What is a bridle in the mouth of the child. How and at what age children make cutting the bridles under the tongue and why do you need plastic? How to determine a short bridle of a child in a child and whether it is necessary to cut

The bridle is a small subyagidial piece of fabric, which is located in the oral cavity. It can be of different lengths and elasticity, and may also be distinguished by the place of attachment. These parameters directly affect the self-separation of speech, the correct pronunciation of most sounds and the ability to eat in a normal way. It is the bridle of the tongue is often a guilty of problems with teeth and all sorts of speech defects.

How to check the sublard bridle?

Podium bridle can have a different length and attached in various places. The situation is the situation in which its location and dimensions do not limit the movement of the language. In an adult, the jumper usually varies from 2.5 to 3 cm, kids up to a year should be about 8 mm.

Check how the sub-surround craving looks like, and there is no anomalies, you can visually even in a newborn baby. To do this, it is enough to delay the bottom lip so that the crouch discovered the mouth. This will appreciate where the partition is attached towards the lower row of future teeth, and how it holds the language. For comparison, it is enough to find photos and videos with a normal bridle without congenital anomalies.

When is a trimming?

The presence of an abnormal partition does not always require surgical intervention. Indications for the operating correction of the bridle are considered to be situations when:

there are difficulties with breastfeeding;
there is an incorrect bite;
displacement of teeth.

In case of violations in the development of speech related to pathology, the problem in most cases is not solved surgically. Stretching is carried out with gymnastic exercises and massages.

Causes short bridles under the tongue

The pathology of the short connecting jumper under the tongue in children implies not only inappropriate length, but also an improper location in the oral cavity. Anomalous bridle is formed even before the birth of the baby.

To factors, which is why the jumper defect appears, refer:

Heredity. The presence of the parents of such an anomaly increases the chances of forming it in a child.
Environmental ecology.
Injurists in the abdomen during pregnancy.
Age of pregnant. The kids who appeared in women who give birth after 35 years, increases the likelihood of travelers.
The presence of chronic diseases in pregnant women.
Fetal infection when carrying.
Woman transferred virus or infectious disease during pregnancy.

Symptoms of shortened bridle with photo

To accurately diagnose the pathology of the jumper can dentist or an experienced pediatrician. However, the parents themselves may also suspect the presence of the problem in the presence of certain symptoms, as well as with visual inspection using the photo of normally formed seewer from the Internet. Children of infants with a short bridle characteristic:

strong smock and cocane language while feeding;
pickling a nipple in the process of sucking;
using lips for chest capture;
the requirement is often applied to the chest;
nipple output from the mouth;
bad weight set;
capriciousness.

For older children, the following symptoms may be observed:

stop breathing in a dream;
aerophagia;
V-shaped tip form;
frequent donkeys of the bridle;
snore;
increased saliva selection when talking.

The age of the child in which it is advisable to make cutting

The question is, at what age it is better to make a dissection of a bridle under the tongue. If the problem is found in the maternity hospital, and the identified pathology delivers difficulties in feeding the baby, then it is eliminated there. The procedure is painless, and after holding it, the crumb is applied to the chest to stop bleeding.

Starting from 6 months, such an operation becomes dangerous, since kids are not able to remain immobile for a long time, and any sharp movement head during manipulations may result in serious damage.

Cruise must be postponed up to 4-5 years. At this age, it is already clear whether pathology affects speech, and is it possible to carry out correction by stretching, massage and special exercises. Of course, it is possible to cut a partition to both an adult person, but it requires anesthesia, sewing, and the recovery process will be longer.

How is the operation?

The correction of the bridle can be carried out in the maternity hospital in the newborn, if this defect was discovered immediately after birth. At this age, it is trimmed so that the baby can eat fully.

In cases where the shortening of the bridle is diagnosed in children older than, and various speech therapy exercises and massages cannot correct the defect, then surgical intervention is required. There are three main types of trimming of subwage bridle:

phrenulotomy;
phrenolectomy;
franuloplasty.

Freshectomy - Dissection of Skin Fold

The second name of the phrenhectomy is the method of glycman. The essence of the method is reduced to the use of clamps, with which the bridle is fixed. After that, do not cuts between the lip and the clamp. The seams are superimposed on the edges of the wound. The newborn dissection of the skin fold is carried out quite easily and does not hurt, without the use of anesthesia, since they still do not have blood vessels and nerve endings in this area.

After 2-3 years of age in children, the structure of the lingual fold is changing. The connective tissue appears vessels, and the partition itself becomes more dense and meaty. As a result, the operation will require anesthesia and the subsequent sewing of the wound.

Franulotomy

Franulotomy is the easiest way to clean, which is aimed at increasing the length of the shortened jumper under the tongue. During such an operation, it is necessary to make an incision on it with the help of special scissors closer to the lower row of the front teeth. The distance on which the bridle of the language is cut is 1/3 of its total length. The mucous membrane is made, and then the heavyness themselves. Further, the sides of the mucous bridge and apply the seams every 3-4 mm.

