Corbata de lengua y labio
¿Qué es un lazo de lengua o un lazo de labios?
Al nacer, los niños pueden ser diagnosticados de inmediato con una corbata de lengua o de labios. Con una consulta de una asesora de lactancia, o del examen del pediatra, se puede identificar correctamente un empate. Tratamos la ligadura de lengua y de labios correctiva con el uso del láser. No se produce sangrado y la cicatrización mejora cada vez que se realiza una cirugía de ligadura correctiva.
If the frenum need is limiting function of the patient, then a procedure to remove the piece of tissue is indicated. And that is call a frenectomy, which is a minor in-office surgical laser procedure that involves the removal of either the connective tissue located under the tongue (lingual frenum) or the band of tissue that attaches the upper lip to the gums (labial frenum). This is done in order to correct problems that arise as a result of a tongue tie condition or a lip tie condition, respectively.
Limited to minimal bleeding occurs, and healing is improved whenever a corrective-tie surgery is done.
Infants need to be seen by a lactation consultants before and after treatment. Children and adults need to see speech therapist or oro-myofunctional therapist before and after treatment.
Tongue Tie Before
Tongue Tie After
¿Qué edad es mejor para un tratamiento de frenectomía?
En Little Champions, tratamos a bebés de una semana de edad. Nunca es demasiado joven para que su bebé sea evaluado por un Consultor de Lactancia Certificado por la Junta (IBCLC). Se pueden examinar bebés de tan solo un día de nacidos y, cuando esté indicado, se debe realizar una frenectomía lo antes posible. Para encontrar un IBCLC,
siga este enlace: Recursos USLCA
**La mayoría de los padres con bebés que necesitan frenectomías son vistos y tratados dentro de una semana cuando son referidos a nuestra clínica por su pediatra o un IBCLC.
Señales de que su hijo podría necesitar una frenectomía
Su hijo puede necesitar una frenectomía si tiene alguno de los siguientes problemas:
Problemas con la lactancia/alimentación: la atadura de la lengua dificulta que los bebés traguen porque su lengua está significativamente restringida, y esto puede provocar algunos de los siguientes: chasquidos, quedarse dormido mientras amamanta, poco aumento de peso, dolor en las madres (entre otros síntomas).
Problemas del habla: la lengua y el labio son cruciales para el correcto desarrollo del habla. En los casos en que su movimiento está restringido, los niños tendrán problemas para pronunciar ciertos sonidos y son comunes los impedimentos del habla, como el ceceo.
Problemas de sueño: un frenillo labial tenso podría hacer que su hijo duerma con la boca abierta debido a la incapacidad de sus labios para juntarse en reposo, lo que lo predispone a problemas dentales como una mordida abierta anterior. La apnea del sueño también puede ocurrir porque hay un tono muscular inadecuado de la lengua que hace que se coloque en una posición más posterior y potencialmente restringe las vías respiratorias.
Problemas dentales: la presencia de un labio o lengua atada aumenta el riesgo de caries en la superficie frontal de los incisivos y recesión de las encías (haciendo que los dientes se vean anormalmente grandes). Además, las caries en las fosas y fisuras de los molares son más probables ya que la lengua no puede eliminar la comida de estos sitios.
Beneficios del tratamiento de frenectomía
Las frenectomías pueden ayudar a mejorar la salud de su hijo al facilitarle la alimentación (a menudo hay una mejora inmediata en la lactancia), permitir que su habla se desarrolle correctamente y reducir la probabilidad de desarrollar problemas de ortodoncia graves, como dientes desalineados, lo que exacerbaría problemas para comer y hablar.
Hacerse una frenectomía también aliviará el dolor que las madres que amamantan pueden experimentar debido a la atadura de labios o lengua de su bebé.
Signs your child might need a Frenectomy
Your child may need a frenectomy if they have any of the following problems:
Problems with breastfeeding/feeding: a tongue-tie makes it difficult for infants to swallow because their tongue is significantly restricted, and this can result in some of the following: clicking, falling asleep while nursing, poor weight gain, pain on mothers (among other symptoms).
