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Tongue thrusting

MedGen UID:
473491
Concept ID:
C1829460
Finding
Synonyms: Tongue thrust; TT - Tongue thrust
SNOMED CT: TT - Tongue thrust (110343009); Tongue thrust (110343009); Tongue thrusting (424583005)
 
HPO: HP:0100703

Definition

Pressing forward of the tongue in the mouth, a retained motoric habit from infantile swallowing patterns [from HPO]

Term Hierarchy

Conditions with this feature

D-Glyceric aciduria
MedGen UID:
452447
Concept ID:
C0342765
Disease or Syndrome
D-glyceric aciduria is a rare autosomal recessive metabolic disorder with a highly variable phenotype. Some patients have an encephalopathic presentation, with severe mental retardation, seizures, microcephaly, and sometimes early death, whereas others have a mild phenotype with only mild speech delay or even normal development (summary by Sass et al., 2010).
Cardio-facio-cutaneous syndrome
MedGen UID:
266149
Concept ID:
C1275081
Disease or Syndrome
Cardiofaciocutaneous (CFC) syndrome is characterized by cardiac abnormalities (pulmonic stenosis and other valve dysplasias, septal defects, hypertrophic cardiomyopathy, rhythm disturbances), distinctive craniofacial appearance, and cutaneous abnormalities (including xerosis, hyperkeratosis, ichthyosis, keratosis pilaris, ulerythema ophryogenes, eczema, pigmented moles, hemangiomas, and palmoplantar hyperkeratosis). The hair is typically sparse, curly, fine or thick, woolly or brittle; eyelashes and eyebrows may be absent or sparse. Nails may be dystrophic or fast growing. Some form of neurologic and/or cognitive delay (ranging from mild to severe) is seen in all affected individuals. Neoplasia, mostly acute lymphoblastic leukemia, has been reported in some individuals.
Deficiency of aromatic-L-amino-acid decarboxylase
MedGen UID:
220945
Concept ID:
C1291564
Disease or Syndrome
Aromatic L-amino acid decarboxylase deficiency (AADCD) is an autosomal recessive inborn error in neurotransmitter metabolism that leads to combined serotonin and catecholamine deficiency (Abeling et al., 2000). The disorder is clinically characterized by vegetative symptoms, oculogyric crises, dystonia, and severe neurologic dysfunction, usually beginning in infancy or childhood (summary by Brun et al., 2010).
Phelan-McDermid syndrome
MedGen UID:
339994
Concept ID:
C1853490
Disease or Syndrome
Phelan-McDermid syndrome is characterized by neonatal hypotonia, absent to severely delayed speech, developmental delay, and minor dysmorphic facial features. Most affected individuals have moderate to profound intellectual disability. Other features include large fleshy hands, dysplastic toenails, and decreased perspiration that results in a tendency to overheat. Normal stature and normal head size distinguishes Phelan-McDermid syndrome from other autosomal chromosome disorders. Behavior characteristics include mouthing or chewing non-food items, decreased perception of pain, and autism spectrum disorder or autistic-like affect and behavior.
Rett syndrome, congenital variant
MedGen UID:
462055
Concept ID:
C3150705
Disease or Syndrome
The congenital variant of Rett syndrome is a severe neurodevelopmental disorder with features of classic Rett syndrome (RTT; 312750), but earlier onset in the first months of life. Classic Rett syndrome shows later onset and is caused by mutation in the MECP2 gene (300005).
Neurodevelopmental disorder with movement abnormalities, abnormal gait, and autistic features
MedGen UID:
1647077
Concept ID:
C4693405
Disease or Syndrome
Neurodevelopmental disorder with movement abnormalities, abnormal gait, and autistic features (NEDMAGA) is characterized by infantile-onset global developmental delay with severe to profound intellectual disability, mildly delayed walking with broad-based and unsteady gait, and absence of meaningful language. Patients have features of autism, with repetitive behaviors and poor communication, but usually are socially reactive and have a happy demeanor. More variable neurologic features include mild seizures, spasticity, and peripheral neuropathy (summary by Palmer et al., 2017).
Neurodevelopmental disorder with impaired language and ataxia and with or without seizures
MedGen UID:
1794216
Concept ID:
C5562006
Disease or Syndrome
Neurodevelopmental disorder with impaired language and ataxia and with or without seizures (NEDLAS) is characterized by axial hypotonia and global developmental delay apparent in early infancy. Affected individuals have delayed walking with gait ataxia and poor language development. Behavioral abnormalities also commonly occur. The severity is highly variable: a subset of patients have a more severe phenotype with early-onset seizures resembling epileptic encephalopathy, inability to walk or speak, and hypomyelination on brain imaging (summary by Stolz et al., 2021).
Intellectual developmental disorder, autosomal recessive 79
MedGen UID:
1841189
Concept ID:
C5830553
Disease or Syndrome
Autosomal recessive intellectual developmental disorder-79 (MRT79) is characterized by global developmental delay apparent from infancy. Affected individuals have mildly delayed walking with an ataxic gait and severely impaired intellectual development with poor or absent speech. Additional features may include postnatal microcephaly and dysmorphic features (Van Bergen et al., 2022).

