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Baby’s tongue sticking out of her mouth.

Sunday, 30 March 2014 / Published in Dental Hygienist, Dentists, Orofacial Myologist, Orthodontist, Parents, speech languge pathologist, Therapists, Uncategorized

Baby’s tongue sticking out of her mouth.

Hello, I got your name from a web search on “tongue thrusting” I am a nurse practitioner in a small rural community in Illinois. Today I saw a Mexican American baby 2 1/2 months old that frequently but not always has her tongue sticking out of her mouth. It reminds me of a Down’s baby, but she has no other Down Syndrone characteristics.  Should I be concerned? (The Mom is concerned). She is healthy, and friendly. Thanks! L. APN, CPNP

Hi L, There can be many possible causes of why a baby that young carries her tongue outside her mouth.  Some possibilities might include any of the following:

  • Tongue tie/ankyloglossia (if you see an actual “tip” then it would not be this)
  • Respiratory reasons: allergies, congestion, infection/sinusitis, nasal blockage
  • Large nipple on bottle which displaces tongue downward and forward away from the natural location on ridge behind upper front teeth
  • Some type of syndrome (that might cause enlarged tongue or small oral cavity, etc.)
  • Engorged breast, if nursing
  • Certainly any sucking habits such as thumb, fingers, pacifier…these all displace tongue to an abnormal position when tongue is at rest

Offhand, these came to mind.  If a child is still  showing a “thrusting” pattern at around three years of age, it is probably not going to go away without intervention.  Sometimes it results in a lisp or other type of imprecise articulation and sometimes it might cause an open bite, etc. Hope this is helpful, even if it helps you rule out things. Sandra  

Tagged under: ankyloglossia, Large nipple on bottle, nasal blockage, tongue sticking out of the mouth

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