A large frenulum of the tongue can affect language
Dear parents, today we are going to talk about how to determine a baby's short tongue frenum. This article will tell you the main characteristics that can be used to suspect a similar condition, why this is happening, and what treatments are used. They know what age is considered optimal for the surgical procedure and what contraindications exist for such a therapy.
Short bridle - what is it?
When viewed visually, this formation resembles a thin membrane represented by connective tissue. The main function is to attach the tongue to the mouth (lower part). A short tongue frenum in a child is a condition that makes it difficult for the fleshy organ to move.
Can be congenital and hereditary. Consider the partial and full form. When full - the formation of muscles (cords) is observed, the tongue is actually immobilized, very poor pronunciation. Partial connective tissue is replaced by strands of muscle.
There are three degrees of functional limitation of the fleshy organ:
- easy - the size is more than 15 mm, there is a violation of pronunciation;
- medium bridle from 10-15 mm, accompanied by a violation of pronunciation, inability to reach the sky with the tongue;
- up to 10 mm in weight, the baby cannot lick its lips, cannot pronounce noises properly, touch the sky with its tongue, stick out its tongue.
Hereditary factor - a possible cause of a short frenum in a child
There are a number of factors that affect the formation of the frenum shortening:
- bad ecology;
- infection of the fetus during pregnancy;
- injury to the abdomen of a pregnant woman;
- factors of unexplained etiology;
- infectious processes in the body of the expectant mother;
- the woman is over 35 years old.
The formation of a false bite can be observed due to a short frenum
The characteristic signs of the presence of a short bridle are:
- increased salivation;
- digestive problems;
- difficulty chewing solid foods
- a low voice with a nasal sound;
- gum recession;
- periodontal disease;
- dyslalia (organic type);
- the incisors in the lower jaw lean inward.
Signs in babies
Difficulty sucking on the chest can be the first alarming symptom
The following manifestations can indicate that your child has a short bridle:
- the baby bites the chest while suckling;
- smacking your lips while feeding;
- prolonged sucking;
- frequent feeling of hunger;
- capriciousness in feeding.
Home diagnostic method
To determine a short or long bridle in a baby, you need to ask him to perform certain actions.
- Let the little one show you her tongue. With a short bridle, it will be difficult for a child to completely remove it from the mouth or the edge of the tongue will tilt downward.
- Let the baby lift his tongue to the sky. If there is a deviation, then either the child does not reach, or the sides of the tongue rise, the central one is practically inactive.
In addition, you can also visually determine whether the bridle is normal or not. Typically, the bridle is longer than 8 mm in a newborn baby and longer than 17 mm in a five-year-old baby.
If you are interested in the question of where to cut off a child's tongue frenum, the answer is simple - in a dental clinic. The procedure is performed by a surgeon. But before deciding to take this step, you need to consult several specialists:
- at the pediatrician - if there are problems with food intake;
- from a speech therapist - if there are difficulties with pronunciation;
- at the orthodontist - if there is a fallacy.
Lessons from a speech therapist -
effective method for mild short bridles
Therapy can be both medicinal and non-medicinal. It all depends on the severity of the child's condition.
Non-drug methods include:
- lessons with a speech therapist;
- Exercises for correction;
- articulation gymnastics.
Drug therapy includes surgery. It can be different in strength:
- light - is carried out directly at the reception and without anesthesia, if the sublingual membrane is plastic and very thin;
- frenulotomy - a child with a thick frenum is held under local anesthesia, stitches are made.
You need to know that the operation can be complicated:
- persistent bleeding;
- infection of the wound.
Exercise in front of the mirror
- Invite the child to stick their tongue out and touch the tip of their nose, then touch the chin. Take a break and do another set. To begin with, the exercise should be repeated no more than five times, over time it is brought to 20.
- Let the baby stick his tongue out and move it left and then right. First, five approaches are brought to 20.
- We ask the little one to open his mouth wide. Let the tip of the tongue touch the upper incisors and try to press on the teeth with all your strength. It is important to keep your mouth open. Each time the child should count to ten (for themselves). We also start small and work up to 20.
