Lace repair time:
Too short lingual frenulum means that the tongue can't stretch forward normally and freely, and the tip of the tongue changes from "U" to "W" when it stretches forward reluctantly. Children's lingual frenulum is too short, and the frenulum rubs against the sharp cutting edge of lower anterior teeth during breastfeeding, which can lead to bedsore ulcer.
A little bigger, the tongue movement is limited, it can't reach the front palate, and it can't pronounce the tongue palate sound and the tongue rolling sound correctly. Therefore, it is best to fix the tongue strap before learning a language (1 ~ 2 years old).
Correction of lingual frenulum is a kind of oral and maxillofacial surgery. In other words, the short lingual frenulum can be repaired or corrected by surgery to restore normal pronunciation function.
Preoperative diagnosis:
1, the baby's upper and lower deciduous incisors have erupted, and the movement of the tip of the tongue is limited, so it cannot protrude out of the mouth, or the tip of the tongue protrudes to form a groove.
2. The loss of mandibular anterior teeth hinders the retention of denture.
Precautions for operation:
When cutting lingual frenulum, it is necessary to avoid damaging submandibular gland duct and nipple at its opening.
Indications and surgical methods of lingual frenulum;
Tongue frenulum adaptation symptoms:
1, abnormal attachment or short deformity of lingual frenulum is the most common congenital malformation except alveolar ridge. The baby's lingual frenulum is too short and deformed. Because the frenulum often rubs the lower incisors when the tongue is extended forward, bedsore ulcers may occur.
The incisors of deciduous teeth have erupted after 6-9 months due to the infant's dysplasia, and the lingual frenulum is still attached to the alveolar ridge on the lingual side of the mandible, which restricts the movement of the tip of the tongue so that it cannot extend out of the mouth, or forms a groove when the tip of the tongue extends forward, and the tip of the tongue cannot roll up and contact the upper teeth, resulting in the lingual frenulum being too short.
2. For edentulous patients, the attachment of lingual frenulum or maxilloglossal muscle is close to the crest of alveolar ridge, which often hinders the placement and retention of denture.
Surgery:
1, pediatric surgery should use general anesthesia to ensure cooperation. Adults can do it under local anesthesia.
2. Clamp the upper end of the lingual frenum in the abdomen of the tongue with vascular forceps and lift it upward. Cut the lingual frenulum directly to its root with a small blade or scissors, and be careful not to cut it too deep to avoid damaging its deep lingual vein or lingual muscle.
3. Suture the incision vertically.