Some forms of tongue tie are very easy to diagnose and simple to spot, other variations require skilled assessment as they are often embedded and need to be diagnosed by a professional trained in diagnosing and treating Tongue Ties. There are a few ways of classifying tongue ties, we grade them into Grade I-IV or in percent, 25-100%, depending on the location of the frenulum attaching from the underside of the tongue to the gumline or floor of the mouth. Recently the knowledge about Tongue Tie has increased and luckily the number of midwifes, doctors, Health Visitors and nurses who are able to diagnose or at least suspect a tongue tie is growing, although there is still a big room for improvement and it is not standard practise to check or treat them in the hospital after birth. It is more common in boys and around 10-20% of babies will be born with a tongue tie. The baby has difficulties building up a good vacuum during the feed as well emptying the breast efficiently due to the malfunction of the tongue. However, when it is short, tight, and inelastic, extends along the underside of the tongue or is attached close to the lower gum it will interfere with the normal movement and function of the tongue and is a tongue-tie. This strand of tissue is visible when the tongue is lifted and is a normal part of anatomy. Tongue Tie occurs when tongue movement is restricted by the presence of a short, tight membrane (known as the lingual frenulum) which stretches from the underside of the tongue to the floor of the mouth.
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