- We spend in front of the mirror. Let the little one open his mouth wide and watch the movements of his tongue when you pronounce the syllables "kar - kar - kar", "bar - bar - bar".
- Ask your child to lick their lips, the upper ones first, then the lower ones.
- Have the baby close their mouth and move their tongue one way or the other. With all his strength he will press the inside of the cheeks with the tip of the tongue.
- To get a good and quick effect, the exercise must be done for 15 minutes a day.
- If postoperative correction is prescribed, they will only begin after the wound has healed.
The procedure is performed under local anesthesia.
The operation is prescribed if there is a severe degree, in moderate severity - the doctor himself makes a decision with a mild degree - treatment is carried out according to conservative methods, in particular, speech therapy and instruction from a speech therapist.
The indications for an operation are:
- severe limitation of language mobility;
- moderate severity of the disease without positive results of therapeutic treatment;
- lack of monthly weight gain;
- malocclusion development;
- the inability to grip the nipple during feeding;
- the process of the formation of a displaced dentition;
- the need to install dentures, including removable ones.
It should be noted that the operation may have certain contraindications. These include:
- infectious processes in the oral cavity;
- blood diseases;
- an infectious process in the body of an acute course.
Taking into account the age, the child can be assigned one of three types of operations:
- frenulotomy (can be done for children up to nine months) - the incision is made closer to the teeth with scissors, the mucous membrane is first dissected, then the muscle strands and stitches are made.
- frenulectomy (in a child over five years old) - the septum is fixed with a clamp, an incision is made between it and the lip, sutures are made;
- frenuloplasty (applicable to children over five years old) - a triangular flap is cut from the bridge, then an incision is made and this flap is sewn in place to extend the bridle.
My son's bridle was cut when he was 7 months old. I wasn't there, I was very worried. Father and grandmother went with him. Everything went smoothly and the child recovered quickly.
Laser method of surgery
In recent years, the method of cutting the bridle using a laser has been increasingly used. This method has several advantages:
- practically painless;
- no need to sew;
- the incision is accurate;
- wounds heal quickly;
- minimum of consequences or their complete absence;
- disinfection properties do not allow infection;
- no bleeding during surgery.
The earlier the operation is performed, the less painful it will be for the child.
If you are wondering what age the tongue frenum is tailored to the child - with early detection in the first month of life, even in the hospital. The best time is considered a baby's first year of life. However, it's not uncommon for parents to overlook the problem and find that something went wrong when they have problems with pronunciation at the age of five. During this time, a lengthy operation is performed under anesthesia.
Now you know how to do the process. Remember that the lack of timely treatment can lead to problems with language and the development of pathology. No matter how sorry the baby is, when it is urgently needed, go for surgery.
Everyone has a tongue frenum. This is a small, thin strip that is used to hold the tongue in place near the lower row of teeth.
However, this is not the only function. The control of the tongue, its mobility, breathing, swallowing and general food intake is carried out precisely with the help of the bridle.
It looks like a thin fold on the lining under the tongue. It starts almost at the gums of the middle lower teeth and reaches the lower level of the tongue to the middle.
However, sometimes a slight pathology can be observed - this fold is not located as it should be, or it is too short. Then a simple operation is used to trim it.
Reasons for a wrong education
The scientific name for this phenomenon is ankyloglossia, meaning "crooked tongue"... this is a pretty common problem. The main reason for its occurrence is considered a hereditary factor. also it is more pronounced in boys and occurs much more often than in girls.
It is not at all necessary that the baby's parents had a short bridle. It is enough that one of the closest relatives is faced with this problem. That is, in addition to inheritance, they also isolate genetic predisposition.
The second reason for the occurrence of ankyloglossia is this possible pregnancy pathologies... It is difficult to pinpoint one of the many factors here. However, it was found that children of mothers who used drugs during pregnancy are more likely to suffer from this pathology.
It is also commonly seen in newborns with other birth defects that cause deformities of the head and face.
Such a pathology, especially when pronounced, has the following picture:
- the tip of the tongue cannot be brought beyond the limits of the oral cavity, since it is fixed rather rigidly near its bottom.
