Exploring Low Tongue Resting Posture

Exploring Low Tongue Resting Posture: Implications for Airway, Sleep, and Oral Health

Low tongue resting posture is a condition where the tongue sits lower in the mouth than normal, often leading to a range of complications including airway obstruction, sleep disturbances, and oral health issues. Understanding this condition is critical for effective diagnosis and treatment.

Defining low tongue resting posture

Low tongue resting posture refers to habitual positioning of the tongue low in the mouth, typically resting on or between the teeth instead of the upper palate. This improper positioning can affect breathing, sleep, speech, and dental health.

Impact and Symptomatology of Low Tongue Resting Posture

  • Mouth Breathing: Low posturing predisposes individuals to parted lips, resulting in a habitual preference for breathing through the mouth.
  • Airway Obstruction: A low resting tongue can contribute to obstructed airways, leading to breathing difficulties especially during sleep. 
  • Speech and Swallowing Issues: Altered tongue posture can affect articulation and the mechanics of swallowing as these functions require optimal muscle tone and coordination.
  • Dental Health Concerns: Impacts on facial and cranial growth can lead to malocclusion, improper jaw development, and increased risk of cavities due to mouth breathing.

Contributing factors of low tongue resting posture include:

  • Habitual Patterns: Prolonged thumb sucking or pacifier use during childhood.
  • Anatomical Factors: Such as a short lingual frenulum (tongue-tie) limiting tongue movement and range of motion for proper placement. 
  • Allergies and Nasal Congestion: Leading to chronic mouth breathing.
  • Neuromuscular Issues: Affecting the strength, control, and coordination of tongue muscles.

Diagnosis and Treatment: A Whole-Patient Approach

Successful evaluation of low tongue resting posture and its impact on overall health involves careful consideration of medical history, functional limitations, and relevant symptoms. Assessment and treatment are provided by an interdisciplinary team and include: 

  • Orofacial Myofunctional Therapy: Exercises to retrain the tongue to rest in the proper position, to improve muscle function and encourage nasal breathing. 
  • Sleep Study: To evaluate for sleep apnea or other sleep-related breathing disorders.
  • Dental Assessment and Intervention: Identifying disruptions to craniofacial development. Providing orthodontic treatments to correct malocclusion and support proper jaw and facial development.
  • Behavior Modification: Addressing and altering habits contributing to low tongue posture. 

BreatheWorks’ Integrated Care Approach

BreatheWorks is dedicated to whole-patient care, recognizing the complex interplay between structure, function, and habitual patterning. Our strategy includes: 

  • Whole-Patient Assessment: Conducted by a Speech-Language Pathologist, we take a detailed case history to get a clear picture of your body’s story and assess the function of the speech, swallowing, and breathing mechanisms. We will observe how the muscles perform tasks like speaking, chewing, swallowing, clearing your teeth, and breathing and identify the contributing factors that may relate to your symptoms.
  • Individualized Care Plans: Focusing on the specific implications of low tongue posture for each patient.
  • Collaborative Care: Working with dentists, ENT specialists, and sleep experts to address the widespread impacts of tongue positioning on overall health.
  • Patient Education: Providing  patients about the importance of proper tongue posture and its impact on overall health.
  • Regular Follow Ups and Monitoring: Tracking progress and ensuring the generalization of skills to all functional contexts. 

Get Started Today by Implementing These Preventive and Management Strategies: 

  • Early Intervention: Addressing factors like thumb sucking and mouth breathing in children past the age of 1 years old. 
  • Promoting Nasal Breathing: Through environmental control of allergens and nasal hygiene. 

Conclusion

Low tongue resting posture can have far-reaching effects on airway health, sleep quality, oral health, and speech. A multidisciplinary approach involving orofacial myofunctional therapy, dental interventions, and lifestyle modifications is essential for effective management. Addressing tongue resting posture can promote nasal breathing, proper craniofacial development, and contribute to overall health and well-being.

Take our screener and see how you do. We’ll tell you what we think based on your responses

Many people from infancy and into old age suffer from undiagnosed disorders that could be fixed. You don’t have to suffer, we’re here to help, we see you, we’ve got you.

Got Questions?

Get answers!

The way it should be,stress free, fast and effective.