By what signs to determine the short frenulum of the tongue in a newborn?

By what signs to determine the short frenulum of the tongue in a newborn?

24.05.2022 0 By admin

Tongue tie in newborns (ankyloglossia) is more common in boys than girls. It can cause various complications in the formation of speech skills and dental disorders. Pathology responds well to treatment with timely access to a pediatrician or dentist.

What is a short frenulum of the tongue in a newborn

The condition is characterized by a shortened ligament of the tongue that connects it to the lower palate. At the same time, the child has difficulty moving the tongue around the oral cavity, which disrupts the processes of swallowing or sucking, and also prevents the normal development of speech.

short frenulum of the tongue in a newborn

A short frenulum of the tongue in a newborn is in most cases a hereditary trait.

In the normal state, the frenulum is attached to the lower palate and does not hinder the movements of the tongue. The length of the fold is from 6 to 8 mm.

In some cases, the lingual fold can be attached almost to the very tip of the tongue, which leads to its complete immobility or restriction of movement. Normally, the length of such a fold in a child by the age of five should be at least 0.8 cm.

Causes of a shortened cord in children

The main factor in ankyloglossia is hereditary predisposition, since in more than 50% of cases one of the parents also had a short frenulum.

Other causes of pathology are negative effects on the fetus in the first trimester of pregnancy, when the entire dental and jaw system is formed.

Risk factors:

  • toxicosis in the mother during pregnancy;
  • stressful conditions;
  • the use of certain types of drugs: antibiotics, sulfonamides;
  • infectious and viral diseases during pregnancy;
  • toxic effects on pregnant women.

The exact causes and mechanisms of the development of pathology to date have not been fully identified.

Types of pathology

In total, five types of shortened folds are distinguished, which prevents the normal formation of tongue mobility in a newborn.

Band classification:

  • Thin, completely transparent. It hinders the movement of the tongue in the oral cavity.
  • Thin, translucent. When moving, the tongue seems to split in two, forming a kind of heart.
  • Short, with a thick and powerful structure. The movement of the tongue is difficult.
  • Short, thick. Often, pathology is observed in newborns with defects in the lips and palate.
  • The cord is almost completely fused with the lingual muscles.

Depending on the type of wrinkle, the pediatrician or dentist determines the most appropriate type of treatment.

How to identify pathology

Symptoms of a shortened fold are determined by the attending physician at the first scheduled visit. The main sign indicating a problem is the non-standard shape of the tongue, the tip of which is slightly down and has limited mobility.

Additional signs:

  • Breastfeeding takes much longer than usual. In this case, the newborn constantly pushes the breast away, as he cannot hold it in his mouth for too long.
  • The body weight of the child stands still due to feeding problems.
  • During breastfeeding, the baby bites the nipples and smacks his lips.
  • In some women, this causes a decrease in the production of breast milk, so the baby is transferred to artificial feeding .

The baby quickly gets tired, the behavior becomes restless and capricious. Sometimes hypotrophy can develop due to poor appetite. Due to the strong impact of the jaws, the load on the oral cavity increases.

In older children, there is a violation of articulation and sound pronunciation. Pathology leads to the fact that the child has problems with the normal pronunciation of the sounds “r”, “l”, as well as with almost all hissing.

What can threaten a shortened cord to a newborn

If the pathology is not eliminated in time, the condition can become more complicated and lead to additional problems. Dental disorders and speech disorder are the main pathologies that occur in a child.

Possible consequences:

  • open bite;
  • development of prognathia;
  • diastema in the area of the anterior incisors;
  • insufficient body weight in a child;
  • disorders in the digestive organs;
  • speech defects;
  • snore;
  • apnea;
  • sleep problems;
  • respiratory disorders.

A condition in older and adolescence can cause psychological problems: low self-esteem, poor adaptation in society. Therefore, the help of a child psychologist may be needed.

Diagnosis of violations

Several specialists are engaged in the identification of pathology, including a pediatrician, a pediatric surgeon, an orthodontist, and a speech therapist.

Ankyloglossia is detected in a child during the first routine examination by a doctor. In the older group, a deviation can be identified by factors such as the inability of the child to touch the upper row of teeth with his tongue, the inability to lick his lips or push the tip of the tongue out of his mouth.

In some cases, a special study is used – the Hazelbaker test.

