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Measuring Tongue-Tie

Download my app for a few free exercises. To get access to all the exercises please contact me for an assessment at Head Shoulders Teeth & Tongue. There are a few ways to measure ankyloglossia or tongue-tie. Today I will go over the latest method. There are additional thins we look for. Such as how much does a person strain to get their tongue to do what we ask, but that is a little difficult to measure. Once a tongue-tie is diagnosed we then discuss whether or not to do anything about it. Getting a Cone Beam Cat Scan and answering the questions below are important in the process of deciding if we do anything about it. 1: TRADITIONAL SCREENING QUESTION https://drlamberg.com/lamberg-questio... Do you awaken unrefreshed or feel sleepy during the day due to restless sleep? Is your snoring loud enough to disturb others? Have you been aware of your snoring for a long time? Have you been told your breathing stops while asleep? Do you ever wake yourself from sleep feeling that you are choking? Have you ever had a sleep study? Have you tried CPAP? Was the pressure more than 10.5 cm? Y/N Is your BMI more than 27? Is your neck more than 17" for a man, or more than 15.5" for a woman? Do the edges of your tongue have a scalloped pattern? 2: CARDIOLOGY & VASCULAR MEDICINE Do you have high blood pressure or take medicine for hypertension? Have you been diagnosed with CAD, stroke, congestive heart failure, Afib, or other heart health issues? Do you have a pacemaker? Do you have elevated total cholesterol levels? 3: PULMONOLOGY Have you experienced difficulty breathing during the day? Do you have shortness of breath, even with mild exertion? Have you been diagnosed with COPD, asthma, or pulmonary hypertension? Is asthma worse at night? Do you have a chronic cough, either dry or productive? 4: GASTROENTEROLOGY Have you or your dentist noticed erosion on molars? Do you experience heartburn or acid reflux at night or when you awaken in the morning? Do you take heartburn medications, either prescription or OTC? 5: NEUROLOGY Do you experience numbness, tingling or pain in your feet or hands or head? Do you ever experience leg cramps at night? Do you ever experience muscle weakness or dizziness or difficulty with coordination? Have you ever been diagnosed with Alzheimer's or dementia? 6: ENDOCRINOLOGY Have you been diagnosed with diabetes or hypothyroidism? Have you unexpectedly gained or lost weight lately? Have you gone through menopause? Are you on HRT? Have you been diagnosed with low testosterone? Do you experience repetitive limb movements or jerks in sleep, urges to move legs, night sweats, or leg cramps? 7: OTOLARYNGOLOGY Do you have difficulty breathing through your nose? Do you experience a dry mouth upon awakening? Do you have allergies that make nasal breathing difficult? Is postnasal drip a frequent problem? 8: UROLOGY Do you experience erectile dysfunction? Do you experience decreased interest in sex or have you taken medications to enhance sexual performance? Do you ever leak urine involuntarily? Do you have to urinate several times at night, or have you been diagnosed with BPH? 9: DENTISTRY Do you grind your teeth while sleeping? Do your front teeth have a worn look? Have you had jaw muscles or joint pain, ringing in your ears, vertigo, or dizziness? Have you been diagnosed with periodontitis/gum disease? Are your teeth crowded or crooked or jaws misaligned? 10: PSYCHOLOGY & PSYCHIATRY Are you irritable upon waking in the morning? Do you experience insomnia? falling asleep or maintaining sleep Do you experience depression, PTSD, memory, or concentration problems? Do you take medications for any of these conditions? 11: RHEUMATOLOGY Have you ever been diagnosed with gout? Have you ever been diagnosed with rheumatoid arthritis? 12: DERMATOLOGY Have you been diagnosed with atopic dermatitis or eczema or psoriasis?13: OPHTHALMOLOGY Have you been diagnosed with floppy eyelid syndrome, chronic eye irritation, dry eye syndrome, glaucoma, nonarteritic anterior ischemic optic neuropathy, papilledema, keratoconus, central serous chorioretinopathy, or macular edema? Are you taking antivascular endothelial growth factor medications for retinal disease? 14: CHRONIC PAIN Do you often wake up with headaches or have chronic headaches? Do you experience any chronic pain anywhere in your body? Do you take medications for pain on a daily basis? 15: HEPATOLOGY Have you ever been diagnosed with nonalcoholic fatty liver disease? 16: ONCOLOGY Have you ever been diagnosed with cancer? 17: OBSTETRICS/GESTATIONAL In prepregnancy: Are you 35 or older or is your BMI more than 25? Are you more fatigued, experience nasal congestion, or have frequent snoring? Has your BP or blood sugar increased significantly? 18: NEPHROLOGY Have you been diagnosed with kidney disease? Answer Yes to 4 or more questions =high risk. This is an educational video only.