What is an Oral Dysfunction clinic and how is it different to a Tongue tie clinic?
Oral dysfunction refers to a range of issues affecting the function of the structures within the mouth. These can include problems with the jaw, tongue, or other oral muscles that can lead to difficulties in feeding.
Addressing oral dysfunction often involves a multidisciplinary approach. This may include assessments by lactation consultants, speech therapists, craniosacral therapists, tongue tie practitioners, myofunctional therapist and pediatricians. Early diagnosis and intervention are key to improving outcomes. Engaging with experts in infant feeding support can provide tailored strategies to manage these challenges effectively and collaborate care.
What Causes Oral Dysfunction
Oral dysfunction can result from several factors, including:
- Tongue ties
- High/narrow/bubble palates
- Recessed jaws
- Plagiocephaly
- Delayed muscle coordination
- Neurological conditions
- Torticollis
- High or low muscle tone
- Environmental factors, such as in-utero positioning, birth trauma, C-section, or rapid birth
Accurate diagnosis and identification of these causes are essential to developing tailored treatment plans. These may involve exercises, therapeutic interventions, or surgical procedures like frenulotomy. An incorrect diagnosis can lead to ineffective treatment.
What is the difference between an oral dysfunction clinic and a tongue tie clinic?
At an oral dysfunction clinic with The Natal Network necessitates a comprehensive evaluation, encompassing both physical characteristics and functional movements.
- Visual Inspection: This step involves examining the frenulum under the tongue, the positioning of the jaw, the shape of the oral palate and head, positional stance, and identifying signs of oral compensation such as sucking blisters.
- Functional Assessment: This includes evaluating tongue function, feeding capabilities, developmental progress, and assessing muscle tone and tension.
- Parental Feedback: Gaining insight into the challenges faced during feeding is essential, alongside collecting a detailed history of pregnancy, birth, and medical background.
- Professional Evaluation: The practitioner will integrate all gathered information to identify and formulate a treatment plan. Signposting to the most appropriate member of the multidisciplinary team as indicated.
While a tongue tie clinic focuses primarily on identifying and treating tongue ties, an oral dysfunction clinic takes a broader approach, assessing a range of factors that may affect feeding, oral movement, and function.
Tongue ties can be a key contributor to oral dysfunction, but similar symptoms may also result from alternative diagnoses. A comprehensive oral dysfunction assessment ensures that these are explored, not just tongue tie, allowing for more targeted and effective support.


