Tongue Thrusting Causes and Treatments

Among children, one common explanation for the development of misaligned teeth is the habit of "tongue thrusting." It occurs when the child moves the tongue forward and pushes it outward towards the front teeth. The habit can develop as part of the actions involved with swallowing, sleeping, or when the child is at rest. 
It may contribute to both speech and orthodontic problems. Tongue thrusting is most prevalent in children between the ages of 5 and 8 years old. In the US, it is estimated that between 70 and 80 percent of children go through a tongue thrusting phase.

A number of causes have been cited for contributing to the development of this habit. Some of the most prevalent explanations are thumb sucking, mouth breathing, genetics, tongue size, and the presence of muscular abnormalities. Once the diagnosis of tongue thrusting has been made, there are two preferred treatments.

1. Therapy - A dental professional or speech pathologist will work with the patient to help re-educate the muscles of the tongue in an effort to break the habit. A regime of therapy and exercises will be designed to correct the problem.

2. Custom appliance - Although this method has not been as successful as the therapeutic approach, some individuals may benefit from the use of a specially made appliance. It serves to re-train the individual to limit the tongue thrusting habit by holding the tongue slightly back and down.

If you are concerned that your child has or may be developing this habit, Dr. Melcher will be happy to discuss the diagnostic and treatment process. Please call our office today to schedule a consultation: 919-782-0548