Tongue-Tie in Children: Clinical Controversies and a Comprehensive Review
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This review examines the ongoing controversy surrounding the treatment of tonguetie, particularly the lack of evidence supporting the long-term efficacy of diagnosis and surgical intervention (tongue-tie release). It identifies the need for further research to support evidence-based practice and proposes a multidisciplinary, function-centered treatment approach. Furthermore, it explores various theories and causes of tongue movement restriction in children, including neurological, muscular, structural, acquired, and functional factors that must be differentiated from tongue-tie.
Abstract
This review examines the ongoing controversy surrounding the treatment of tonguetie, particularly the lack of evidence supporting the long-term efficacy of diagnosis and surgical intervention (tongue-tie release). It identifies the need for further research to support evidence-based practice and proposes a multidisciplinary, function-centered treatment approach. Furthermore, it explores various theories and causes of tongue movement restriction in children, including neurological, muscular, structural, acquired, and functional factors that must be differentiated from tongue-tie.