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How is a Tongue Tie Associated with Obstructive Sleep Apnea in Children?

Writer's picture: Rachel IntrieriRachel Intrieri

Healthy facial development is significantly influenced by the position of the tongue.


Dental Arch and tongue influence
Dental Arch and the Tongues Influence

A tongue tie, or restrictive tissue beneath the tongue, can limit its movement. This restriction prevents the tongue from resting on the roof of the mouth, which is crucial for proper development. When children grow with this constant pressure from the tongue, they typically develop a wider, flatter palate and larger nasal sinuses. In contrast, without the pressure of the tongue, the palate and nasal cavity can become narrow, leading to breathing difficulties.


The benefits of a wide palate vs. a narrow palate
Palatal Width Comparison

Poor development compared to proper development
Nasal Passage Development


Early identification of tongue tie and treatment of the tongue's resting posture, with a myofunctional therapist, can effectively address orofacial growth issues. Therapy can begin as early as age 4. The earlier a therapist restores normal function, the more effectively developmental challenges can be managed.


Common symptoms can include: open mouth posture, non-nutritive sucking habits, bedwetting, snoring, clenching or grinding, noisy breathing, delayed speech or speech difficulties, enlarged tonsils, and behavioral issues. Monitor your child for symptoms and call with any questions or concerns.


To read more about a tongue tie and obstructive sleep apnea in children, click the link below.




Huang, Y., Quo, S.D., Berkowski, J.A., & Guilleminault, C. (2015). Short Lingual Frenulum and Obstructive Sleep Apnea in Children.https://www.semanticscholar.org/paper/Short-Lingual-Frenulum-and-Obstructive-Sleep-Apnea-Huang-Quo/4b51b35700243a04c611b8e25979c62e840e8220

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