Understanding Tethered Oral Tissues (TOTS) in Breastfeeding: A Holistic and Biological Dental Perspective

The Significance of Tethered Oral Tissues (TOTS)

Tethered Oral Tissues (TOTS), specifically tongue and upper lip ties, can be significant factors affecting both infant and maternal well-being during breastfeeding. These ties, when not diagnosed and treated, can cause various complications, including poor latch, infant distress, and maternal discomfort.

The Tongue: More Than Just a Muscle

The tongue plays a critical role in multiple body systems, including respiratory, cardiovascular, and neurological systems. A tongue-tie can cause the tongue to rest in the airway, reducing oxygen flow to the brain and impacting overall development. Additionally, untreated tongue-ties can affect skeletal and oral facial development, speech, and psychological growth.

Identifying TOTS

Diagnosing tongue and upper lip ties involves a thorough examination, often starting at birth. A simple finger sweep under the infant’s tongue can detect potential issues. A shallow latch during breastfeeding can lead to difficulties such as apnea, reflux, colic, nipple damage, and failure to thrive.

Diagnostic Criteria and Classification

TOTS are classified based on the location of the lingual frenum (for tongue-ties) and the mucosal attachment of the inner lip (for lip-ties). Proper classification helps in determining the appropriate treatment and care needed to resolve breastfeeding difficulties.

Treatment and Care

Successful management of TOTS requires a multidisciplinary approach, involving lactation consultants, pediatric dentists, and other healthcare professionals. Early intervention and treatment, such as frenectomy (surgical release), can significantly improve breastfeeding outcomes. Post-surgery, parents must engage in active wound management to ensure proper healing and prevent reattachment. We recommend working with a myofunctional therapist.

Holistic Approach to TOTS

At Lotus Dental Wellness, we emphasize the importance of early diagnosis and treatment of TOTS to support overall health and well-being. By addressing these issues promptly, we aim to improve breastfeeding experiences for both infants and mothers, promoting healthier development and stronger maternal bonds. Our practice offers expert frenectomies, and our team is highly skilled in performing these procedures with the utmost care.

Conclusion

Understanding and treating TOTS is crucial for successful breastfeeding. Early diagnosis, appropriate surgical intervention, and post-operative care are essential for resolving these issues. Our practice is committed to supporting families through comprehensive care and education on the importance of oral health in overall wellness.

For more information and support, please contact our practice and schedule a consultation.

You can find that article here: TOTS-Tethered Oral Tissues The Assessment and Diagnosis of the Tongue and Upper Lip Ties in Breastfeeding