Franuloplasty

This method of plastic, which is also called a grape method, is based on changing the place of attachment of the bridle in the oral cavity. This plastic of the bridle of the language is carried out in several stages:

cut and peeling the flap in the form of a triangle is made, and the edges of the wound are connected by the overlap of the seams;
a cut in the direction from the partition to the nipple between the front teeth;
the triangle is sewn to the wound surface.

Apply other similar methods for plastics with a short bridle, including a lifting jumper (more in the article: a short bridle in a child: photos, ways to correct defect). For example, plastic Limberg or Popovich.

Laser cutting

In addition to the use of scissors or scalpels in order to trim the shortened attachment partition (which is often painful enough), in modern dentistry, doctors use the laser. Laser circumcision is a more sparing method of carrying out the operation to which it is worth contacting if the patient is a small child.

Laser bridle removal has several advantages:

simultaneous evaporation of tissue sites;
lack of blood during the operation;
closing of the wound;
coagulation of vessels or, in other words, their baking;
sterilization of cutting edges;
lack of seams;
rapid healing;
minimum risk of complications;
easy to carry out the procedure.

Contraindications to the operation

Usually, the operation on cutting the sub-speaking bridle does not have contraindications. However, there are certain circumstances related to health problems in which doctors are not recommended to conduct a procedure or may advise to postpone it for a certain time. These include:

caries;
infectious diseases;
low blood coagulation;
oncology in the oral cavity (we recommend reading: the first stage of the oral cavity: symptoms, forecasts);
pulpitis, stomatitis or other diseases in the mouth.

Is it possible to stretch the sublard bridle?

Why hurry to cut a short jumper, if you first try to stretch it? To do this, there is a speech therapy massage of the bridle and special exercises. In addition, the gymnastics is also relevant after the operation and when restoring the partition, if it broke.

Need:

pull forward the tongue and led them on the sides;
alternately reach the tip of the tongue to the lower and upper lip or teeth;
click the tongue, delaying it at the sky and sharply dropping down;
with a closed mouth led the tongue of the tongue between the cheek;
pull the lips with a mouth with a closed mouth and smack.

In addition, children cost more often to lick the spoon. Another way: dripped on the lip of jam and ask for a crumb to lick him. Also let the baby be more often smiling with closed lips.

What is fraught short bridle?

Pathology associated with a shortened bridle is a fairly common problem. This is a congenital defect, as a result of which a violation of the development and functioning of the element connecting the tongue and the lower jaw, which, in turn, affects the mobility of the speech organ itself. The short bridle of the child in the child leads to the following consequences:

Language bridle - Podium bunch attached to the bottom of the oral cavity. Ankilosses is considered a small congenital ankomalia development, that is, a short bridle. In this case, the bundle begins too close to the tip of the tongue, dramatically fixing it in front.Ankilosses may be accompanied by problems during breastfeeding, the formation of speech and respiration.

Symptoms of a short bridle language in newborns and older children

The diagnosis of ankyloflice can be installed at any age.

For the first time the length of the bridle of the language checks the doctor in the maternity hospital. In the event that this pathology is diagnosed, in most cases the dissection of the bridle is immediately performed.

Sometimes ankilosion detects in children at an older age, or in adults, when symptoms of this development abnormality appear.

Symptoms of the short bridle of the language in children of the breast:

"Smoking" sounds when feeding;
Biting breast;
A large number of feedings on demand;
The child often throws the chest and rests, spends a lot of time in his chest;
Insufficient weight set;
Caprises in the chest;
Failure to breastfeeding.

Symptoms of the short bridle of the language in children after the year and adults:

Organic type of disliers (the pronunciation of sky, hissing and whistling sounds is difficult due to limited mobility of the language);
The slope of the cutters of the lower jaw inward;
Malocclusion;
Bad fixation of removable prostheses and implants;
Paradontitis and recession gums.

Ankilossea can diagnose pediatrician
neonatologist, general pediatrician, dentist, surgeon, otolaryngologist.

Parents can suspect the child a short bridle of the language and consult with a specialist.

At home, you can ask for a child older than 2-3 years to perform small tasks to determine the length of the bridle.

Ask a child to launch a language from the mouth. A child with a short bridle cannot stick out the tongue or the end of the tongue seeks down.
Ask a child to raise the tongue to the sky. When ankyloglossey at the tip of the language is formed a fossa, the tongue is more risen on the sides. Often, the baby cannot spend the tongue on the gums at all and touch the tip to the sky.

With visual inspection of the oral cavity, you can estimate the length of the bridle. Even in a newborn baby, this figure is more than 8 mm. At the age of 5 years, the length of the bridle should be more than 17 mm.

Signs of short bridles of the tongue are divided into absolute and relative:

Depending on the presence of signs of shortening and the length of the bridle, determine the degree of limiting the function of the language.

