CASE REPORT Fig. 1 Fig. 3 Fig. 4 Fig. 2 í An abnormally large tongue í Hereditary factors fond within a family, such as the angle of the jaw line. í Neurological, muscular, or other physiological abnormalities í Short lingual frenum (tongue tied) An anterior tongue thrust occurs naturally in babies and young children. Over time as the permanent dentition develops it will disappear. The infantile swal-low with its forward direction of pressure should evolve into a more mature swallow pattern in which pressure is directed upward toward the palate. Yet in www.orthodontics.com September/October 2013 35