- when a child tries to stick their tongue out, they simply bend in an arc.
- if you do not stretch, but just try to lift the tongue to the upper roof of the mouth, then due to the strong tension of the frenum, the tip divides and takes on a heart-shaped shape.
- when folding, a characteristic click sound and a characteristic groove shape occur.
Why is a correction necessary?
Correcting ankyloglossia or trimming the tongue frenulum must be done for several reasons. In addition, these reasons change with the age of the child. Based on this, we will consider the need for surgery.
Why should newborns do this?
Breastfeeding is very important for babies. With breast milk, they get everything they need not only for growth, but also for normal development in general. That's why the baby's tongue must function normallybecause this organ plays an important role in the feeding process.
With the correct movements of the tongue, the nipple is properly grasped and withdrawn, and a specially shaped tub is formed to hold it and collect milk before swallowing.
And if ankyloglossia is detected, a number of problems can arise during feeding.
- The baby cannot be properly attached to the breastnor can he hold it for a long time.
- Difficulties also arise in the process of milk intake.... To do this, the baby begins to pinch the nipples with the gums and bite them, which leads to cracks and severe pain.
- When milk is sucked in, the baby swallows a lot of air... This leads to frequent belching, colic.
- An insufficient amount of milk not only leads to an extension of the feeding time, but it also affects the growth of the child - It gains less weight and can be stunted.
Consequences of ankyloglossia
If the operation was not performed in the hospital or in infancy, the problems of breastfeeding are quickly forgotten. However, if the bridle was too tight and too short, it won't stretch on its own over time.
This can lead to further violations. Especially among them speech therapy problems, as language plays an important role in the pronunciation of sounds.
It is also possible that you will experience other medical conditions, including orthopedic, dental, and general medical conditions:
- Delayed growth and development of the lower jaw.
- Incorrect bite formation. The options are open or. In the first case, the upper and lower rows of teeth can intersect at several points, similar to a checkerboard pattern. And in the second case, the teeth in the front part do not close at all, leaving an oval space open.
- Inward development of the lower central teeth.
- Reshaping the tip of the tongue, e.g. B. Fork.
- Incisor injury in the lower row of the bridle.
- Early, especially in the bottom row.
- Problems with pronunciation of the sounds for which you need to raise your tongue - p, l, w, sh, w, h, d, etc.
- Bad chewing of food, as well as air entering the esophagus. This leads to frequent flatulence, severe gas, pain and colic in the abdomen.
- The occurrence of sleep snoring in childhood, as well as apnea.
Technologies for the elimination of ankyloglossia in different ages
Snaffle cutting can be done regardless of the age of the patient. However, this operation has different types and degrees of complexity.
A similar surgery in infancy can be done in a maternity hospital or in a dental clinic. It takes a very short time and is known as a phrenotomy.
In newborns, the bridle is a very thin formation that contains a small number of nerve endings and blood vessels.
therefore a small incision is made in the transverse direction with special scissors... A local anesthetic can be used to lubricate the incision site.
However, in many cases this is not necessary. To calm the baby down and stop the bleeding, you can simply place him on your chest.
Children under 5 years
For children of this age, the procedure is not much different, but it is imperative application of a local anestheticas it is quite painful. After complete healing, most likely, orthodontic treatment may be required - bite correction.
School children and young people
If the bridle has not been corrected earlier, it is done from the age of five, when the children already understand and adequately perceive what is happening frenuloplasty... This is a more complex operation that requires local anesthesia and stitches. For this purpose, a material is usually used that tends to dissolve.
Depending on the complexity of the problem, frenuloplasty can be performed in three different ways.
The following video shows how to cut the bridle under the tongue of a child:
Use of lasers
New technologies are widely used in modern medicine. In particular, a laser can be used in place of surgical scalpels and scissors. It is also used to cut the bridle under the tongue.
The laser can not only cut some areas of tissue, but also vaporize them. It is therefore not necessary to make stitches, since in the distant parts of the frenum the wound closes at the same time as the removal.