Treatment of a shortened frenulum in children

Treatment is prescribed if an abnormal development of the bite in an infant, a displacement of the dentition, as well as problems associated with feeding have been identified. If there are violations in the pronunciation of sounds, therapy is carried out by a speech therapist with the help of special exercises or massage.

how to define

Pathology can be identified by characteristic features

A short frenulum under the tongue is corrected with the help of a surgical operation by dissection – frenulotomy. Often cutting the cord is carried out in infancy. The operation practically does not cause pain, therefore it is carried out without the use of anesthesia, since at this stage of formation the frenulum has no nerve endings.

Babies are operated on using special surgical instruments or a laser.

In children older than five years, plastic surgery is performed to lengthen the frenulum – frenuloplasty. This operation is rarely used – only in the presence of serious orthodontic defects. After dissection of the cord with children, it is necessary to carry out special exercises that help to establish normal pronunciation of sounds. In addition, gymnastics for the tongue is prescribed. This will help you recover from the operation and prevent scarring of the frenulum.

When the child reaches five years of age, conservative methods of treatment are used with the participation of a speech therapist.

Rehabilitation after the operation

Typically, in a newborn, the incision site heals within the next two to four hours. After the procedure, the child does not have any scars or stitches. To assess the condition of the baby, it is applied to the mother’s breast.

In children of the older age group, the healing process takes longer, as sutures are applied. A follow-up visit to the doctor is required. The child is not allowed to eat or drink for 4-5 hours after the operation. During the day, it is necessary to treat the place of sutures with antiseptic solutions, which are prescribed by the attending physician.

Recovery prognosis

The prognosis in most known cases is favorable. After the operation, the baby improves appetite, weight gain occurs.

Children under five years of age are not operated on, so the mother and child should visit a speech therapist to correct speech defects. With regular fulfillment of all requirements, including exercises, therapy helps to restore the correct pronunciation of words and eliminate other problems associated with a shortened band.

A short frenum of the tongue in a newborn (ankyloglossia), as a rule, is the result of the influence of hereditary factors. Pathology is eliminated surgically: frenulotomy is performed for infants under the age of nine months, frenuloplasty – for children from five years of age. In some cases, the problem is solved by conservative methods.

Video

It is also interesting to read about the geographical language in a child.

By what signs to determine the short frenulum of the tongue in a newborn?

24.05.2022 0 By admin

Tongue tie in newborns (ankyloglossia) is more common in boys than girls. It can cause various complications in the formation of speech skills and dental disorders. Pathology responds well to treatment with timely access to a pediatrician or dentist.

What is a short frenulum of the tongue in a newborn

The condition is characterized by a shortened ligament of the tongue that connects it to the lower palate. At the same time, the child has difficulty moving the tongue around the oral cavity, which disrupts the processes of swallowing or sucking, and also prevents the normal development of speech.

short frenulum of the tongue in a newborn

A short frenulum of the tongue in a newborn is in most cases a hereditary trait.

In the normal state, the frenulum is attached to the lower palate and does not hinder the movements of the tongue. The length of the fold is from 6 to 8 mm.

In some cases, the lingual fold can be attached almost to the very tip of the tongue, which leads to its complete immobility or restriction of movement. Normally, the length of such a fold in a child by the age of five should be at least 0.8 cm.

Causes of a shortened cord in children

The main factor in ankyloglossia is hereditary predisposition, since in more than 50% of cases one of the parents also had a short frenulum.

Other causes of pathology are negative effects on the fetus in the first trimester of pregnancy, when the entire dental and jaw system is formed.

Risk factors:

  • toxicosis in the mother during pregnancy;
  • stressful conditions;
  • the use of certain types of drugs: antibiotics, sulfonamides;
  • infectious and viral diseases during pregnancy;
  • toxic effects on pregnant women.

The exact causes and mechanisms of the development of pathology to date have not been fully identified.

Types of pathology

In total, five types of shortened folds are distinguished, which prevents the normal formation of tongue mobility in a newborn.

Band classification:

  • Thin, completely transparent. It hinders the movement of the tongue in the oral cavity.
  • Thin, translucent. When moving, the tongue seems to split in two, forming a kind of heart.
  • Short, with a thick and powerful structure. The movement of the tongue is difficult.
  • Short, thick. Often, pathology is observed in newborns with defects in the lips and palate.
  • The cord is almost completely fused with the lingual muscles.

