Ankyloglossia clipping and breast feeding.
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The short lingual frenulum can be a cause of breastfeeding problems, including sore and damaged nipples and inadequate feedings. This article describes two cases, discusses the difficulty in recognizing the condition, and describes the role of primary care providers in the recognition, diagnosis, and surgical treatment of the short lingual frenulum.
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Following the birth of a baby with a short frenulum, the mother experienced pain from the infant's first feeding that was severe and persistent, despite usually effective interventions. The pain forced the mother to pump her breastmilk and use a feeding bottle and rubber nipple despite her determination to breastfeed. Because the baby's tongue could not extend over the lower gumline, suckling injured all tissue the tongue touched--both the mother's nipples and areolae. Nevertheless, even though this baby's frenulum extended to the tip of the tongue, he was able to adapt his suckling movements to provide good areolar stimulation without persistent nipple damage. Infant growth was not compromised and no surgical intervention was necessary.
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Incorrectly produced speech sounds, the presence of dentofacial alterations and acquired functional adaptations may be due to a short and inadequate lingual frenum. When frenectomy is indicated, it should be performed as early as possible to prevent functional alterations. This study presents a literature review on correct lingual positioning in relation to orthodontic and phonetic function as well as an assessment of 15 patients who underwent frenectomy utilizing the carbon dioxide laser. The results demonstrated that this technique is safe, effective and perfect for use in young children and can be performed in an outpatient unit.
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This report reviews the relationship between lingual frena, gingival recession, and tongue-tie, and describes a man with tongue-tie, localised gingival recession, and a speech impediment. The patient was treated surgically, with a satisfactory result 11 years later.
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