Limitation of language mobility:

Easy degree. The length of the bridle is more than 15 mm, combined with the presence of relative signs and accompanied by a violation of sound-proof.
Average degree. The length of the bridle is less than 15 mm., There are absolute signs and / or relative signs.
Heavy degree. Length of the bridle 0-10 mm, there are absolute signs of shortening.

Indications for cutting the short bridle language

Cutting the short bridle of the language (Franulotomy) is an easy operation. It requires only local and is rarely accompanied by abundant bleeding. Almost immediately after the intervention, you can eat, drink, talk.

Surgical treatment is necessary when limiting the mobility of the language. In the case of an average limitation, the feasibility of the operation determines the attending physician. Easy degree is adjusted therapeutically (classes with speech therapist, speech therapy).

Indications for cutting the short bridle language:

Severe degree of limiting language mobility;
The average degree of limitation of the mobility of the language in the unsuccessfulness of therapeutic treatment;
Chipping disorders with breastfeeding, insufficient weight gain in an infant;
Forming incorrect bite;
Forming displacement of the tooth row;
The need for orthodontic structures (removable dentures);
The need to install implants (dentures).

In the event that in infancy in the child there were no problems with
The reception of food, the dental range is formed correctly, and the ankilossee for the first time reports the speech therapist, it was recommended to first take a course of speech therapy (articulation gymnastics).

Classes with a specialist during such treatment are aimed at stretching the sub-ligament. In 90% of cases, with an average and easy degree of ankyl adherence, the bridle of the tongue is amenable to therapeutic effects, and the operational intervention is not required.

Parents should be remembered that the articulating gymnastics and consultations of the speech therapist will be necessary for the child and after cutting the sub-speaking ligament.
Sometimes the planned surgical treatment of ankilossee has to be postponed due to the presence of contraindications.

Circus the bridles of the language in the younger age is usually limited to simple dissection (phrenulotomy), in children over 5 years old and in adults may require plastic of sub-speaking folds.

Evaluate -

Language bridle is a kind of bridge between it and the bottom cavity. Thanks to him, the muscle body of the oral cavity cannot move uncontrollably. Most people have this bridge has the right location and dimensions that does not cause any problems. And many do not even pay any attention to him. However, there are those whose it has an abnormally short size. This pathology is characterized in medicine as a short bridle of the language. In this case, the bridge is fixed by the tip of the organ with the bottom of the oral cavity. The defect is usually diagnosed at an early age and requires a certain treatment.

This anomaly causes a number of problems for a person. A short bridle of a child in a child does not need to chew normally, make sounds, freely move the muscular organ in the oral cavity. Therefore, treatment is usually prescribed immediately after diagnosing the disease.

Short bridle language. Causes of appearance

This pathology is formed during the intrauterine development. Its occurrence is associated with a number of reasons (for example, the poor health of the mother, its behavior during pregnancy and so on). Consider the main ones in more detail:

The most common factor is the hereditary predisposition to the development of anomaly.
Traumatization of the fetus during the period of intrauterine development during sucking finger.
Late pregnancy (age from 40 years and older).
Infectious and chronic diseases of the mother during the period of the baby.
Environmental factor.

Diagnosing defect

According to statistical data, up to 19% of children suffer from this anomaly. Predestly, the defect is found in boys. A short bridle of the language has a size of up to 1.7 centimeters. The pathology is also called ankilosses that translated from Greek means "curved, tug-absorbing language". Anomaly develops in different ways. In children, whose language has an anatomically proper structure, there are practically no violation of its development in the early period.

The defect can be complete when the language is tightly closed with the bottom of the oral cavity, and partial - when the organ can move limited. As a rule, this anomaly is diagnosed visually.

Influence on the development of a child

The bridle of the tongue in newborns has an important function from the very appearance of the light. Improper location does not give the child to suck the maternal milk. In the process of this, a number of problems are developing: no disobey, the deficit of nutrients. In addition, due to insufficient breast stimulation, Mother may have a disappearance of milk. Therefore, it is very important to diagnose an anomaly on time. Mothers must follow how tightly kid is embarrassed to the chest, how much time he goes to the consumption of milk.

If a child often loses his breasts, or quickly gets tired, then there are causes. In general, judging by the survey among mothers, children with this pathology behave differently. Sometimes a short bridle of the child in a child, on the contrary, forces it for a long time to suck milk. Children literally hang on the chest. In this case, you need to pay attention to the process of swallowing. It should be permanent. Long breaks between swallows indicate that most of the milk flows into the mouth, and the process of sucking proceeds passively. Therefore, it is incorrect to judge the abnormalist of the language only for several reasons. When diagnosing a defect, you need to take into account a number of factors. Required regular weighing of the child. The babe may be due to the development of this pathology. The chair is also of particular importance. With full nutrition, it is regular. If the absence of a child is accompanied by an infreteen chair, then, most likely, he has a short bridle of the language.