It is very good to use the laser in cases where the surgery is needed by a kindergarten child. The child watches cartoons while the anesthetic is being applied to them.
And then they offer to wear special protective glasses. This way the child feels involved in an interesting game.
This method has many advantages:
- bloodless cutting of tissue;
- the cut edges are sterilized at the same time as they are used;
- the laser causes coagulation of the cut vessels - "jaws";
- no stitches during the operation of any complexity;
- faster healing process;
- a significant reduction in the risk of complications;
- facilitating the process for the patient himself.
Such an operation almost always takes place without complications. This is due to its lightness, as well as the simplicity of the structure of the bridle. The only possible option if complications arise is the postoperative period.
At this time, if the rehabilitation regimen and medical prescriptions are not followed, small, rather painful inflammatory processes in the damaged areas... Therefore it is necessary to strictly follow all instructions related to hygiene, nutrition, etc.
Another option for complications - very rare in older children (adolescents) a visible and hard scar may form... this will require re-plasticizing to remove it.
Very many people cut their hyoid bone at a very young age. Usually this process is not too painful and only takes a minimal amount of time.
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DariaNovember 16, 2015 at 7:17 pm
Our son cut his tongue frenum at a very young age (up to a year when we were in the hospital with him for ARVI). The attending physician, who was watching us, drew my attention to this bridle and explained what consequences the baby could have in the future if it were not done. And in fact the operation proceeded quickly, you could say successfully, the child did not even have Time to get scared of how it was all done. From now on, when it came to kindergarten or about this bridle with one of the mothers, I advised how to do.You can cut quickly and of course not be afraid of anything. There is also now a laser that makes it much easier and painless to use.
NikitaNovember 20, 2015 at 9:34 am
I had this operation as a child. In all honesty, it didn't hurt at all, and there wasn't any strong pain reliever, just novocaine. The bridle was cut to compensate for the bite as the plate did not help with the wide bridle. After cutting, everything flattened out over time, and I am grateful to the doctor for that, for his responsibility and talent.
Alina SnezhininaApril 13, 2016 at 6:17 am
Little did I know there were different ways to cut the bridle. What's more, nobody in our local clinic offered to use a laser to solve the problem. According to the surgeon, my daughter (she is five years old) was simply operated on using the bloody method (with a scalpel). The child was very worried, but everything went well. At first it was uncomfortable to eat. Over time, the wound in the mouth healed. The bridle got longer and the daughter was finally able to pronounce the sound "P". And other sounds became easier.
IrinaJanuary 11, 2017 at 1:22 pm
When we first went to the surgeon when my daughter was 4 months old, the doctor didn't find any problems with the bridle, but by the next appointment it turned out that the bridle needed to be cut. Of course I didn't want to, I felt sorry for the child, it hurt, but I had to. Of course, they didn't tell us anything about the laser, there's nothing like it in an ordinary children's clinic, they cut it off with an ordinary scalpel, and the child cried a little pretty quickly.
VitalyMarch 7, 2017 at 4:58 am
And in adulthood, can you cut the bridle?
ElisabethJune 8, 2017 at 10:20 am
My younger sister, about a year and a half old, could not speak in any way. I don't know if this was on a bridle under the tongue, but we cut it which made it really easier for the child to utter noises. The procedure itself wasn't particularly painful (because it wasn't even offered anesthesia) and was performed with such small scissors. I also remember cutting the bridle under the lip at the age of 12, but that's a different story because it was much more serious.
The tongue is an amazing organ. A newborn baby literally begins to use it immediately after birth when it sticks to the mother's breast. Later, thanks to language, the baby begins to walk and approaches the year when he even speaks single words.
However, there are situations when a small bridle on the tongue causes major problems for the newborn's normal growth and development. If during the exam it turned out to be really short, the doctor may suggest cutting the bridle. What is this procedure and what are the indications for it? Let's find out.
Difficulty with a short frenum
Everyone has a bridle in their mouth. In appearance, these are thin folds of the mucous membrane that connect the moving parts of the oral cavity (lips and tongue) with fixed ones (gums and space under the tongue). There are three of them: one is just below the tongue, the other two are connected to the upper and lower lip, respectively.
