Tip II Anterior Tongue Tie
In the new classification of tongue tie, tongue ties are grouped as type I, II, III according to their location from the tongue to the back and grouped as anterior tongue tie and type IV, classified as posterior tongue tie or submucosal tongue tie.
Type II anteror tongue tie is a type of tongue tie that does not reach the tip of the tongue and causes the tongue to swell in the frontal region when the tongue is lifted upwards.
Due to the inability of the tongue tip to contact the inner surface of the posterior teeth, gum stones and gum disease may appear on the inner surfaces of the posterior teeth.
During the examination, it can also be seen that during the upward movement of the tongue, tongue depression occurs, tongue tongue and tongue tip, which are tense during the lifting of the tongue tip, can be removed in front of the lower lips. During the examination, it can also be seen that the tongue tip can be removed in front of the lower lips.
In patients with type II and type III tongue ties, the tongue tie may be detected later and the effects on speech, oral hygiene and nutrition are less pronounced since the restriction of tongue movements is not as much as Type I tongue tie. Stress when saying certain words may cause the expression of difficulty in speaking during adulthood.
When tongue tie is assessed, manual examination should also be done. While fore-tongue ligaments (Type I, II and III) can be seen; posterior tongue tie can only be understood during manual examination.
In patients with Type II anterior tongue tie, tongue tie operation is usually sufficient for treatment. The procedure can be performed under local anesthesia and in office conditions in infants and young adults aged 6 months.
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