Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues

Ep 350: Sleep Struggles This Season? The Surprising Role of Tethered Oral Tissues

In this episode, Hallie Bulkin discusses the complexities surrounding tethered oral tissues, specifically tongue ties, lip ties, and buckle ties. She emphasizes that not all ties require surgical release and that the decision should be based on functional impacts such as speech, feeding, and sleep.

Hallie highlights the importance of thorough evaluations and the role of therapy in determining the necessity of a release. She advocates for a patient-centered approach, considering individual goals and the overall impact on health and function.

In this episode, you’ll learn:
✔️Not all ties need to be released; it depends on function.
✔️Function is the key driver in determining the need for release.
✔️Research is often behind clinical practice by about 17 years.
✔️Therapy can sometimes eliminate the need for a release.
✔️Evaluations should focus on how tethered tissues impact daily life.
✔️Compensatory strategies can mask the need for a release.
✔️Patient goals should guide treatment decisions.
✔️Open mouth posture is a significant indicator for evaluation.
✔️Therapy before and after release is crucial for success.
✔️Individualized treatment plans are essential for optimal outcomes.

KEY TIMESTAMPS:

01:16 The Core Truth: Not Every Tie Needs to Be Released
02:30 Why Function (Not Appearance) Drives the Decision
03:14 Impact Areas: Sleep, Breathing, Airway, Feeding, and Speech
04:40 The Crucial Role of Pre- and Post-Op Therapy for Best Outcomes
06:07 Why Clinical Experience is Ahead of Published Research
07:24 The Evidence-Based Practice Triangle (Research, Clinical Experience, Patient Values)
14:32 Connection Between Tongue Tie (Ankyloglossia) and Pediatric OSA
15:29 The 3-Step Treatment Framework: Assessment, Palate Size, Airway/Space First
25:48 Episode Recap: 5 Key Takeaways
26:14 Recommended Resources (Tongue Tie Series Books)
28:40 Myofunctional Therapy Training and Resources for Professionals

RELATED EPISODES YOU MIGHT LOVE
Episode 200: Functional Impact: When A Tongue Tie Is ACTUALLY A Tongue Tie : https://podcasts.apple.com/us/podcast...
Ep 348: Airway Dentistry Demystified: Kassi Klein on Tongue Ties, Sleep Apnea & Childhood Development : https://podcasts.apple.com/us/podcast...

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