The consequences of pathology

Due to the fact that the bridle of the language in children has individual development, its defect does not always cause discomfort from birth. Sometimes the children are perfectly sucking milk, respectively, grow in weight, and parents do not notice the anomalies. With the age, the problem is aggravated. The child begins to misunderstand the words, does not argue the letters, shepels. As a result, a number of problems with socialization are developing. The kid may feel silent, closes.

Indications for the operation

Treatment is carried out in different periods.

Breastfeeding time. Intervention is required with a pronounced violation of sucking function. At the same time, other possible causes of this problem must be cut off. The child must be completely healthy.
The period of becoming a phrase speech when the kid does not argue certain sounds. The operation is done if the logotherapy does not act, the stretching of the bridle becomes impossible. Surgical treatment is carried out in the absence of dysarthria, general underdevelopment of speech, retardation of psycho-engine development. Otherwise, a great risk of exacerbation of pathology.
A short bridle of the language in children can affect the development of an improper bite. Orthodontics determines the dependence of the seaw-jaw anomalies from the deformation of the bridle. In this case, a surgical operation is also assigned.

Short Language Language: Operation

This is how the treatment of this defect is made. Surgical intervention is carried out under the action of anesthetic. Methods of cutting are different and depend on several factors, including from the age of the child. In the early stages of development, the bridle is very subtle and not yet covered with blood vessels. It is a tissue mucosa film. Due to this, the operation is much easier. In clinics, even two-, three-month children offer surgical interference under general anesthesia, and in dental clinics it is easy to cut it without an anesthesia.

With age, the bridle is covered with blood vessels, and the incision will occur more difficult. In any case, before going to the operation, you need to pass the tests, including on blood clotting.

Types of operations

Franulotomy. The excision of the bridle occurs with scissors. Special tweezers lift the tongue and dissect the bridge. At the same time, the seams are not superimposed. This type of operation makes newborns and infants of the first months of life. At the same time, they are based on the fact that the bridle is not yet covered with blood vessels. Such an opinion is very controversial. Some doctors do not recommend doing the excision of the bridle at a too early age, believing that the defect will not too affect the function of sucking the milk from the chest. In addition, complications, bleeding are not excluded.
Franuloplasty. This is the most common method of excision. There are several techniques (glycman, grape, in limberg). But the essence is one - moving the place of fastening of the bridle of the tongue.
Franuloectomy is a wedge-shaped excision and the imposition of seams.

Recently, a laser operation is becoming popular. This procedure takes several minutes and easily transferred to children. The laser is directed to the portion treated with gel.

Postoperative period

Usually it flows smoothly. For rehabilitation goes about a week. At this time it is recommended to talk less, try not to strain the oral cavity. The first few days are needed by rinsing with antiseptics. Hard food intake must be limited and respecting a gentle diet. After a week, you can start classes with a speech therapist.

Among children, the pathology of the structure of the oral cavity in the form of a short bridle of a language called ankilosses is common.

Often, the progress of the bridle of the language is determined by the newborn immediately after birth, when inspecting in the maternity hospital.

Pathology is quite simple: in the norm, thin heavy, connecting the language and lower oral cavity, reaches the middle of the language, while the anomalous bridle is attached to its tip itself.

It happens that the bridle is practically absent and the language grows with the lower part of the mouth.

Prerequisites for the development of violations

In half, ankilosses is diagnosed in children whose mother and father (or one of the parents) had similar problems. The pathology of the embryo is developing in the maternal womb in the first half of pregnancy due to:

lack of or untimely therapy in the future mother of viral disease in 1 and 2 trimesters;
treatment of diseases by antibiotics;
work with chemical reactivities (paints, varnishes, solutions);
frequent stressful states;
age of a future mother (over 35 years old);
unfavorable ecology.

Varieties of abnormal bridle

Five types of short sublingual bridles are defined:

transparent thin, braving language movement;
thin translucent, fixed by the front edge almost at the tip of the tongue;
thick opaque, fixed near the edge of the tongue;
a short and tight screed, connected to the muscles of the language (frequent anomaly in children suffering from palatal and lift clefts);
the fold, fascinated with the language muscles.

Symptoms and signs of pathology

Determine the short bridle of the tongue easily from the first days of the child's life. The main and first sign of the disease are difficulties in breastfeeding.

To suck milk from the mother's breast, the newborn must make serious efforts, using other organs in addition to the language. The tongue annoys the nipple of the mother, resulting in breast milk.

With a shortened bridle, this process is quite complicated and low mobility of the language. Many kids are trying to compensate for the gums and lips, which is hard enough for both the child and the mother.

Left Normal bridle, right - pathological

The baby quickly gets tired, the mother feels discomfort when feeding, the process of breastfeeding is broken, food intakes become frequent, long and restless with rest interruptions.

During the applied to the maternal breast, the child whimshes, wound up, throws the head, and maybe even abandon the chest. As a consequence, the baby is nervous, does not harm in weight.

For older children and adults, due to the short bridle, the bite is disturbed, the sound testing of hissing and other letters is hampered, it becomes a problematic installation of implants and dentures, diseases of the oral cavity are developing.