Speech problems: the tongue and lip are crucial for proper speech development. In cases where their movement is restricted, children will have problems pronouncing certain sounds, and speech impediments such as lisps are common.
Sleep issues: a tight labial frenum could cause your child to sleep with their mouth open because of the inability of their lips to come together at rest, predisposing them to dental problems such as an anterior open bite. Sleep apnea may also occur because there is improper muscular tone of the tongue causing it to lie in a more posterior position and potentially restrict the airway.
Dental problems: the presence of a lip or tongue-tie increases the risk of cavities on the front surface of incisors and gum recession (causing teeth to look abnormally large). Additionally, cavities in the pits and fissures of molars are more likely as the tongue is unable to remove food from these sites.
Dos tipos de frenectomía
Una frenectomía lingual se realiza cuando el frenillo lingual (el frenillo que conecta la parte inferior de la lengua con el piso de la boca) es demasiado corto o grueso. Un frenillo lingual mal formado puede provocar anquiloglosia, comúnmente conocida como atadura de la lengua. La lengua atada a menudo impide que un paciente coma o hable correctamente y puede ser especialmente problemático para los niños en desarrollo.
Una frenectomía labial se realiza cuando el frenillo que une el labio superior con las encías que rodean los dientes superiores está malformado. Un problema con este frenillo puede conducir a la recesión de las encías en el área si no se trata.
Corbata de lengua/corbata de labios
Atadura de la lengua : Una atadura de la lengua es cuando una banda gruesa de tejido debajo de la lengua ata la lengua de un bebé a la parte inferior de la boca. Este tejido, el frenillo lingual, generalmente se separa antes del nacimiento, pero a veces no lo hace por razones desconocidas. Esto puede provocar dificultades y dolor al amamantar, así como otros problemas con la comodidad oral general y el desarrollo del habla. Si su hijo ha tenido problemas para amamantar o un niño mayor se queja de molestias en la lengua, entonces la atadura de la lengua podría ser la culpable.
Corbata de labios: Las ligaduras de labios son muy similares a las ligaduras de lengua, pero son el resultado de que el tejido detrás del labio superior, el frenillo labial, es demasiado grueso e inflexible, lo que impide que el labio superior se mueva libremente. Esta condición puede hacer que la lactancia sea muy difícil, lo que resulta en dolor e incomodidad para la madre y la falta de un aumento de peso saludable para el bebé. Si ha notado que su bebé no aumenta de peso, tiene hambre constantemente pero nunca parece estar satisfecho, a menudo se queda dormido mientras lo amamanta u otras complicaciones, comuníquese con nosotros hoy.
Frenectomy Procedures
The most frequent and customary method for repairing a tongue or lip tie is to perform a frenectomy or frenotomy, which involves using scissors or a scalpel to snip, cut, or remove the tissue. These terms refer to the same surgical technique. Fortunately, using these techniques results in a reasonable amount of blood and a considerable amount of discomfort. As a result of this surgery, there is also a higher chance that the limb will reattach, and there is also a higher chance that scar tissue will form.
The laser procedure can be performed on children of any age, even infants, if it is performed correctly and in a safe manner. The tissue can be removed in a matter of minutes by the laser, with minimal to no bleeding and significantly reduced levels of discomfort for your child. In addition, it stops scar tissue from forming and makes it much less likely that the frenum will reconnect itself.
In younger children, the discomfort associated with a lip or tongue tie procedure typically lasts about 24 hours, but it can last for as long as 48 hours in older children. It is extremely important that you follow all of the instructions given to you following your child's procedure, including any stretching or massage exercises. It is essential to the children's recovery that the exercises be carried out, despite the fact that children typically do not enjoy the exercises and may cry or fuss during them. One week after the procedure, a follow-up appointment will be scheduled to check on the healing of the tissue. Depending on how quickly the tissue heals, you may need to come back for more appointments after the first one.
Some parents choose to treat their children on the same day if they are having difficulty breast-feeding or bottle-feeding their children, or if the child is not gaining enough weight. On the other hand, the initial appointment might just be a consultation, and the parents might have to make a second appointment to actually get the procedure done.
