Welcome back to Save Your Money, Save Your Teeth. In this episode, Eon Engelbrecht speaks with Dr Clifford Yudelman about a topic that many people associate with babies or children, but which can still matter a great deal in adulthood: tongue tie, tongue posture, and the growing online fascination with mewing. They explore how restricted tongue movement may affect speech, swallowing, jaw and neck tension, gum recession, tooth position, and even airway health. They also separate evidence from hype, especially when it comes to social media claims about facial reshaping, and explain why proper diagnosis looks at function, not just appearance. 10 Questions and Summary Answers [1:24] What is a tongue tie, and how is it diagnosed in adults? A tongue tie, or ankyloglossia, is a restriction caused by the tissue attaching the tongue to the floor of the mouth. In adults, diagnosis is based less on how it looks and more on how the tongue functions, especially whether it can elevate properly to the palate, move side to side, and extend without strain. [4:33] How can a tongue tie affect speech, swallowing and neck tension? Because the tongue is central to speech, swallowing and posture, restricted movement can force other muscles to compensate. That can contribute to speech fatigue, altered swallowing, jaw tension, neck discomfort and, in some cases, headaches or TMJ-type symptoms. [6:36] Where should your tongue rest in a healthy mouth? Ideally, the tongue should rest gently on the roof of the mouth, with the tip just behind the upper front teeth while breathing through the nose. This supports better jaw balance, helps reduce strain on the chewing muscles, and may support healthier airway function. [8:30] Can a tongue tie contribute to gum recession or gaps between teeth? Yes, it can be a contributing factor. A restricted tongue may push forward or downward during swallowing, which can put pressure on the lower front teeth and, over time, contribute to recession or spacing. It is usually not the only cause, and treatment is often part of a broader plan. [9:42] What is a frenectomy, and is it painful for adults? A frenectomy is a procedure that releases the restrictive frenulum to improve tongue mobility. In adults it is often done with a laser, and with local anaesthetic the procedure itself is usually described as pressure rather than pain, with relatively mild short-term discomfort afterwards. [11:48] How does laser technology change tongue tie treatment? Laser treatment allows for more precise cutting, less bleeding, better visibility during the procedure, and often a smoother initial recovery. It does not replace proper diagnosis or therapy, but it can make the release more controlled and more comfortable. [12:47] What is mewing, and is there scientific truth behind it? Mewing is tongue posture training associated with John Mew and Mike Mew. Better tongue posture and nasal breathing may support oral and airway health, but there is not strong scientific evidence that mewing can significantly reshape an adult face or replace orthodontic treatment. [15:36] Is tongue posture related to sleep apnoea and airway health? Yes, tongue posture can influence airway behaviour, especially during sleep. A low tongue posture may allow the tongue to fall backwards and contribute to obstruction, but improving tongue posture alone is not a cure for sleep apnoea. [17:18] Do patients need myofunctional therapy before or after a tongue tie release? Often, yes. Myofunctional therapy helps train tongue strength, coordination and posture. It can prepare the muscles before treatment and help patients use their improved mobility properly afterwards, rather than relying on the release alone. [18:32] Can releasing a tongue tie help with headaches or migraines? Only in selected cases. If headaches or facial tension are linked to chronic muscular compensation from restricted tongue movement, a release combined with therapy may help. It should not be presented as a miracle cure, and careful assessment is essential. The big takeaway from this episode is that tongue ties and tongue posture can matter in adults, but they should never be judged by appearance alone or by social media trends. Proper assessment looks at function, symptoms and the wider picture, including jaw tension, gum health and airway issues. Thanks for listening to Save Your Money, Save Your Teeth. Next week’s episode moves on to the magic wand and painless injections. Further Resources These are real, working OptiSmile pages relevant to this episode: Episode 39: Dental Solutions for Snoring and Sleep Apnea Episode 42: Relief and Recovery: Managing Bruxism and TMJ Disorder Episode 63: Why Does My Jaw Click and Is It a Problem? Episode 62: Receding Gums: Are You Brushing Too Hard? Episode 64: Why Teeth Shift as Adults Contact the Best dentist in Cape Town Book your next Dental Checkup with OptiSmile Follow OptiSmile on Facebook Disclaimer: The content provided in this podcast, "Save Your Money Save Your Teeth" on Medical Mondays, is for informational and educational purposes only. It is not intended to serve as dental or medical advice. The insights and opinions expressed by Dr. Clifford Yudelman and any guests are designed to foster a better understanding of dental health, preventive measures, and general well-being, but should not be interpreted as professional dental or medical recommendations. Dr. Clifford Yudelman does not diagnose, treat, or offer prevention strategies for any health conditions directly through this podcast. This platform is not a substitute for the personalized care and advice provided by a licensed dental or healthcare professional. We strongly encourage our listeners to consult with their own dental care providers to address individual dental health needs and concerns. The information shared here aims to empower listeners with knowledge about dental health but must not be used as a basis for making health-related decisions without professional guidance. Your dental care provider is the best source of advice about your dental and overall health. Please always seek the advice of your dentist or other qualified health professionals regarding any questions or concerns about your dental health.