Independent diagnosis of the disease

The defect of the bridle is more common in the boys. Parents can independently visually diagnose pathology.

Movement of the children's tongue will be compounded or tongue will be attached to the lower jaw, the child will not be able to drag it outside the mouth.

Treatment methods

To date, two ways of therapy of the short bridle in children are in demand: conservative and operational cutting.

When denying surgical intervention in order to cut the bridle, it is possible at home to carry out special gym, developed by stretching spending spending.

For stretching the bridle, the speech therapist can advise to perform a speech therapy massage. The procedure is quite unpleasant, but very productive. Performed by absolutely clean hands, sometimes the doctor can afford to wrap his fingers with a sterile handkerchief or bandage:

Stress the bridle between large and index fingers and move them along the screed from the bottom up.
Locate the middle and index fingers under the language so that the bridle is between them; Press the front of the tongue with a thumb and carefully pull it out.
Press the tip of the tongue alternately up and down, after which the index finger carefully pull the jumper up.
Put on the tip of the tip sliced \u200b\u200bin the form of a ringlet edge of the pipette, press the ring to the sky with the tongue and close the mouth; Exercise to repeat three times a day for 8-10 times.

Operational solution of the problem

Surgical intervention is shown at:

broken bite;
displacement of teeth;
improper pronunciation of sounds and letters that cannot be corrected by classical methods;
when problems with breastfeeding.

The decision on the need for surgery should be accepted jointly, surgeon and orthopedic. Many doctors believe that the bridle can independently stretch with age.

Newborn children bridle is cut into the hospital with special scissors. Until 9 months of age, she does not have time to draw vessels and nerve endings, so the operation is completely painless, bloodless and is carried out under local anesthesia.

Rehabilitation lasts a couple of hours, after which the child is applied to the mother's breast. As a result, children have sharply intensify appetite.

Elder children should cut the bridles must be fully shifted by all milk teeth. The favorable period is the age of 5-8 years, but in exceptional cases the operation can be done before.

Before cutting the attending physician will send the patient to the laboratory for passing blood tests and urine. The procedure is carried out in a polyclinic under local anesthesia, its duration is not more than 10 minutes. To avoid possible blood loss, electronics or an electric agent are used.

A week later, the child should pass a recovery speech therapy course, consisting in training and strengthening the muscles involved in the rise in language, setting disturbed sounds and consolidate their correct pronunciation.

Circus the bridles of the language in children is much easier than adult patients:

The consequences of anqueliation

Children with anomalous bridle under the tongue are not able to gain the weight of the body necessary by age due to permanent malnutrition, behind the growth of the peers. They break the process of sucking, the newborn baby is not able to grab the maternal nipple, the feeding process becomes long, intermittent.

In the photo short bridle of the child in a child close-up

At an older age, a child has serious problems:

A short bridle of a child in a child should not cause panic sentiment from the parents. Before you decide on cutting the jumper, you need to consult specialists.

But it will not be able to avoid in the case of diagnosing acute orthopedic or dental ailments. In other cases, it is worth hoping the experience of a doctor and his advice.

Classic methods of short bridle therapy, such as special exercises and speech therapy massage, will require applications of huge forces and patience. Therefore, it is necessary to act, because the health of the child is in the hands of his parents!

Short bridle of a child in a child: how to determine

A short bridle of the language - with such a problem, parents face when they are toddler marks 3-4 years. He has long been trying to speak, knows a lot of words, knows how to build complex phrases, but some words argue not exactly.

Grandmothers assure that another year and the child will "spoke", moms are engaged in children on special methods for early development, but the problem is not solved. If the child in his 4 years still says words similar to the bastard, it's time to visit the children's dentist.

What is a bridle language

The bridle of the language externally resembles the thinnest membrane, consisting mainly from the connective tissue, the function of which is to fasten the language to the bottom of the oral cavity.

In other words, a short bridle of a child in a child is some defect in the oral cavity, which prevents the consolidated movement of the language.

In some cases, the bridle looks not at all fine, which significantly aggravates the situation. This problem faces almost half of all parents. And although a short bridle can be noticed by a specialist even in newborns, parents recognize about it when the baby begins to talk.

The pathology of the bridle of the tongue is congenital and hereditary. It should be understood that these concepts are absolutely different. If congenital pathology is already attended at birth, then hereditary most often already has someone from family members.

The concepts of the complete and partial short bridle of the child are also separated. From what type of pathology depends on the level of discomfort of the child, the type of selected treatment (operational intervention or corrective exercises).

With a complete short bridle, the child's tongue is almost immobilized, which greatly complicates the pronunciation of most speech sounds. At this type of pathology, muscle lights are forming. In the case of partial pathology of the bridle of the language, the role of muscle seewer performs a connecting tissue.

Than dangerous short bridle

A short bridle - pathology Congenital, in which the development and functionality of the lunch and lower jaw is disturbed. At the same time, the mobility of the language in the oral cavity is limited to so much that the child entails the problem with speech.

