The only way to identify the posterior tongue-tie is by looking in the mouth. It will take two people to do this, at least one who the baby knows and trusts. Be sure that the person who is manually investigating the tie has washed his hands thoroughly and, if possible, is wearing gloves.
- The first person—who the baby knows best—should hold the baby in her lap so that they are facing each other. That person will be in the baby’s line of sight the whole time.
- Have the first person lay the baby’s head into the second person’s lap so that the baby is facing upwards.
- Do not forcefully enter the baby’s mouth. Tap her chin and wait until she opens her mouth and allows you to enter.
- After baby has opened her mouth, insert one index finger into the baby’s mouth and then the other, with one on each side of the tongue.
- Put one finger under the tongue on each side.
- Press your fingers slightly deeper into the tissue under the tongue and then lift the tongue toward the roof of the mouth.
- If there is a posterior tongue-tie, it will appear as a white, fibrous band in between your fingers with restricted upward mobility.
If you think you have identified a posterior tongue-tie in your child, then you need to be your child’s advocate and find a provider who understands the importance and is skilled in treating tongue-ties. Our office keeps open appointment space for the express purpose of releasing ties at short notice.