Posts Tagged ‘alveolar phonemes’

Ankyloglossia 4 year old

I have a 4-year old boy who had a frenectomy last week. Now that he has had the surgery it is apparent that he does not truly dissociate his tongue from his mandible on lateral tongue movements, and has difficulty with voluntary movements such as sticking out his tongue, using his tongue to clean around his lips, etc.

A 4 year old with Ankyloglossia

Post frenectomy, the goals include being able to move the tongue horizontally (in and out) without touching the lower lip or teeth or seeing any lip involvement. I recommend 3Way Mouth Props as the tool to keep the mandible stable as the client learns the movement/excursion. Then the prop is slowly removed. Also, the client should be able to move from lip corner to lip corner, again without any extraneous mandibular movement.