It is recommended that parents bring their infants to the appointment with an empty stomach so that the child can nurse immediately after the procedure. This is something that is recommended to help make the infant more comfortable and to encourage and foster the correct pattern of latching and sucking. During the procedure, infants are swaddled to help them remain still, and a gentle hold is applied to the infant's head to ensure their safety. Swaddling is one way that this is accomplished. The actual surgery itself normally only takes a few minutes, and once it is through, the parents are brought back into the room to soothe the baby and nurse it once they have finished the procedure.
It is important that parents discuss pain treatment options with their child's pediatrician before the procedure is carried out. In most cases, a dose of Tylenol is all that's needed for infants, but it still needs to be given at least 30 minutes in advance of the surgery.
Benefits of frenectomy treatment
Frenectomies can help to improve the health of your child by making it easier for them to feed (there is often immediate improvement in breastfeeding), allowing their speech to develop properly, and reducing their likelihood for developing serious orthodontic issues like misaligned teeth which would exacerbate problems with eating and speaking.
Having a frenectomy done will also relieve pain that breastfeeding mothers may be experiences because of their baby’s lip or tongue tie.
Labial frenectomy: The tissue that connects the gum tissue that is located between the two front teeth to the upper lip is called the labial frenum. It is possible for there to be a space between the two front teeth if this frenum is positioned too deeply within the gum tissue. Additionally, because it separates the gums from the jawbone, it can lead to gum recession. The following includes the benefits of labial frenectomy:
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Contributes to a reduction in both pain and discomfort.
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It fills in the space between the two front teeth to eliminate the appearance of a gap.
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Enhances the function of the bite
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It instills young adults and teenagers with a sense of self-assurance.
Frenectomy of the lingual fold: The tissue that connects the underside of the tongue to the floor of the mouth is referred to as the lingual frenum. It is possible for the lingual frenum to impede movement of the tongue if it is situated too far forward on the tongue. In the absence of treatment, it can impair a child's capacity to eat and communicate normally. Having a lingual frenum, often known as being "tongue-tied," can make it difficult for an infant to latch on to a breast or a bottle when they are trying to nurse or feed themselves.
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It facilitates better speech function.
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increases consumption as well as appetite.
Frenectomy Aftercare
Watching your infant: Even though a frenectomy is far less invasive than other treatments, it is still a minor operation. If at all possible, spend a few days at home with your infant to watch over them as they heal. It's a good idea to let your infant rest and take it easy after their frenectomy, just as with other therapies. When your baby's lip or tongue is up, check to see if the wound appears to be healing appropriately. Your baby may experience some little bleeding and have somewhat darker-than-usual stools due to small amounts of blood that were swallowed. Call your child's pediatric dentist immediately if the bleeding hasn't stopped or the surgical site appears to be still very red and swollen many days after the procedure.
Maintaining Your Baby's Comfort: Your child's mouth will be numbed before the frenectomy in order to prevent pain for them. The anesthetic usually wears off a few hours after the treatment, and your child could be a little cranky for the following several days as they recover. You can provide an infant pain reliever as directed if your baby is old enough to do so. If they are too young for liquid painkillers, you can soothe them by snuggling them frequently, giving them smaller and more frequent feedings, and skin-to-skin contact. You can also get specific recommendations from your child's dentist.
Giving Your Baby Food: A newborn can usually start breastfeeding or drinking formula almost right away after having a frenectomy. Breastmilk and formula both include healthy nutrients and antibodies that can support your infant's recovery. Remember that they could require smaller feedings at first. For a few days following surgery, refrain from giving older children hot or spicy foods, as these could aggravate the surgical site. Likewise, make sure they restrict or stay away from crunchy foods until the wound is fully healed.
Frenectomies can help your child restore complete lip and tongue mobility, which will significantly enhance their quality of life. They are a simple and quick procedure. With the help of these simple but important tips, your child can start to get better and heal quickly from treatment. Contact us today to see if a frenectomy is right for your child.