Blog Post

What is Tongue Thrusting: Understanding the Impact on Dental Health

Dr Alex Silman • Oct 17, 2023

Did you know that a simple habit like tongue thrusting can have a profound impact on your dental health? In this blog post, we will go into “what is tongue thrusting understanding the impact on dental health”, its causes, symptoms, and treatment options. So, buckle up and get ready to explore this fascinating topic that affects so many people worldwide.


Key Takeaways


  • Tongue thrust is a condition that can cause dental and speech complications if left untreated.


  • Early detection, breaking bad oral habits, and encouraging correct swallowing and speech habits are essential for preventing tongue thrust.


  • Expert treatment of tongue thrust is available from Dr Silman to address any related dental health issues.


Defining Tongue Thrusting


Tongue thrust, a condition where the tongue pushes against the teeth, can lead to a wide range of dental complications. This seemingly innocuous action can be classified into primary or secondary tongue thrust, as well as normal or abnormal tongue movement.


Primary tongue thrust occurs when the tongue exerts pressure against the teeth during regular activities like speaking, eating, or tongue thrust swallowing


Primary vs. Secondary Tongue Thrust


Infants typically exhibit primary tongue thrust, a natural reflex, up until they are about 4 to 6 months old. However, secondary tongue thrust can develop later in life due to factors such as loss of primary teeth, eruption of permanent teeth, or prolonged digit-sucking habits.

If untreated, certain triggers can cause a transition from primary to secondary tongue thrust, potentially leading to dental and speech complications.


Normal vs. Abnormal Tongue Movement


Adequate swallowing and speech require normal tongue movement, which is facilitated by proper functioning of the tongue muscles. However, abnormal tongue movement, such as tongue thrust, can result in misaligned teeth, dental arches, and even speech impediments.

Identifying tongue thrust and pursuing suitable treatment methods are crucial in maintaining excellent dental health and proper speech.


The Causes of Tongue Thrust


Tongue thrust can be caused by hereditary factors, such as genetics, or environmental factors, such as allergies and the tongue thrusting habit.


Comprehending the underlying causes of tongue thrust aids in formulating efficient prevention and treatment strategies.


Hereditary Factors


Certain genetic components may predispose individuals to tongue thrust, making them more susceptible to this condition.


However, environmental factors can exacerbate tongue thrust, ultimately leading to more severe dental and speech issues, potentially caused by an enlarged tongue.


Thus, in addressing tongue thrust, both hereditary and environmental factors merit consideration.


Environmental Factors


Allergies, thumb sucking, and other oral habits can contribute to the development of tongue thrust. Allergies can cause chronic swelling of the adenoids and tonsils, leading to a retained infantile swallow and tongue thrust habit.


Prolonged thumb sucking can also lead to dental issues, such as open bites, which in turn can contribute to tongue thrust development. Confronting these environmental factors can aid in tongue thrust prevention and treatment.


Symptoms and Effects of Tongue Thrust on Dental Health


The consequences of tongue thrust can be detrimental to dental health, potentially leading to malocclusions, speech impediments, and temporomandibular joint issues.

Maintaining good dental health necessitates the recognition of these symptoms and pursuit of suitable treatment.


Malocclusions


Tongue thrust has been correlated with malocclusions, particularly open bite or overjet malocclusions. The constant pressure of the tongue on the teeth can lead to misaligned teeth and bite problems, making it difficult to maintain proper oral health.


Speech Impediments


Improper tongue positioning during speech can result in speech impediments, such as lisping or difficulty articulating certain sounds.


Utilizing speech therapy or other treatment options to address tongue thrust can enhance speech clarity and overall communication.


Temporomandibular Joint Issues


Abnormal tongue movement and pressure on the jaw may result in temporomandibular joint (TMJ) issues. TMJ problems can cause:


  • Jaw pain
  • Headaches
  • Difficulty chewing
  • Clicking or popping sounds in the jaw
  • Locking of the jaw


These complications further emphasize the importance of addressing tongue thrust.


Diagnosis and Assessment of Tongue Thrust


Dentists, orthodontists and speech and language therapists must collaborate to properly diagnose tongue thrust. This is due to the multidisciplinary approach required for this kind of assessment. These professionals can pinpoint and confront the root causes of tongue thrust through oral examinations and evaluations of speech and swallowing.


Treatment for tongue thrust typically involves a combination of speech therapy and orthodontic treatment.