When they speak of a shortened bridle they mean either its short length or its incorrect position (the length is normal, but locally it is attached to keep the tongue "on a short leash"). In medicine, the defect is called ankyloglossia, or congenital pathology of the cord.
The first difficulty is that the correct process of grasping and sucking the breast is disrupted. Usually, during attachment to the chest, the baby's mouth is wide open so that the lower lip turns outward and the tongue itself is on the gums of the lower jaw. This completely captures the areola of the nipple, creates the desired vacuum, and the tongue begins to work.
The short bridle will not allow you to properly grasp the nipple and the baby will get tired quickly while eating. If he leaves the breast prematurely, he will not receive proper nutrition, gain weight worse, be restless during feeding, and require frequent attachments.
If you stay on the breast for too long and lose weight, then you should contact not only a breastfeeding specialist, but also a children's dentist
Another problem arises at the age of 2 if the child has speech disorders. The child cannot pronounce certain sounds and has to work hard to get rid of such defects. The shortened frenulum of the lower lip leads to the formation of a malocclus.
Causes and symptoms
During intrauterine development, a short fold is formed in pregnancy pathologies. Most often, however, its small size is due to a genetic predisposition. That is, if the next of kin had similar problems, then the likelihood of a bridle correction of the heir increases.
The following symptoms may suggest something is wrong with the sublingual fold:
- the child "hangs" on the chest for more than 30 minutes but does not swallow;
- gain weight poorly;
- the baby claps while eating, bites the nipple with the gums, or cannot hold it in the mouth for a long time.
- often he spits out, he is tormented by flatulence (a consequence of the ingress of air);
- milk stagnates in the breast.
At an older age, ankyloglossia becomes the cause of such problems:
- speech errors;
- the formation of a fallacy;
- early onset of tooth decay (in the case of a defect in the frenum above the upper or lower lip);
- the formation of crooked teeth;
- profuse salivation;
- sleep disorders, sleep apnea.
The sublingual frenum is not difficult to check. It is usually placed somewhere midway between the root and the tip of the uvula and is at least 8 mm in length. Professor Alison Hazelbaker developed a special test that takes into account the ability of the tongue to stretch forward, rise toward the upper palate, rotate in different directions, assess the sucking reflex, how elastic the frenum is, etc.
The doctor uses specially developed tests to determine whether ankyloglossia is present
In ankyloglossia, the tongue visually takes the shape of a heart as the fold is drawn from below. This can be clearly seen when crying. If you show your tongue your baby, he won't be able to copy you and do the same.
Cut or Stretch?
If the discussed defect is diagnosed, there are two options for eliminating it:
- try to stretch the bridle with special exercises;
- trim it.
It is fair to say that you can do without surgery and try to stretch only the hypoglossal frenulum, provided that the child is already able to independently perform the necessary exercises under the supervision of an adult. The stretching is usually done by a speech therapist, and the exercises are done at least twice a day for several months.
With ankyloglossia, a child cannot do this
However, such procedures are not suitable for a newborn baby. And when it comes to the possibility of continued normal breastfeeding, it is better to agree to undercut. As we will see later, such an operation has no negative health consequences.
When to prune
How do you know when is the best time to trim your bridle? If the problem was detected immediately after the birth, the incision is offered directly in the hospital in order to forget about further unpleasant consequences once and for all.
If the child is older than 9 months, it means that there were no difficulties with feeding, and the bridle did not cause any particular inconvenience. Therefore, it makes sense to wait for the child to speak. Perhaps the tongue frenum will not affect the baby's ability to speak in any way, or it will stretch. In principle, surgical correction can be carried out at any age. Only the older the patient, the more likely it is that anesthesia (but in the vast majority of cases local) and stitches will need to be performed.
When a school-age speech therapist or orthodontist refers a speech therapist or orthodontist to a surgeon, the surgery is only "mechanically releasing" the tongue, but you have yet to learn how to use it properly. Surgery at the age of 6 does not guarantee that the child will stop lisping because the pronunciation skills are already firmly entrenched. Correcting crooked teeth also takes time.