Professional guidelines

PubMed

Frey L, Green S, Fabbie P, Hockenbury D, Foran M, Elder K
Int J Orofacial Myology 2014 Nov;40:42-55. PMID: 27295847
Yamaguchi H, Tanaka Y, Sueishi K, Sebata M, Uchiyama T, Saito C, Sigematsu T
Bull Tokyo Dent Coll 1994 Feb;35(1):41-9. PMID: 7923510
Norton LA, Gellin ME
Dent Clin North Am 1968 Jul:363-82. PMID: 5240768

Recent clinical studies

Etiology

Song PC, Le H, Acuna P, De Guzman JKP, Sharma N, Francouer TN, Dy ME, Go CL
Laryngoscope 2020 Jan;130(1):171-177. Epub 2019 Mar 19 doi: 10.1002/lary.27897. PMID: 30889292
Kurihara K, Fukui T, Sakaue K, Hori K, Ono T, Saito I
J Oral Rehabil 2019 Oct;46(10):895-902. Epub 2019 May 25 doi: 10.1111/joor.12820. PMID: 31081951
Molina-García A, Castellanos-Cosano L, Machuca-Portillo G, Posada-de la Paz M
Med Oral Patol Oral Cir Bucal 2016 Sep 1;21(5):e587-94. doi: 10.4317/medoral.20972. PMID: 27475682Free PMC Article
Silva M, Manton D
J Dent Child (Chic) 2014 Sep-Dec;81(3):140-6. PMID: 25514258
Dworkin JP, Culatta RA
J Speech Hear Disord 1980 May;45(2):277-82. doi: 10.1044/jshd.4502.277. PMID: 7442160

Diagnosis

Matsumoto H, Tomoto K, Kawase G, Iitani K, Toma K, Arakawa T, Mitsubayashi K, Moriyama K
Sensors (Basel) 2023 May 24;23(11) doi: 10.3390/s23115027. PMID: 37299753Free PMC Article
Silva M, Manton D
J Dent Child (Chic) 2014 Sep-Dec;81(3):140-6. PMID: 25514258
Pinto A, Stoopler ET, DeRossi SS, Sollecito TP, Popovic R
Gen Dent 2003 Sep-Oct;51(5):458-61; quiz 462. PMID: 15055637
Hertzberg J, Nakisbendi L, Needleman HL, Pober B
Pediatr Dent 1994 Jul-Aug;16(4):262-7. PMID: 7937257
Massengill R Jr, Quinn G, Hall AS, Boyd D
Am J Orthod 1974 Sep;66(3):287-93. doi: 10.1016/0002-9416(74)90293-0. PMID: 4528829

