Reply to Tongue tie, 10 yr old

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[quote=Anonymous]I had a tongue tie clipped in late elementary and remember it. I had my DDs tongue tie clipped at 1 mo. I pushed back on recommendation to have it clipped again around 1st grade at same time DD was in speech therapy.

Here’s my story and two cents FWIW:

I could speak fine but could not lick an ice cream cone normally or stick out my tongue at kids normally and was embarrassed. I said the pulling on bottom of my mouth was irritating but I’m not sure it was. Memory is too old but I’m certainly sure I cared socially. It was no big deal to me at the time and I got ice cream after the procedure and it healed quickly - maybe same day.

DD and I had some latch issues and since I’d had a bad tongue tie, I didn’t need persuading at 1 month. Easy time to do it no regrets although I’m not convinced the entire problem wasn’t incurable thrush (thanks low estrogen in post partum!)

DD, now 8, had trouble with tons of sounds obvious from age 4/5 but it was COVID and masks didnt help. DH was able to use YouTube to figure out how to teach her a bunch himself - it was crazy covid times. BUT by end of COVID, she was still clearly struggling with S sounds and lateral lisp. School did annual evaluation by speech therapist as courtesy and school therapist identified problems each year with less problematic sounds each year.

Along the way we talked to dentist at regular cleanings. We had regular dentist suggest a narrow upper palate was an issue and not a tongue tie. We asked speech therapist to work with DD while we continued to work with dentists / orthos and therapist refused on the basis of the tongue tie needing to be fixed first although I think it was actually her way of putting us off bc she was busy. We ended up getting our dentist option, a pediatric dentist opinion, and an ortho opinion. All said the tongue tie was kinda tight but not really (skin can grow back after being cut first time) but they all agreed it was high palate causing issues. Clipping a tongue tie is not risky really but it’s possible to snip too much and make speech issues worse. To treat high palate, we had to wait for molars to grow in.

I asked school therapist - on the basis of 3 dentist/ortho recommendations - to work with daughter until molars grew in and we could treat high palate. She refused. Wrote a nasty eval at the latest school eval that parents were ignoring treatment of tongue tie. I was livid.

Post-Covid lot of kids had speech issues from masks and delayed treatment so it was hard to find someone but I found a great speech therapist (I had to take off work middle of day to make it work, of course), but she was great and she and ortho coordinated beautifully on treatment. I asked both good speech therapist and ortho what was up with school speech therapist insisting tongue tie get clipped and they said some folks are often just insistent on that procedure for poor reasons. DD spent about 4 months in speech therapy and made good progress. We stopped speech therapy when DDs molars grew in and we could address high palate. Speech has been excellent since.

So as much trouble as it is, I’d get second options. Medical care is just what it is in this country. Second opinions for everything.

So yes, as much as the procedure is no big deal (I had it and DD did at 1 month), you need to identify the root of the problem. I think tongue ties can be a scapegoat. I’d get multiple options and follow the advice.

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