What is frenulum?

It is a congenital abnormality, which decreases the mobility of the tongue or lip. The frenulum (the part that causes the tie) is a normal part of the anatomy, but it can be too thick, too short or attached in the wrong place. The defective braces lead to a restriction in the range of movement of the tongue or lip.

What are the common symptoms?

  • In babiesDifficulty in breastfeeding, colic, mouth breathing.
  • In childrenfeeding disorders, swallowing disorders, speech disorders, mouth breathing, maldevelopment of the oral structure.
  • AdultsSpeech and breathing difficulties, mouth breathing, snoring and apnoea.

How is it diagnosed?

The lingual frenulum is present in many different forms. The experience of the diagnostician is essential. Clinical experience is key. A thorough visual examination, as well as a thorough investigation of functional challenges and symptoms; along with manual palpation and examination of the mouth are all necessary to make an accurate diagnosis. It is not possible to accurately diagnose the problem from a photograph or by a quick visual inspection.

 

How is it corrected?

A tongue or lip release, called frenectomy, is performed with a medical laser. Laser surgery allows layer-by-layer, complete removal of the attachment of the lip and/or tongue. It is a relatively quick and simple process, which does not require general anaesthesia, sutures or oral medication. Lasers are an excellent alternative to scissors or scalpel as a means of altering soft tissue.

Research indicates that lingual frenulum negatively affects breastfeeding and that releasing the restriction may help.

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