To trim the wrinkles on the lower lip, it is recommended to do this from the age of 4 and on the upper lip - not earlier than from the age of 6. The frenum of the tongue is circumcised in most cases in infants under one year of age.
How is it circumcised?
An operation to cut the frenum of the tongue is called a frenotomy. It is performed by a pediatrician or a dentist. The child's face is fixed, after which it is cut with special scissors or a laser. The procedure is painless in infancy, as the nerve endings in the gum lining have not yet formed. After cutting the bridle, it is recommended to immediately attach the child to the chest.
Even if the crumb is crying, you know: it's not because it hurts. It's just that no one is pleased if for some reason they hold their face and climb into their mouth, and even under the light of a lamp. The procedure itself only takes a few seconds - nothing compared to the relief the baby then experiences.
The bridle is cut quickly. The anesthesia is either not applied at all or is applied topically in the form of an aerosol or injection
There are two other methods of surgical treatment:
- frenectomy - when the bridle is cut out almost completely;
- Frenuloplasty is an operation that changes the position of the attachment of the fold in the oral cavity.
No special post-operative care is required. The blood vessels are still deep, so a few drops of blood are the result. However, scarring occurs over the next week and the tongue has to move to avoid re-fusion. The doctor will show you specific exercises for his progress.
When a child breaks the bridle
Little fidgets are often looking for adventure, sometimes unsafe. What if the baby cut the bridle in his mouth after the fall? Of course, you should seek medical attention immediately, especially in cases where there is constant bleeding, the child is painful when talking or eating, and the soft tissues in the mouth are swollen.
The doctor will decide whether to close the gap and tell you how to care for the wound. Do not try to self-medicate the baby. With improper fusion, rough scars are formed, which have a negative effect on the formation of the bite and articulation.
Sum up. Too short a tongue frenum has a direct impact on the child's quality of life. Cut it or not - it's up to you, dear parents. Just do not disagree with doctors' opinion on this matter. Indeed, sometimes you have to make small sacrifices in order to save your baby from the physical and emotional problems associated with speech impairments in the future.
Anatomy has six reins on the human body. Three of them are in the mouth: the ligament of the upper and lower lip and the frenum of the tongue. The tongue membrane is responsible for the position of the tongue in the mouth, the formation and pronunciation of sounds. It is an elastic strip of tissue that starts from the center of the inside of the tongue and is attached to the floor of the mouth. Has the shape of a triangle. If the ligament is almost at the tip of the tongue or if it is too short, it is considered a pathology. In most cases, cutting the frenum of the tongue will alleviate the unpleasant consequences associated with it.
Reasons for the formation of pathologies of the frenum
Despite the fact that the reasons for the formation of a short bridle are not fully understood, there are several factors that affect its development:
- Hereditary disposition. Doctors found that children whose parents survived cutting the tongue frenum also need to correct the lingual membrane.
- Problems During Pregnancy. A shortened ligament can develop in an embryo if it is adversely affected during the first three months of pregnancy. The educational process can be influenced by viral diseases, taking medication, stress and working under harmful working conditions (paints, varnishes, chemicals).
Types of pathologies
There are the following types of pathological changes in the formation of the bridle:
- The sublingual ligament is represented by a thin transparent membrane, but the mobility of the tongue is limited.
- A thin frenulum, the leading edge of which is tightly attached to the end of the tongue. When lifted, the top divides into a heart shape.
- The sublingual membrane is short and dense and attached close to the end of the tongue. The rise of the organ is difficult. When you stick your tongue out of your mouth, the tip turns inward and your back rises.
- The frenum is short and dense and fused with the muscles of the tongue. The organ's mobility is severely restricted.
- The sublingual ligament is inextricably linked with the muscles of the tongue, which practically do not move.
The defect of the short sublingual ligament is recognized almost immediately in infants. Cutting the tongue frenum in newborns can be done right in the hospital. After all, a baby with such a pathology can not properly attach itself to the breast and often loses it during the feeding process. The amount of milk he can consume is insufficient for satiety, and as a result, the baby slowly gains weight.