Problems with a bridle of a child in a child can be implemented in two versions. In small children who are on breast or artificial feeding and have such pathology, problems with sucking may occur. This arises due to the fact that the tight of the language is so short, which simply does not allow the language to function in adequate mode.

With a short bridle of the language, the baby cannot be completely on breastfeeding, due to the fact that it is difficult for him to suck enough breast milk. Therefore, in this case, immediately after the birth of the baby, he has real difficulty with feeding.

The second embodiment of the problem associated with the pathological bridle of the language is speech defects and they arise much later. Partial immobility of the language leads to the fact that the child is not able to correctly pronounce certain sounds, his speech remains similar to letting, "Sysyukny".

Causes of the development of the pathology of the bridle of the child in the child

The formation of an anomaly associated with a short subwindampie is laid before the child's birth. This is preceded by negative factors to which include:

genetic predisposition;
fetal infection during pregnancy;
viral and infectious diseases transferred by the mother during pregnancy;
mechanical trauma of the belly of the future mother;
the age of the future mother over 35 years;
unfavorable environmental conditions;
the influence of other factors of unexplained etiology.

How to recognize pathology in a child

Recognize the pathological bridle of the tongue in the newborn can a neonatologist, pediatrician or mother herself. If, during the first and subsequent breast feedings, the child is difficult, it cannot correctly seize the nipple, which means there is a reason to consult a doctor.

The second common feature of the pathological bridle of the language in children is the emergence of a speech defect when they begin to talk phrases, namely in 3-4 years. Most often, with this anomaly, children do not pronounce several letters: "W", "Sh", "Shch", "h", "s", "l" and "p". Moreover, the sound "l" is easily pronounced if it goes soft vowels, for example, "and", "y", "e", "ё", "me", in other cases he is simply "swallowed." If there is an incorrect pronunciation of sounds, then the speech therapist is needed.

The most common symptoms of the short bridle of the child in the child are the following:

the child is not able to get the tongue tongue to the front teeth of the upper jaw, the sky;
the child may have the difficulty of moving the tip of the tongue from one side to another;
the front teeth of the lower jaw may have a cleft between each other;
when pulling the language forward, its tip remains flat, square or to have a heart shape (that is, the front edge of the language seems to be divided);
feeding problems in newborns.

It is important to understand that if the problem of the bridle of the tongue exists, then sooner or later it will have to be solved. The sooner the measures will be taken, the easier and painless will take their kid.

In which cases it is necessary to cut a bridle

Operation cutting a bridle language wears a name franulotomy. It refers to the category simple and requires only local anesthesia.

Abundant bleeding when conducting phrenulotomy - a rarity, after a couple of hours the child will be able to return to the familiar rhythm of life.

If a short bridle prevents the newborn baby to receive food, it must be cut. The decision on the operation takes a children's doctor neonatologist.

Babies, as a rule, operation is carried out without anesthesia, since only the sub-band film from the connective tissue is dissected, which practically does not have neither blood vessels or nerve endings.

For children aged 3-5 years, the operation on the dissection of the bridle is carried out under local anesthesia. The decision on whether the surgical intervention is necessary, the dentist is adopted, and the direction discharges the speech therapist.

Before the operation, the child needs to pass the blood to the detailed analysis, in which numerous indicators will be displayed, including the amount of platelets and blood clotting rate.

Surgical intervention is carried out under the condition that pathology has an average or severe form with limiting language mobility. After the operation, speech therapy occupations are needed.

To carry out phrenulotomy, there are a number of indications and limiting language mobility is not the only one. Formation of incorrect bite in a child, displacement and disorders in the formation of a tooth row, low efficiency of speech therapy and articulation gymnastics, as well as the need to install dental implants or orthodontic structures.

The pathology of the bridle of the language does not always require surgical intervention. If the child does not feel inconveniences with breastfeeding, and the pronunciation of sounds is satisfactory, it is likely that the speech therapist will help solve the problem. In this case, the baby visits special classes, performs speech therapy exercises, articulating gymnastics and so on.

Treatment methods

The problems associated with the short bridle of the tongue can be solved by drug and non-drug methods.

Medical methods implies surgical intervention of varying degrees.

If the subband remembrance requires dissection, but it is thin and elastic, then the doctor dissets it directly at the reception. Anesthesia in this case is not envisaged, since the procedures refers to the discharge of the lungs.

More complex types of dissection of the bridle of the tongue include phrenulotomy, which is shown to children with thicker bridlers. Franulotomy is carried out with local anesthesia with the dissemination of tissues and the subsequent imposition of seams.

Complications of this operation may be stomatitis, long-term bleeding from the wound, enhancing infection and so on. After the studio, the child should receive a crutter food for some time, as chewing can be painful.

Non-media methods Treatment includes special types of massage, exercises for the correction of the bridle of the tongue, individual classes with the speech therapist.

