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Let’s Tongue Up! | Yue Weng Cheu | TEDxSingapore


[Music]
I’m a general dentist well past eighteen
professional years I’m very fortunate to
have attended too many patients of our
ages from a four-day Oh baby
to a ninety old lady all my patients are
my teachers and by managing their
problems I have discovered and learned
that the tongue is a very important part
a very important organ of the body but
also very underrated as well listen to
this someone is snoring
baby snoring and we’re all supposed to
be born perfect but babies loose no and
why do baby stalling I’ll tell you in a
minute baby
come to me because of referral by
lactation consultant paediatrician even
chiropractors an austere path I see the
babies because of three main reasons
that they are encountering they have
suckling issue soloing issues and
feeding issues and breathing issues as
well so maybe Alice came to me having
all this tree when she is feeding breast
feeding she has a problem of getting
into a deep latch when she feeds she has
clicking sounds and she has a hard time
forming a seal around the mouth and that
drops the suction so every time when she
needs to feed she had to rip UMP and
she’s stuck in a long air and that get
some colic issue as well she’ll try
because innately she knows she has to
feed or else she would die so all that
effort and many times later she feels
very tired and she falls asleep on her
job the whole feeding time is extended
of course mommy feels the pain as well
there’s a lot gumming at them and the
nipple and sometimes there’s my status
and that’s really painful too when it
comes to swallowing the baby has some
issue too she can’t deliver the milk
smoothly down her throat she suffer
regurgitation or reflux sometimes we
were just one meeting all the milk that
she just drank and they don’t gain
weight she drew a lot and the saliva
comes out from the side and it comes to
breeding well we can hear that she
doesn’t like to be on her back and she
will try to sing her tongue out in order
to breathe really tough she likes to be
carried and her free position is over
the shoulder
sometimes she’ll wake up startled and
crying because he just couldn’t breathe
suddenly when she was sleeping if all
these issues are not corrected we grow
up and as a toddler
some of them might suffer the
continuation of this issue for example
in swallowing they can swallow chunky
food and they become messy eater so as a
toddler
that’s my son in the audience as well
yeah of course it’s already now he also
has this issue of soloing with his
tongue trusting forward tongue trust and
against his teeth he slowly
he’s a mouth breather he likes to
breathe through his mouth and get dry
and likes to drink a lot water just to
get lubricated and night his sleeve his
mouth open sometime he snores
often he grinds he doesn’t like to sleep
on his back as well and he moved a lot
when he sleeps trying to find the best
position to breathe and his favorite
position is the one with his butt
jutting up and in the morning actually
all the time he was suffered major
congestion but cleared in the morning he
has a lot of mucus to clear yeah he can
finish up a whole shoe box again he has
other issue on top of this it can’t
pronounce his s sound properly so even
though his name is Shawn you say I’m my
name is Don right so there’s a low
tongue position that he will do again if
all this is not settle they grow up and
into young adults so I do see this girl
coming to me which is 11 preteen she
suffered from burning palms sensation
headaches and stomach ache all the time
and you look at her posture like this
she’s always having a hit forward
opening her mouth again trying to brief
a compensation
she used just difficulty in swallowing
to write and that could be a lead to her
stomach for issue with the head always
forward we’re suspending a 12 pound
bowling ball off the axis when it’s
right on top 12 forward you get Xavier
from 32 pounds to even 42 pounds as you
get further forward that’s a lot of
weight too heavy to carry so again for
her burning palm sensation sometimes
when she writes she’ll drop a pen and
the teacher will actually say what’s
wrong she’ll cry and cry and mom has to
sometimes even bring her out of school
to see the doctor but by the time she
gets to the doctor they can’t discover
any problem with her hand and where’s
the sauce often when she’s having a
headache and a stomach ache again she
would draw back from the class mother is
very worried about medical condition but
she’s also very worried about her
friends a teacher not trusting her
because she’s always like that what’s
wrong again growing up with this problem
if it’s not resolved what would happen
there are you’re seeing one me my own
story I grew up not being able to
breastfeed my mom blame it on the liver
soup that she just drank right and then
she has no more milk I cry my teeth a
lot in class or in school my friends
