A Gentler Approach to Tongue Function & Facial Development

“When we see restricted tongue function,” explains Dr. Taylor, “the first instinct might be to assume there’s a structural problem that needs to be cut.” That solution is called a frenectomy, but it also goes by the name of tongue-tie release. It’s a surgical procedure to release the band of tissue that connects the tongue to the floor of the mouth.

Frenectomy has become increasingly common for kids with feeding difficulties, speech delays, or other signs of restricted tongue movement. Growing concerns about overdiagnosis have led some to wonder whether the procedure is now being done a little too often.

But what if that’s looking at the problem from the wrong angle? What if we focused on root causes instead rather than surgical solutions?

“Often,” Dr. T continues, “what we’re really seeing is fascial tension that’s preventing normal movement and development. In these cases, releasing that tension can restore function without any surgical intervention.”

The distinction between a true structural tongue-tie and fascial restriction is crucial. Yet it’s often overlooked in the rush to diagnose and treat. A true tongue-tie involves a shortened or thickened lingual frenulum. Fascial restriction involves the broader network of connective tissue.

Think of the fascia as a very thin web of tissue that wraps around muscles, organs, and other structures throughout the body. When it becomes tight or restricted, it can limit normal movement and function – even when the underlying structures are perfectly normal themselves. Think of it like wearing a shirt that’s too tight. Your arms and shoulders are fine, but the fabric keeps you from moving freely.

Fascial restrictions can develop as early as in the womb, influenced by positioning, birth trauma, or other factors that can affect how the connective tissues develop and function. If it’s treated as a tongue-tie, surgery may provide temporary improvement, but because the root cause has not been addressed, the underlying tension patterns remain. This can lead to reattachment, continued functional problems, or the need for repeat procedures.

When the state of the fascia is the real issue, one particularly effective treatment is a gentle light therapy called Oralase. Unlike surgical cutting, Oralase works with the body’s natural healing mechanisms to release tension and promote healthy tissue function.

Oralase uses specific wavelengths of light to penetrate the tissues and stimulate cellular processes that can help relax fascial restrictions. The therapy is completely noninvasive, painless, and can be used safely in patients of all ages. There’s no cutting, no trauma, and no recovery period. Children can receive treatment and immediately return to normal activities.

Successful treatment means the tongue – which Dr. T calls “a natural architect of facial development” – will be able to move as it was designed to move. This movement is key, as the tongue affects more than just feeding and speech. Its movement and rest patterns affect things like breathing habits, facial growth – even posture.

If you’re eager to dive deeper into these concepts and learn more about Oralase, you’ll definitely want to check out the following episode of Dr. T’s podcast, Your Mouth Matters. She and her guest, veteran myofunctional therapist Lily Corley talk all about how fascial restrictions develop, how they affect overall health and development, and how innovative approaches like Oralase fit into a comprehensive treatment plan. They also share their clinical experiences and valuable insights for parents dealing with feeding, breathing, or developmental concerns.

Give it a listen now!