Non-media methods are recommended when the state of the baby's bridle is not critical and allows for a refusal of the operation. The decision about this is accepted by the doctor speech therapist, pediatrician and dentist. Classes with speaking copyright include performing various exercises, articulating gymnastics, patterings and poems.

Since the short bridle of the language causes some speech defects, then classes with speechop are necessary both in the postoperative period and as a correction.

Massage aimed at stretching the bridle of the tongue includes a list of special exercises. It is important that the classes are systematic in order to give them a positive result.

Massage instead of dissection of the bridle is recommended for children in two cases: if the state of the bridle is not so critical and the problem can be solved by non-drug treatment methods; If the dissection of the bridle falls on a more adult age of the child (over 5 years old) and the problems with the defect speech will not solve the operation.

Exercises for the correction of the bridle of the tongue and in the postoperative period

Postoperative exercises for stretching and correction of the bridle are aimed at developing new muscle movements of the tip of the tongue inside and outside the oral cavity. Regular execution will allow you to increase the range of motion of the language.

In itself, articulation exercises will not be improved and will not be able to correct the defect, therefore it is very important to conduct them together with individual speech therapy classes.

The most common and universal exercises for stretching and correction of the bridle of the tongue are listed here in the article. Following them, you can study at home with a child yourself:

Pull out the tongue forward, then pull up the tip up to the nose, after that down to the chin. Relax, repeat the exercise several times (first enough to five repetitions, gradually the number of repetitions must be increased, bringing them to twenty).
The exercise is performed by analogy with the previous one, making movement to the left and right. The number of repetitions also gradually bring to twenty.
Roth wide open. The tip of the tongue touch the upper incisors and try to presate the teeth of all my might, without giving mouth to close. During each fulfillment mentally count to ten. The number of repetitions is similar to the previous one.
Exercise is performed in front of the mirror. The mouth is wide open. Performing an exercise, it is important to monitor the movements of the language. To pronounce the "Dar-Dar-Dar" syllables, Nar-Nar-Nar, Tar-Tar-Tar, etc.
Toping the tongue as much as possible, alternately "lick" the upper and lower lips.
By closing the mouth, moving the tongue to the right left and back, with the force huing on the cheeks from inside the tip of the tongue.

To achieve good results, exercises should be done daily, in several approaches, for 15-20 minutes. Articulation of specific sounds can be gradually fixed.

Important! Starting exercises for a bridle of the tongue can only after full wound healing.

Sporting classes should include exercises to improve the functioning of the speech apparatus and oral kinesisy, without which it is difficult to qualify for significant improvements in the development of a child's speech. Many young patients after dissection of the bridle begin to speak more quietly and more quickly, trying to "drain" speech problems.

Instead of imprisonment

A short bridle of the language is not a serious problem, but, nevertheless, it is impossible to leave it.

If by 5 years your child still does not argue some letters, his speech is blurred and not a check, the parents have a serious occasion for concerns.

As a rule, after the operation, children are required from 6 months to 2 years to fully restore the work of the speech apparatus, which means that time to school remains quite a bit. It is better to start changing the problem in time than then forced to make a child in a speech boarding school.

How to determine a short bridle of a child in a child and whether it is necessary to cut

Dear parents, today we will talk about how to determine the short bridle of the tongue in the baby. In this article you will learn how the main features you can suspect a similar condition, why this is what ways to treat. You will be known what age is considered optimal for the procedure of surgical intervention, as well as, which there are contraindications to such therapy.

Short bridle - what is it

This formation with visual inspection resembles a thin membrane, represented by a connective tissue. The main function is to attach the language to the oral cavity (lower part). A short bridle of a child in a child is a state that makes it difficult to move the meatystic organ.

It may be congenital and have hereditary character. Consider partial and complete shape. With full - there is a formation of muscles (heavy), the language is actually immobilized, a very bad pronunciation. Partial - connective tissue is replaced with muscle hill.

There are three degrees of functional restriction of the fleshy organ:

easy - size is more than 15 mm, there is a violation in sound suspension;
average - a bridle from 10 to 15 mm is accompanied by a violation of the pronunciation, the inability to reach the tongue to the sky;
heavy - length up to 10 mm, the baby is not able to lick his lips, cannot correctly pronounce sounds, touch the tongue to the sky, tighten the language.

Possible reasons

There are a number of factors that affect the formation of shortening of the bridle:

heredity;
bad ecology;
fetal infection during the excavation period;
traumatting pregnant belly;
factors of unexplained etiology;
infectious processes in the body of the future mother;
age of women over 35 years old.

The characteristic features of the presence of a short bridle include:

increased salivation;
digestive problems;
difficulties in fastening hard food;
a quiet voice having a vile tone;
frequent caries;
malocclusion;
the recession of the gums;
periodontitis;
dyslavlia (organic type);
the cutters on the lower jaw lean the inside.

Signs in Breastnikov

The fact that your Karapus has a short bridle may indicate the following manifestations:

baby bites the chest during sucking;
lack of weight gain;
smock when feeding;
prolonged sucking act;
frequent feeling of hunger;
capriciousness when feeding.