refuse to share the tent when we go for
camping together I make a lot of noise
and even my army mates once was looking
out for Rhett in the army bunk and he
found me grinding on my bed right and at
31 years old
I developed jaw joint pain neck ache hip
pain sometimes I need even furniture to
get me off a low position I can’t do my
RL sound then right law issues
and in my search for solution I found
that the common denominator for all
these cases is the tongue Wow
now think about this when you listen to
me all this while where is your tongue
is it at a low position middle or high
against the roof of your mouth touching
the top of your mouth on the palate take
a swallow when you swallow is your
tongue bracing against the roof of the
mouth or is it pushing against your
teeth and going to the site also look at
this dynamic MRI that’s the tongue it’s
not the surfboard that we know yeah it’s
a size of your fist fitted into the
whole mouth occupying at the whole space
when it’s right up it opens your airway
very important they allow you to breathe
well when it’s right up there
it helps you to swallow well we’re high
up there even help you to support your
head and neck well among many other
things that we’re going to discuss in
another time but this is important and
now the question is when do we develop
this only when we grow older now when we
are baby we need to suck so low and
brief sucking reflex solving reflex
reading reflex all this tongue up the
tongue has to be up in order for all
this to perform properly that’s why you
can understand why baby
Ellis suffer all those consequences our
brain just now you saw that has
neuroplasticity but in the very
beginning of a life we can’t do it make
decision for ourselves we can do it so
we have innate processes to help us to
survive so 12 cranial nerves help us
when we feel the nipple we turn the neck
firing the spinal accessory to turn
towards it and then efficient of
trigeminal nerve help us open our mouths
and facial latch
/ then your tongue and your Florida
mouth do the hollow ha dance to move the
milk and deliver it to the truth then
your vagus nerve has to control between
your soloing and your breathing and move
the peristaltic movement down right
coordinating the gut movement then you
can smell your mummy or factually enough
right
your trochlear abducens your optic nerve
help you to figure out a bit of that
rola and if you’ll give even a chance to
be on the tummy you can even crawl your
way to the breast to feed with your
vegetable cooler
Kalai ocular enough so all 12 nerves are
involved right at the beginning of a
life
all this resources are given to you to
help you to do one thing only feet and
why is feeling for it’s the early onset
of your myofunctional training of your
tongue so that you can do many things
better when you grow up so everything is
done well the tongue lifts up it
developed your jaw as well to allowing
enough space for the teeth to erupt and
that continues on your adult here also
more space as your tongue develops and
you develop the more space to actually
ear up and there won’t be crowding and
misalignment if you can put your tongue
up to swallow well it’s very helpful but
most importantly it will help you to
breathe well how important is breathing
to us very every breath that we take is
important you can don’t eat and don’t
drink for 4 days and weeks but how long
can you not breathe but ask yourself how
much resources have you put into food
and drinks and how much have you put
into air and breathing just last week
alone very importantly baby Alice what
she’s suffering from is a tongue tie
that restrict her tongue for moving up
studies from Stanford University led by
professor Christine alumino has already
proven that a restricted tongue because
of the freedom
cause obstructive sleep apnea in
children and of course if that is not
resolved it will become a problem for
all of us as adults to n if we are able
to sleep better some of this issue that
was highlighted earlier in some of the
children that they’re having ADHD it is
could be a sign that they are just not
having enough rest so in order for us to
make sure we grow up healthy there are
three few things that we need to look
into tongue up lip close and brief who
knows this is the picture or health that
we want to achieve so when the tongue is
up it allows for good baby feeding and
we continue to develop that will have
good arches right we grow up breathing
only through our nose not a mouth will
be able to stand upright a lining not
only just teeth but the whole body and
you will have this whole effect on baby
all the way to elderly in Japan they’re
also having exercises to help out with
all people to help them to swallow
better because the tongue string is
dropping as they age so practice this
tongue up lip close and breathe breathe
through nose and you’ll be healthy thank
you
[Applause]
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