Oral Examinations


Oral examinations help identify signs of tongue thrust, such as misaligned teeth and bite problems. Dentists can evaluate the patient’s bite, observe the orofacial posture at rest, and assess swallowing patterns to determine the presence of tongue thrust.


Dentists can detect the signs of tongue thrust and decide the optimal course of action through an oral examination.


Speech and Swallowing Evaluations


The tongue’s function and movement during speech and swallowing are evaluated through speech and swallowing assessments. Speech-language pathologists can identify any abnormal tongue movements or postures that may signify tongue thrust, allowing for an accurate diagnosis and suitable treatment plan.


Treatment Options for Tongue Thrust


Tongue thrust can be treated through various methods, including orofacial myofunctional therapy, orthodontic devices, and speech therapy. These tongue thrust treatment options focus on retraining the tongue and oral muscles, correcting dental issues, and addressing speech impediments.


Orofacial Myofunctional Therapy


Orofacial myofunctional therapy focuses on retraining the tongue and oral muscles for proper function. This therapy can help:


  • Correct tongue posture
  • Promote normal swallowing patterns
  • Improve overall dental health
  • Improve speech


Orthodontic Devices and Appliances


Orthodontic devices and appliances can help correct dental issues caused by tongue thrust. These devices, such as tongue thrust appliances or tongue cribs, create a barrier that redirects the tongue’s position and promotes proper swallowing and resting posture.


Speech Therapy


Speech therapy addresses speech impediments related to tongue thrust. By improving tongue posture and muscle control, speech therapy can help individuals overcome the challenges associated with tongue thrust and enhance their overall communication skills.


A speech therapist’s assistance can enable individuals to manage their tongue better and enhance their abilities.


Prevention Strategies for Tongue Thrust


Preventing tongue thrust involves early detection, breaking bad oral habits such as mouth breathing, and encouraging correct swallowing and speech habits by keeping the tongue forward.


Individuals can maintain optimal dental health and steer clear of complications tied to tongue thrust by confronting these factors.


Early Detection


Early detection of tongue thrust allows for timely intervention and treatment. Regular dental check-ups and monitoring of children’s eating habits can help identify tongue thrust before it develops into more severe dental issues.


Prompt intervention can stave off the progression of more critical dental issues like malocclusion, anterior open bite, and problems with posterior teeth.


Breaking Bad Oral Habits


Breaking bad oral habits, such as thumb sucking, can help prevent the development of tongue thrust. Addressing these habits early on can promote proper tongue posture and prevent the onset of dental and speech issues.


Encouraging Correct Swallowing and Speech Habits


Promoting normal tongue movement and functionality involves fostering adequate swallowing and speech habits. By reinforcing appropriate habits, individuals can avoid the complications associated with tongue thrust and maintain optimal dental health.


Having Trouble With Your Dental Health? Go To Dr Silman Today!


If you’re experiencing dental health issues related to tongue thrust, visit Dr. Silman today for expert care and treatment options. Dr. Silman specializes in the treatment of tongue thrust and other related dental health matters, ensuring you receive the best care possible.


Don’t let tongue thrust affect your smile - schedule an appointment with Dr. Silman today!


Summary

In conclusion, tongue thrust is a condition that can have significant consequences on dental health, speech, and overall well-being. By understanding the causes, symptoms, and treatment options, individuals can take the necessary steps to address and prevent tongue thrust. Remember, proper oral health is essential for a confident and radiant smile!


Frequently Asked Questions


How does tongue thrusting affect teeth?


Tongue thrusting can contribute to bite problems, such as overbite, underbite, or crossbite, resulting in labial inclination of incisors, open bite and spacing problems.


What is tongue thrust in dentistry?


Tongue thrusting is a habit of pushing the tongue against or between the teeth when swallowing, leading to incorrect positioning of the tongue.


Can tongue thrusting cause tooth loss?


Tongue thrusting can cause misalignment of the teeth and an open bite, making anterior teeth more vulnerable to periodontal and traumatic tooth loss. As a result, it can lead to tooth loss over time.


What are the effects of tongue thrusting on periodontium?


Tongue thrusting causes an increased force from the tongue musculature on the incisors and canines, leading to displacement and periodontal loss of the anterior teeth. This can also lead to a flaring of the teeth, making them more susceptible to damage.


How is tongue thrust diagnosed?


Tongue thrust is typically diagnosed with a multidisciplinary approach including dentists, orthodontists, and speech and language therapists.


Featured Photo by Yahor Urbanovich on Unsplash

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