofunctional therapy!
@@TheBreatheInstitute for a frenectomy do you recommend laser release? Or scissors and suture? I need to get one but feel like the laser option would be best / less work?
@@bbr00tal96 thanks for your question. Choosing laser/scissors, etc is completely dependent upon the individual case, the anatomy present and the experience and skill of the provider. Dr. Zaghi quite frequently employs his lightscalpel and his scissors, both together, and individually depending upon the case.
Doc. I just did a surgery for my submandibular duct, after this surgery my tongue is very tie and i feel some hard thing in the surgery location, can you help me
Can tongue tie cause migrane...?
Hello doctor, I consulted an ENT for my tongue tie , he said it's perfectly fine. But I have a deep bite and tight neck and right trapezius pain . Also the back of my tongue does not rest on the roof of my mouth. What should I do ? Kindly guide. Thank You.
I know I have this, but in my country no one know about it.
Which country mate? We can perhaps help to Change that!
Hi Dear, I am here in jeddah Saudi Arabia. I have tongue tie and can't pronounce letter "R" properly. After surgery i will be able to pronounce R correctly. Thanks sir.
Waiting for your reply.
Speech delay in 3.5 years colud be due to tongue tie dr???
yo md relaize una cirugia para corregir el frenillo , pero quede igual de mal 😢
Can tongue tie cause acid reflux?
Yes, tongue tie has been associated with acid reflux related to inadequate oral phase preparation of food could as well as the negative intrathoracic pressure from sleep disordered breathing causes gastric contents to reflux.
How long it takes to be cured the wound sir
Thanks for the question, Wound healing is generally completed in approximately two weeks. Of course each case is unique, but that is a good average to consider.
بنتي تعاني من لسانها بسبب ربطه تحت السان
Doctor help me 🙏
Happy to help, feel free to reach out to hello@thebreatheinstitute.com
hefty price tag? its under 1000 dollars for an infant... under 600 sometimes... of course its worth it... thats not a hefty price tag lmfao... if ur that broke, u shouldnt be having a baby and u should give it up for adoption lol
Can tongue tie cause migrane...?
It can certainly contribute to them yes.