While tongue tie is relatively mild compared to other birth defects it does have a lot complications you may not be aware of. The most obvious is difficulty with speech, requiring those affected to carefully form their words. It can also contribute to pain and clicking in the temporomandibular joint due to muscles working incorrectly and compensating accordingly. Finally, it can cause posterior regions of the tongue to block airways, and lead to sleep related breathing disorders. The sleep related breathing disorders can lead to a host of other health problems like bruxism, restless leg syndrome, Type ll diabetes, snoring, and migraines. Part of your annual dental hygiene exam should include your dentist lifting your tongue to evaluate your attachment.