Trimming the tongue frenum for a newborn will not cause the baby a great deal of pain. It is done without anesthesia as the ligament has no nerve endings. It is applied to the chest to calm the baby and stop bleeding. After the operation, there is an improvement in sucking, swallowing and normal weight gain.
What's the danger of ignoring the problem?
Cutting the frenum of the tongue sounds like a death sentence to many parents. However, if you delay the process, you will need to deal with the following issues in the future:
- incorrect development of the lower jaw;
- distortion of the bite (open front or side, cross, oblique);
- displacement of the dentition;
- speech disorders, disorders of physiological breathing that lead to mouth breathing and recurrent colds;
- speech dysfunction (problems with the articulation of hissing, sonorous and other sounds of the upper row), as a result, expressionless speech.
Trimming the ligaments will save older children and adolescents from constant trauma and tears of the frenum, excessive salivation while speaking, snoring, and sleep apnea syndrome.This defect can lead to emotional and behavioral problems.
Most commonly, a short frenum in children 3 to 6 years old is diagnosed by a speech therapist or pediatric dentist. They should seek advice if the parents notice that the child cannot lick their lips with their tongue, raise the tip of the tongue to the roof of the mouth, or run over the gums. A slightly shortened bridle can be stretched through regular exercise and massage. If the classes do not give results, after consulting specialists, surgical correction can be prescribed. The operation is often performed up to 9 years of age (before changing baby teeth to permanent ones).
Operation: Types of how to perform
If cutting the frenum of the tongue in newborns is a painless process and does not require anesthesia, the same procedure requires local anesthesia and suturing with self-absorbable materials from the age of 5. Abnormal placement of the bridle can be corrected by one of three types of surgery:
Private clinics practice laser cutting of the tongue frenum. To do this, the sublingual membrane is treated with an anesthetic gel and an LED is aimed at it, which focuses a beam of light that literally dissolves the frenum. This process is seamless as the laser vaporizes the tissue and immediately sterilizes the wound.
Usually there are no unpleasant consequences after cutting the bridle. Stitches can cause discomfort if the operation was performed without the aid of a laser. The child should speak as little as possible for several days and limit the consumption of solid foods. After a week, nothing will remind you of a surgical procedure.
However, parents should understand that cutting the tongue frenum in children will not solve problems with language and articulation of sounds. The subsequent course of speech therapy and massage is still inevitable. The child needs to be re-taught to speak the language and strengthen the muscles. A visit to the dentist can help resolve bite problems.
Timely identification of the short ligament and the subsequent cutting of the tongue frenum will help avoid undesirable consequences for the health and development of the child. Parents, be careful. Children's beauty and health is in your hands.
When our child was born, no one told us that he had a short bridle under his tongue. None of the doctors noticed this during the examinations. And I, considering that the child is the first, generally haven't heard of it, nobody in our family has had such a problem. And when we were examined by a dentist for a year (apparently better educated than those who examined the child before), we were told that our son has a very short frenulum, so much so that his tongue does not reach heaven. They explained to us that if the child has no blood vessels and it takes literally 2 minutes to do this (cutting) up to 3 months, it is necessary and it is painless for the child. Then I found out that a nursing baby turns out to be uncomfortable and therefore suckle for a long time. So we had it and I couldn't understand why he eats for 2 hours, it was especially stressful at night. But it turns out it was a bridle. And none of the pediatricians, not even the paid ones, told me at the time that the reason for such a long feeding could be precisely the short hypoglossal frenum. The dentist also warned us that because of this, the child may have ridges and the lower jaw will not develop. If you do not cut it in time (it turns out that there is still such a period) (that is, after 3-4 years), then as the teeth grow, they will grow crooked and in two rows. In general, we waited exactly 4 years before we could already agree to our son and explain why we needed such an operation. At this point my son speaks very well, but the problem with pronunciation is the letters "r" and "l". The speech therapist worked with us for a year and tried to stretch the bridle, but to no avail. She just told us - the bridle is short and you may still need to