Short bridle of tongue: prune or not?

The diagnosis of the “short frenulum of the tongue” is heard by many parents while in the hospital. It is then before them there is a choice – do it undercut or not. The doctor in this case can only give recommendations. It is better if the examination is performed by a dentist, not a pediatrician or gynecologist.
Parents can postpone the decision until the child reaches the age of five. Dentists surgeons carry out plastic surgery of the frenum of the tongue to children under 9 years of age and then, in case of acute necessity.

Cutting the frenum of the tongue to the newborn

The most common indication for pruning a bridle in infancy is difficulty with breastfeeding. Because of a congenital anomaly the newborn can not fully capture the breast and, accordingly, quickly refuses it. In this case, the defect is corrected by the trimming procedure.
For babies it is absolutely painless. It is carried out without the use of anesthesia with the help of special scissors. After the procedure, there is a significant improvement in appetite and complete adjustment of breastfeeding.
If there are no problems with sucking, the sublingual membrane is cut off until the baby begins to talk.

Plastic surgery in young children

When parents notice violations in diction and pronunciation of certain sounds, in particular “p”, they have to return to the problem of a short frenum again. In this case, it is necessary to consult a qualified dentist who will determine whether surgical intervention is necessary.

The operation to prune a tongue frenulum can be carried out in two ways:

  1. traditional with application of anesthesia and application of sutures;
  2. modern – with the help of a laser (bloodless).

In any case, after plastic surgery, a speech therapist will be needed to correctly set the sounds that are not previously pronounced.

In this case, it is important to note that there are no direct indications for undercutting the sublingual membrane. Defects of speech can be overcome with age, working with a speech therapist. Also, special exercises for stretching the frenum have a certain effectiveness. The most often problematic is the sound of “p”, however, remember how many famous people have cartilage.

If the child does not have problems with eating and speaks with minimal disabilities, it may not be worth the extra stress.

To make the right decision, it is recommended to get consultations of several specialists, in particular, a dentist, speech therapist and an otolaryngologist, in order to have a professional justification for the necessity or uselessness of the plastic frenulum operation.