Understanding and Addressing Tongue Thrust in Children

August 6, 2025 | 2 min read
tongue thrust, a common orofacial myofunctional disorder (OMD), is a condition where the tongue pushes forward excessively during speech, swallowing, or rest. It is important to distinguish between the natural tongue thrust reflex in infants and the disorder that may develop in older children. In babies, this reflex is a crucial part of feeding and typically subsides around six months of age as they learn to swallow and move to solid foods. However, if this behavior continues into childhood, it can become problematic. Several factors can contribute to persistent tongue thrust in toddlers and children. Chronic issues with the ear, nose, and throat, such as allergies or enlarged tonsils and adenoids, can cause a constricted airway, prompting the tongue to move forward to facilitate breathing. Additionally, prolonged habits like thumb sucking or extensive pacifier use can also play a role in developing the condition. The effects of persistent tongue thrust can be significant. The constant pressure of the tongue against the teeth can lead to a range of dental and speech issues, including: Misaligned teeth that may necessitate orthodontic treatment. Speech impediments, such as a lisp, due to incorrect tongue placement. Difficulty with chewing and swallowing correctly. Aesthetically, the tongue may protrude from the mouth during rest, speech, or swallowing. If you observe these symptoms in your child beyond infancy, it's a good idea to consult a pediatrician or dentist. They might recommend a visit to an orthodontist or a speech pathologist. These specialists can provide a customized treatment plan, which often includes a series of exercises to train the tongue and mouth muscles. These exercises focus on proper tongue positioning at rest, as well as correct swallowing techniques for both liquids and solids. Early intervention, typically starting around age eight, can effectively mitigate the effects of tongue thrust, helping a child develop better oral habits and avoid future complications with their speech and dental health.

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