Proper Tongue Positioning: Key to Preventing Dental Issues - Dentistry

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Tongue positioning?


Hello, doctor.
What is the correct position for the tongue? I read online that it should rest against the hard palate with the mouth closed to prevent protruding teeth, but when I close my mouth, my tongue naturally presses against my front teeth.
Doesn't this pressure from the tongue on the front teeth contribute to protrusion? I am trying to consciously control my tongue to retract slightly and press against the hard palate to avoid contact with my front teeth, but since it requires effort, I often forget, and it doesn't feel very relaxed.
I still want to relax while sleeping and such.
If I don't keep my mouth closed, my tongue won't touch my front teeth, but I'm unsure of the correct position.
I assume that the impact on protrusion is more significant during childhood, right? As an adult, does it still matter whether my mouth is closed or not? I have undergone orthodontic treatment before, but I still have a slight overbite.

Fanrao Zhong, 20~29 year old female. Ask Date: 2023/05/22

Dr. Zeng Guanghui reply Dentistry


As long as the tongue does not intentionally push against the front teeth, it should not cause protruding teeth.
The likely causes of protruding teeth are the shape of the upper and lower jawbones being too prominent or insufficient space in the dental arch leading to the protrusion of the front teeth.
It is recommended that if there is an issue with protruding teeth, one should seek further evaluation from an orthodontist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/05/22

More Info


Proper tongue positioning is indeed a crucial aspect of oral health that can influence dental alignment and overall oral function. The ideal resting position for the tongue is against the roof of the mouth (the hard palate), with the mouth closed and lips together. This position helps maintain the proper alignment of the teeth and jaws, and it can prevent issues such as overbite, underbite, and other malocclusions.

When the tongue rests against the hard palate, it exerts a gentle upward pressure that can help guide the growth and positioning of the teeth. Conversely, if the tongue consistently pushes against the teeth, particularly the front teeth, it can contribute to dental problems such as protrusion of the incisors, commonly referred to as "buck teeth" or "overjet." This is particularly concerning in children, as their jaws and teeth are still developing. However, adults can also experience these issues if they maintain improper tongue posture over time.

In your case, it seems you are experiencing some confusion regarding the correct positioning of your tongue, especially when your mouth is closed. It is important to find a comfortable resting position for your tongue that does not put undue pressure on your teeth. Ideally, the tongue should rest against the hard palate without pushing against the teeth. If you find that your tongue is naturally resting against your front teeth when your mouth is closed, it may be beneficial to consciously practice moving it back slightly to the roof of your mouth.

Here are some tips to help you achieve and maintain proper tongue positioning:
1. Awareness and Practice: Start by being aware of your tongue's position throughout the day. When you catch yourself with your tongue against your teeth, gently reposition it to the roof of your mouth. This may take some time and conscious effort, but with practice, it can become a habit.

2. Relaxation Techniques: Since you mentioned that you often forget to maintain this position and feel tense, consider incorporating relaxation techniques. Deep breathing exercises can help you relax your jaw and facial muscles, making it easier to maintain a natural tongue position.

3. Consult a Specialist: If you continue to struggle with tongue positioning or if you have concerns about your dental alignment, it may be beneficial to consult with an orthodontist or a dentist who specializes in orofacial myology. They can provide personalized guidance and exercises to help you achieve the correct tongue posture.

4. Consider Your Jaw Position: Ensure that your jaw is in a relaxed position when your mouth is closed. Your teeth should be lightly touching, and your lips should be closed without straining. This can help create a more comfortable environment for your tongue to rest in the correct position.

5. Monitor Your Sleep Position: If you find that your tongue tends to fall forward during sleep, consider sleeping on your back with your head slightly elevated. This can help keep your tongue in a more favorable position and reduce the likelihood of it pushing against your teeth.

In summary, proper tongue positioning is essential for maintaining dental health and preventing issues like malocclusion. While it may take some time to adjust your tongue's resting position, with practice and awareness, you can achieve a posture that supports your dental alignment without causing undue pressure on your teeth. If you have ongoing concerns, seeking professional advice can provide you with tailored strategies to improve your oral health.

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