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Tongue-tie may be overdiagnosed, overtreated

Tongue-tie is a condition characterized by a tight or short band of tissue tethering the bottom of the tongue’s tip to the floor of the mouth. The condition affects infants and can impact breastfeeding. When diagnosed, clinicians often use scissors or lasers to remove some of the infant’s tongue tissue.

According to an Associated Press story based on an analysis published in Otolaryngology–Head and Neck Surgery, “tongue-tie is being overdiagnosed in some places and … there isn’t sufficient evidence to support claims that using lasers is superior to other techniques.” As a result of treatment, some infants may be discouraged from breastfeeding because of pain and sore mouths.

The ADA supports a 2022 policy statement by the American Academy of Pediatric Dentistry, stating that not all infants may need to undergo surgical interventions.

The American Academy of Pediatrics urged pediatricians and other clinicians to perform nonsurgical treatments to resolve breastfeeding issues. They noted that less than 50% of infants diagnosed with tongue-tie may have difficulties breastfeeding. Further, pediatricians should collaborate with lactation experts, surgeons and parents to determine the best treatment options.

Read more: Associated Press

The article presented here is intended to inform you about the broader media perspective on dentistry, regardless of its alignment with the ADA's stance. It is important to note that publication of an article does not imply the ADA's endorsement, agreement, or promotion of its content.


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