Depending on the type of wrinkle, the pediatrician or dentist determines the most appropriate type of treatment.

How to identify pathology

Symptoms of a shortened fold are determined by the attending physician at the first scheduled visit. The main sign indicating a problem is the non-standard shape of the tongue, the tip of which is slightly down and has limited mobility.

Additional signs:

  • Breastfeeding takes much longer than usual. In this case, the newborn constantly pushes the breast away, as he cannot hold it in his mouth for too long.
  • The body weight of the child stands still due to feeding problems.
  • During breastfeeding, the baby bites the nipples and smacks his lips.
  • In some women, this causes a decrease in the production of breast milk, so the baby is transferred to artificial feeding .

The baby quickly gets tired, the behavior becomes restless and capricious. Sometimes hypotrophy can develop due to poor appetite. Due to the strong impact of the jaws, the load on the oral cavity increases.

In older children, there is a violation of articulation and sound pronunciation. Pathology leads to the fact that the child has problems with the normal pronunciation of the sounds “r”, “l”, as well as with almost all hissing.

What can threaten a shortened cord to a newborn

If the pathology is not eliminated in time, the condition can become more complicated and lead to additional problems. Dental disorders and speech disorder are the main pathologies that occur in a child.

Possible consequences:

  • open bite;
  • development of prognathia;
  • diastema in the area of the anterior incisors;
  • insufficient body weight in a child;
  • disorders in the digestive organs;
  • speech defects;
  • snore;
  • apnea;
  • sleep problems;
  • respiratory disorders.

A condition in older and adolescence can cause psychological problems: low self-esteem, poor adaptation in society. Therefore, the help of a child psychologist may be needed.

Diagnosis of violations

Several specialists are engaged in the identification of pathology, including a pediatrician, a pediatric surgeon, an orthodontist, and a speech therapist.

Ankyloglossia is detected in a child during the first routine examination by a doctor. In the older group, a deviation can be identified by factors such as the inability of the child to touch the upper row of teeth with his tongue, the inability to lick his lips or push the tip of the tongue out of his mouth.

In some cases, a special study is used – the Hazelbaker test.

Treatment of a shortened frenulum in children

Treatment is prescribed if an abnormal development of the bite in an infant, a displacement of the dentition, as well as problems associated with feeding have been identified. If there are violations in the pronunciation of sounds, therapy is carried out by a speech therapist with the help of special exercises or massage.

how to define

Pathology can be identified by characteristic features

A short frenulum under the tongue is corrected with the help of a surgical operation by dissection – frenulotomy. Often cutting the cord is carried out in infancy. The operation practically does not cause pain, therefore it is carried out without the use of anesthesia, since at this stage of formation the frenulum has no nerve endings.

Babies are operated on using special surgical instruments or a laser.

In children older than five years, plastic surgery is performed to lengthen the frenulum – frenuloplasty. This operation is rarely used – only in the presence of serious orthodontic defects. After dissection of the cord with children, it is necessary to carry out special exercises that help to establish normal pronunciation of sounds. In addition, gymnastics for the tongue is prescribed. This will help you recover from the operation and prevent scarring of the frenulum.

When the child reaches five years of age, conservative methods of treatment are used with the participation of a speech therapist.

Rehabilitation after the operation

Typically, in a newborn, the incision site heals within the next two to four hours. After the procedure, the child does not have any scars or stitches. To assess the condition of the baby, it is applied to the mother’s breast.

In children of the older age group, the healing process takes longer, as sutures are applied. A follow-up visit to the doctor is required. The child is not allowed to eat or drink for 4-5 hours after the operation. During the day, it is necessary to treat the place of sutures with antiseptic solutions, which are prescribed by the attending physician.

Recovery prognosis

The prognosis in most known cases is favorable. After the operation, the baby improves appetite, weight gain occurs.

Children under five years of age are not operated on, so the mother and child should visit a speech therapist to correct speech defects. With regular fulfillment of all requirements, including exercises, therapy helps to restore the correct pronunciation of words and eliminate other problems associated with a shortened band.

A short frenum of the tongue in a newborn (ankyloglossia), as a rule, is the result of the influence of hereditary factors. Pathology is eliminated surgically: frenulotomy is performed for infants under the age of nine months, frenuloplasty – for children from five years of age. In some cases, the problem is solved by conservative methods.

Video

It is also interesting to read about the geographical language in a child.