see a dentist. We went. Also, they thought there would only be one consultation, but she insisted on doing this mini-operation right away, she says, then you will tighten it again, and later it will be too late and then he will not be with you thank you. Of course we all convinced our son together. He is obedient to us and agreed. Assured it didn't hurt. He was wrapped in a blanket. And then he got scared. I started to cry. We were allowed to stay. For support. I can't say it didn't hurt him. When the tongue was injected, it was very painful, it screamed violently, and when the tongue went numb, this operation was done quickly, about ten minutes, cut with scissors and sutured. And they were released with the recommendation not to eat or drink for 3 hours and then give Nurofen the age dose. In the morning (we did it in the evening) they give more nurofen. After meals, rinse with chamomile or calendula and immediately treat with Miramistin - 7 days. Do not give solid food for 4 days, just puree everything liquid. 4 days are neither hot nor sweet or salty. Do not jump or run to keep the seams from falling apart. The child jumped from the chair, delighted. But after three hours the anesthesia went away and it started ... He roared like that. Nurofen, which I gave him, of course slept numbly for a maximum of 4 hours and generally did not sleep all night. He just cried and slept in our arms, my husband and I took turns. It's kind of horror. We waited for the morning and returned Nurofen. When the pain passed, the son revived, but he could not eat, even in the form of mashed potatoes, he could only drink. He couldn't speak, although he was a babbler with us, but here he couldn't at all. It was torture for him and for us. I bought him some pudding, spread it thinly, like the first time he was fed, and gave him a drink from a cup, but it even hurt him so much that he cried, complained and refused, convinced him in various ways that he was eating wanted, but the fear of pain, pain from fluid or semi-fluid, bothered him. The child was hungry all day. Quietly drank only water and compote. He willingly rinsed his mouth out and gave it for treatment with Miramistin. And this song lasted 3 days !!! He lost weight, his ribs could be felt. He was pale. I gave him multivitamins that dissolve in water. And melted chocolate to give at least some energy. We didn't sleep at night, he went to sleep, regularly woke up from pain and yelled. Nurofen gave everything for two days, then they said nothing more. Saved that he wouldingly drank milk, especially at night. This is how our first three days passed after we cut the bridle under our tongues. Painful. It was especially painful for my son. On the 4th day he agreed to eat mashed potatoes, and on the 5th he even ate a cake and pasta. On the fifth day they started doing special exercises for the tongue. And let sea buckthorn oil drip under your tongue. Now is the 10th day. He doesn't even remember that pain, but he still eats carefully. Although everything is healed there, the threads are dissolving. About language. Improvements were noticeable on the 7th day. For the first time he clearly said "Leica". He also pronounces other words with the letter "L" clearly. And he likes it. For comparison, he used to say "Eika", "Yoika" and so on. But there are no changes with the letter "R". The speech therapist said that in a month she would also speak, she just need help, work on it. I hope. I want to say that I have read a lot about cutting the tongue frenum and everyone writes that it does not hurt (as it does with children ages 4-6). I do not know for what purpose they are writing this. I say that it is painful for the child and it will certainly be painful for the first 3-4 days. Painful for parents too. And you have to be ready for that. It is, of course, better to take care of the baby's bridle at birth and resolve this problem for up to 3 months. But if it turns out that we have missed this period, then from 3 years old it is necessary to cut it off, as the consequences that you yourself understand may not be very good if you leave them as they are. Again - on the recommendation of specialists, all this is done. And if the recommendation comes in, do it and be prepared for such moments as I described above. I also heard that the bridle is cut with a laser. fast and heals quickly. But there is one thing about such an operation, it may heal incorrectly, it will form a scar, and then they will already solve it in the usual way. This surgery requires a proven and experienced doctor. An experienced doctor made us, but she does not accept laser cutting, she says that in 90% afterwards children are cut again and already in the usual way precisely because of the formation of scars. I don’t know if it’s true. I am not a dentist. But she tends to believe the specialists. She is a top category doctor and the reviews about her are good. I hope our experience will be useful to someone in the same situation. Health.
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