Therapy

Sherer J, Salazar T, Schesing KB, McPartland S, Kornitzer J
Pediatrics 2017 Feb;139(2) Epub 2017 Jan 5 doi: 10.1542/peds.2016-1135. PMID: 28057843
Silva M, Manton D
J Dent Child (Chic) 2014 Sep-Dec;81(3):140-6. PMID: 25514258
Mason RM
Int J Orofacial Myology 2011 Nov;37:26-38. PMID: 22774700
Fraser C
Int J Orthod Milwaukee 2006 Spring;17(1):9-18. PMID: 16617883
Peng CL, Jost-Brinkmann PG, Yoshida N, Chou HH, Lin CT
Am J Orthod Dentofacial Orthop 2004 May;125(5):562-70. doi: 10.1016/j.ajodo.2003.06.003. PMID: 15127025

Prognosis

Morita K, Tsuka H, Kuremoto KI, Kimura H, Kawano H, Yokoi M, Yasuda K, Yoshida M, Tsuga K
Cranio 2021 Jan;39(1):24-28. Epub 2019 Feb 19 doi: 10.1080/08869634.2019.1581471. PMID: 30777516
Nascimento MH, de Araújo TM, Machado AW
J Clin Pediatr Dent 2016;40(3):247-50. doi: 10.17796/1053-4628-40.3.247. PMID: 27472574
Dulski J, Sołtan W, Schinwelski M, Rudzińska M, Wójcik-Pędziwiatr M, Wictor L, Schön F, Puschmann A, Klempíř J, Tilley L, Roth J, Tacik P, Fujioka S, Drozdowski W, Sitek EJ, Wszolek Z, Sławek J
Clin Neurol Neurosurg 2016 Aug;147:78-83. Epub 2016 Jun 1 doi: 10.1016/j.clineuro.2016.05.028. PMID: 27310290
Park EG, Lee J, Joo EY, Lee M, Lee J
Brain Dev 2016 Jan;38(1):139-41. Epub 2015 Jun 28 doi: 10.1016/j.braindev.2015.06.003. PMID: 26126836
Yamaguchi H, Tanaka Y, Sueishi K, Sebata M, Uchiyama T, Saito C, Sigematsu T
Bull Tokyo Dent Coll 1994 Feb;35(1):41-9. PMID: 7923510

Clinical prediction guides

Mahdi SS, Jafri HA, Allana R, Amenta F, Khawaja M, Qasim SSB
Int J Environ Res Public Health 2021 Jan 28;18(3) doi: 10.3390/ijerph18031162. PMID: 33525609Free PMC Article
Song PC, Le H, Acuna P, De Guzman JKP, Sharma N, Francouer TN, Dy ME, Go CL
Laryngoscope 2020 Jan;130(1):171-177. Epub 2019 Mar 19 doi: 10.1002/lary.27897. PMID: 30889292
Molina-García A, Castellanos-Cosano L, Machuca-Portillo G, Posada-de la Paz M
Med Oral Patol Oral Cir Bucal 2016 Sep 1;21(5):e587-94. doi: 10.4317/medoral.20972. PMID: 27475682Free PMC Article
Hertzberg J, Nakisbendi L, Needleman HL, Pober B
Pediatr Dent 1994 Jul-Aug;16(4):262-7. PMID: 7937257
Wood JM
J Speech Hear Disord 1971 Feb;36(1):82-9. doi: 10.1044/jshd.3601.82. PMID: 5573267

Recent systematic reviews

Mahdi SS, Jafri HA, Allana R, Amenta F, Khawaja M, Qasim SSB
Int J Environ Res Public Health 2021 Jan 28;18(3) doi: 10.3390/ijerph18031162. PMID: 33525609Free PMC Article
Molina-García A, Castellanos-Cosano L, Machuca-Portillo G, Posada-de la Paz M
Med Oral Patol Oral Cir Bucal 2016 Sep 1;21(5):e587-94. doi: 10.4317/medoral.20972. PMID: 27475682Free PMC Article

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