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Frenulum plastic

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A frenulum is a fold of mucous membrane that connects the lower surface of the tongue and the floor of the mouth. Normally, its length should be at least 21 mm, and its width should be up to 4 mm. Shortening of this fold belongs to minor developmental anomalies, occurs in 2.3-10% of infants. Pathology can cause complications, therefore, when diagnosing it, plastic surgery of the frenum of the tongue in children is recommended.

In Kyiv, experienced pediatric dentists from the Dobrobut MC clinic perform such an operation. Doctors have mastered modern plastics techniques, which allows them to get the best anatomical and functional treatment results.

Indications for plastic surgery of the frenum of the tongue in children

Surgical correction is performed with a short bridle, which is accompanied by the following clinical manifestations:
  • difficulty in sucking, rapid fatigability of the child during attachment to the breast;
  • slow weight gain due to lack of nutrients;
  • improper formation of the lower jaw;
  • bite anomalies;
  • difficulty in pronouncing hissing and whistling sounds;
  • the impossibility of installing braces and other dental structures.

Contraindications

Plastic surgery of the frenum of the tongue for a child is not performed in such situations:
  • inflammatory diseases of the oral cavity;
  • untreated acute dental caries;
  • any acute infectious diseases;
  • disorders of the blood coagulation system;
  • decompensation of congenital defects or chronic diseases of internal organs;
  • malignant neoplasms.

Preparing for surgery

Before setting the date of the operation, the doctor should examine the child and determine the degree of shortening of the frenum. To exclude contraindications, a standard set of blood and urine tests is performed, which can reveal abnormalities in the state of health. To minimize the risk of bacterial complications, it is recommended to perform professional oral hygiene before plastic surgery.

How is the plastic of the frenum performed

There are two options for correcting a short frenum:

  • isolated dissection of the mucous membrane without affecting muscle tissue, which is performed in children in the first month of life;
  • full-fledged plastic surgery of the frenum, which involves the transfer of the place of attachment of the mucous fold and restoration of the correct anatomy of the structures of the oral cavity.

Dissection of the frenum is a quick, safe procedure that does not require anesthesia. Indications for early operation are gross violations of the sucking function in a newborn.

Extensive plastic surgery of the frenum is performed for children of preschool and school-age. To facilitate the operation, general or local anesthesia is used, which allows the doctor to safely work with the tissues of the sublingual zone.

The final price of plastic surgery for the frenum of the tongue in children depends on the complexity and method of carrying out. The average cost of an operation in MC “Dobrobut” dentistry is low and affordable for all patients.

Rehabilitation

For quick healing of the tissues of the sublingual region after plastic surgery of the frenum, the following rules must be observed:

  • in the first 2 hours after surgery, you can not eat or drink;
  • it is recommended to eat soft and warm food for 3 days;
  • during the week it is desirable to observe speech peace;
  • until complete healing is necessary to treat the oral cavity with antiseptics and lubricate the bridle with wound-healing ointments.

After the completion of primary rehabilitation, the child may need special gymnastics to restore the mobility of the tongue; to correct the speech, you will need to contact a speech therapist.

To correct a short frenum of the tongue in a child, contact the dentists of the MC Dobrobut clinic. An appointment for a doctor’s consultation in Kyiv is carried out by phone or through the feedback form.

Bibliography

  1. Процак, Т. В., et al. Природжені вади розвитку ротової порожнини та глотки (огляд літератури). Буковинський медичний вісник 21,№ 2 (2) (2017): 153-155.
  2. Мікроаномалії розвитку ротової порожнини: патологія вуздечки язика / В. В. Бережний, І. В. Романкевич. – 2016.
  3. Khan, Shadab, Shweta Sharma, and Vivek Kumar Sharma. Ankyloglossia: Surgical management and functional rehabilitation of tongue. Indian Journal of Dental Research 28.5 (2017): 585.
  4. Bakutra, Gaurav, et al. Management of ankyloglossia (tongue-tie)—Review and report of two cases. Journal of Pierre Fauchard Academy 31.2-4 (2017): 121-124.

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