Short frenum of the tongue in a newborn child: diagnosis and pruning, options for carrying out operations

Pruning the frenum in children Often parents do not pay attention to the development of a frenulum in their newborn baby.In fact, this must be done, because sometimes the jumper is too short.In this case, by the age of 3-5 years, problems with pronunciation and formation of occlusion begin.To avoid this, it is necessary to regularly inspect the oral cavity of the child.

Reasons

The most commonly underdeveloped bridle under the tongue is due to the hereditary factor .It is worth noting that such a pathology can be observed, as a result of some problems during the gestation of the fetus.This is because the course of pregnancy has a significant effect on the development of a frenum in children.To the formation of the pathology can lead to such factors:

early protracted toxicosis;
reception of hormonal preparations and antibiotics in the first and third trimester;
various injuries of the abdomen of a pregnant woman;
transferred infections;
adverse environmental conditions;
stress and depression;
is the late age of the parturient woman, that is, over 40 years of age.

Basic features

Short frenum in children First of all, it is worth noting that the suckling function of the newborn depends on the language.Due to the mobility of this organ and the proper development of all the organs of the oral cavity, the baby receives the necessary nutrition.If the bridle of the tongue is too short, the child may experience discomfort when sucking out the milk.This process delivers pain and makes the baby moody.In addition, the woman herself feels painful.The reason for this phenomenon is the fact that the child is not able to capture the areola.As a result, a significant part of the milk flows out of the mouth of the newborn, which leads to a reduction in weight gain and even a refusal to eat.

Symptoms and possible consequences

Any mother with a thorough examination of the oral cavity is able to notice a short frenum of the tongue in the child.In addition, a pediatrician or a children's dentist can detect the problem.

There are several factors about the presence of such pathology :

during feeding the child constantly smacks;
the baby can strongly bite the nipple, which will cause unpleasant sensations in the mother;
the need for frequent attachment to the breast;
child does not eat up and begins to be capricious;
there is insufficient weight gain.

If the parents did not notice the presence of a pathology under the tongue in time, the probability of development of various complications of increases significantly.It can be periodontitis, wrong teeth formation or gingivitis.In any case, because of the short frenum, the entire articulatory apparatus of the child suffers.So, the kid can not pronounce certain sounds.His speech is greatly distorted due to the fact that the lower jaw is not moving well.After 5 years, the operation is meaningless, because even it does not help to restore the pronunciation of certain sounds.

Diagnostics

Trimming the bridle The length of the frenum in the newborn should be at least 8 mm , and in the adult human jumper reaches 2-3 cm in length.

To determine the presence or absence of pathology in a newborn, it is sufficient to gently pull the lower lip so that the child opens his mouth.Visually, you can see whether the bridle is really short.This is evidenced by the fact that the tongue is attached near the tip.Accordingly, he hardly touches his lips.

The easiest way to notice the short jumper in children is 2-3 years .So, the child is already beginning to talk.If some sounds are incorrectly pronounced, parents lead the baby to the speech therapist.It is the specialist who determines whether the child has a congenital pathology.If you notice it as early as possible, then it is enough to perform a special massage and articulatory exercises.

Treatment

To eliminate the congenital anomaly, two methods are suitable: stretching a short frenum in newborns with the help of special exercises or surgical intervention.The second option is considered preferable for babies.For this purpose, a laser or scissors is used.In the case when the jumper under the tongue is a little underweight to the norm, and during breastfeeding there are no problems, surgery is not necessary.

Cutting the frenum

Diagnosis of pruning of the bridle

In most cases, the bridle of the tongue is cut in 1 month of life of the baby, because afterwards this organ becomes too susceptible to various surgical interventions.The cause of this fact is the deep placement of blood vessels.Calming the baby after the operation is very simple.For this purpose, it is necessary to drip a few drops of mother's milk on the wound.

This operation has no complications .Moreover, thanks to her the articulatory apparatus of the baby is properly developed.The procedure itself takes no more than 5 minutes, and the child will not need anesthesia.During the cutting of blood or pain is not, because in these tissues nerve endings have not yet formed.The incision heals within 1-2 days, and the fibers dissolve themselves.

It is customary to perform operation for up to 1 year , therefore the pediatrician should carefully observe the oral cavity and the language of the child at the next examination.If the defect was noticed after 3-4 years, it is necessary to contact a pediatric surgeon to prune a bridle. At the age of over 5 years, the operation is no longer performed.

The prediction of a short frenulum undercut is good.The dissection greatly improves breathing and sucking, as well as the necessary increase in weight.The earlier the procedure is performed, the higher the probability of avoiding problems with the formation of speech and bite.Older children pruning bridles under the tongue will not help normalize speech, so you'll have to attend a speech therapist.In some cases, conservative treatment is prescribed, that is, children aged 2-4 years must perform special exercises that will help to stretch the bridle.