The American Academy of Pediatrics raised concerns about the overdiagnosis and overtreatment of tongue-ties in infants in the United States. The condition, known as ankyloglossia, can impact breastfeeding and often leads to surgeries involving the cutting of tongue tissue, which the academy believes may be unnecessary in many cases.
Dr. Maya Bunik, a co-author of the report, described the situation as nearly an epidemic, with an estimated annual count of over 100,000 infants undergoing surgery for tongue-tie. The report advocates for exploring nonsurgical alternatives to address breastfeeding difficulties, emphasizing that not all infants exhibiting tongue-tie characteristics struggle with breastfeeding.
Ankyloglossia occurs when a newborn has restricted tissue connecting the tongue to the mouth floor, making it challenging for them to properly breastfeed. Early intervention is crucial in establishing successful breastfeeding within the first few weeks. Nevertheless, the rise in tongue-tie diagnoses globally lacks standardized diagnostic criteria and treatment approaches.
While some healthcare providers use scissors to address tongue-tie, others opt for lasers, with costs sometimes exceeding $800. However, such procedures can cause pain and discomfort in infants, potentially hindering breastfeeding attempts. Dr. Jennifer Thomas, a Wisconsin pediatrician involved in the report, emphasized the need for careful evaluation and collaboration among medical professionals to determine the most appropriate treatment for each case.
Medical organizations such as the American Academy of Otolaryngology-Head and Neck Surgery and the Academy of Breastfeeding Medicine have also expressed concerns about the management of tongue-tie cases. Suggestions for further research into treatment methods and the importance of a comprehensive, team-based approach to decision-making have been highlighted. Additionally, the American Dental Association emphasized the need for caution in recommending surgical interventions for all cases of ankyloglossia.
One parent, Haley Brown, shared her experience of seeking treatment for her son’s tongue-tie and lip-tie issues. After turning to a dentist for a laser procedure, she noticed immediate improvements in breastfeeding but later realized that a simpler solution might have sufficed. Brown’s case underscores the importance of consulting with healthcare professionals before opting for surgical interventions in addressing tongue-tie concerns in infants.
