The frenulum of tongue is a sublingual fold of the mucous membrane of the oral cavity, which connects the tongue with the bottom of the oral cavity. Its normal length in a stretched condition at a 5-year-old child is about 8 mm, but not less than 5 mm. When the bridle of the tongue is too short, the diagnosis of ankyloglossia is put. The tongue itself can also be shortened, thickened and at its very end may have a central cleft. In very rare cases, it turns out to be bundled with the bottom of the oral cavity.
The exact causes of a short sublingual bridle are unknown. In addition to heredity, it can be “guilty” of toxicosis in the early stages of pregnancy, antibiotics that have to be taken by future mothers, and viral diseases that have been inflicted during the baby’s bearing.
The prevalence of ankyloglossia is approximately 1:1000, and in boys it occurs 3 times more often than in girls. Up to 50% of children diagnosed with such close relatives have the same defect.
Because of the many problems that cause this deviation from the norm, medical intervention is required. It is not necessary to worry much: modern technologies turn the operation into a minute’s work, and unpleasant sensations that can experience a baby are very quickly forgotten.
Labia and lingual plastics are usually carried out at infancy. The operation is simple, performed under local anesthesia. After it there are no restrictions, the baby feels good, if there are pain sensations, then they are minimal.
But this is only if the operation was carried out in a timely manner, until the child reaches 5-6 years of age.
The ideal option is to carry out a similar operation to a newborn for up to 6 months. The operation is carried out by experienced dental practitioners and usually takes no more than a minute.
If the time is lost and the short bridle is detected late, then it is likely that a full-fledged operation with all the consequent consequences will be required.
The operation, which is carried out, is called frenuloplasty, it is done for children older than 5 years of age and adults.
There are three types of such an operation:
- Complete removal of the bridle and correction.
- Cutting is the simplest and most acceptable method of treatment, especially in childhood.
What kind of frenuloplasty will be relevant in this or that case only a doctor can determine, but it is better not to start the situation. In order to avoid all negative consequences, it is necessary to visit a pediatric dentist in a timely manner and check the condition of the bridle.
The postoperative period for the child goes well. Parents should monitor the thorough hygiene of the oral cavity, immediately after the operation, hard food is excluded, preference is given to liquid cereals, mashed potatoes and soups. After some time it is necessary to appear to the doctor for a control inspection.