Home diagnostic method

To determine a short or long bridle in the baby, it is necessary to ask him to make certain actions.

Let the karapuz show you the language. With a short bridle, the child will be difficult to remove it completely or the edge of the tongue will be tilted down.
Let the kid raise the tongue to the sky. If there is a deviation, the child or not at all will be pretended or the side sides of the tongue will be raised, the central - almost idle.

In addition, you can and visually determine, normal bridle or not. So, in the normal one, the newborn karapuza bridle is longer than 8 mm, and the baby at five years old is longer than 17 mm.

Where to contact

If you are interested in the question where to trim the bridle of the language of the child, the answer to it is simple - in the dental clinic. The procedure will be conducted by the surgeon, but before you decide on this step, you need to take advice from several specialists:

pediatrician - with food intake;
logopeda - if the difficulties in pronunciation;
orthodontics - if the development of the wrong bite takes place.

Therapy may have, both drug and non-drug type. Everything will depend on the severity of the child's condition.

Non-media methods include:

massage;
classes with speechoped;
exercises for correction;
articulating gymnastics.

Medical therapy implies surgical intervention. It can be different degrees:

easy - will be carried out directly at the reception and without anesthesia in cases where the sublessty membrane is plastic and very thin;
franulotomy - will hold a child with a thick bridle under local anesthesia, seams will be applied.

It is necessary to know that the operation may be complicated:

Exercises for correction

Ask the child to flaunt the tongue and try to touch the tip of the nose, then the chin. Make a break and another approach. At first, the exercise should be repeated no more than five times, over time adjust to 20.
Let the baby drown the tongue and starts to move it left, then to the right. Initially, five approaches are adjusted to 20.
We ask the Karapuz to open the mouth wide. Let him touches the tip of his tongue of the upper incisors, will try to press on the teeth with all the power. It is important that the mouth remains open. Each time the child should count to ten (about himself). We also begin with small and bring to 20.
We spend in front of the mirror. Let Karapuz will wide open the mouth and monitors the movements of his language when the syllables of Kar-Car - Kar pronunciation, "Bar Bar".
Ask a child to licked his lips, first upper, then lower.
Let the kid clog the mouth and moves the tongue to one, then in the other direction. Because of all forces, presses on the inner side of the cheeks of the tongue.
To achieve a good and fast effect, you need to exercise daily for 15 minutes.
If the correction is prescribed after the operation, they begin solely after the wound healing.

Operation

The procedure is carried out under local anesthesia.

Testimony to surgical intervention will be:

serious limitations in language mobility;
the average severity of the disease in the absence of positive results from therapeutic treatment;
the absence of a monthly weight gain of the body;
the development of incorrect bite;
lack of opportunity to capture the nipple during feeding;
the process of forming a shift tooth row;
addiction in the installation of dentures, including removable.

It is worth considering that the operation may have certain contraindications. These include:

infectious processes in the oral cavity;
oncology;
blood diseases;
gingivitis;
stomatitis;
infectious process in the body of acute flow.

Given the age, the child can assign one of the three types of surgery:

franulotomy (can be held for children up to nine months) - incision is made by scissors closer to the teeth, the mucosa is initially dissected, then muscle tairches, apply seams;
franuLelectomy (make a child from five years old) - the partition is fixed by the clip, there are incisions between it and the lip, apply seams;
franuloplasty (applicable for children over five years) - the triangular flap is truncated from the jumper, then make an incision and sew this flap in the right place in order to eliminate the bridle.

My son was cut into a bridle at the age of 7 months. I was not present on the procedure, worried greatly. Dad and grandmother went with him. Everything went without complications, and the child quickly recovered.

Laser treatment

In recent years, more and more often use the method of cutting a bridle with a laser. This method has a number of advantages:

practically painless;
there is no need to impose seams;
incision is performed precisely;
wounds heal quickly;
minimum consequences or their complete absence;
disinfectant properties do not allow infection;
no bleeding during surgery.

Optimal age

If you are wondering, at what age the child is cut into the bridle of the language - with early detection in the first month of life, back in the maternity hospital. The best time is the first year of life of the baby. However, there are often cases when parents do not notice the problems, and understand that something went wrong when problems arise with a pronunciation at a five-year-old age. At this time, there will be a longer operation under anesthesia.

Now you know how the procedure is performed. Remember that the absence of timely treatment can lead to problems with speech, the development of pathology. No matter how sorry the baby, if there is a sharp need - go to the operation.

The child has a short sub-band-up bridle: diagnostic and correction methods

Many parents came across a short bridle from their children. As a rule, a doctor in the hospital warns about the presence of a pounding of the oral cavity. But not always the short bridle of the child in the child can be diagnosed in infancy. Do you need an operation for older children? Or can you do traditional treatment methods? It all depends on the possible consequences for the child.

Types of bridles

The bridle is a small mucosa in the mouth, capable of influencing the state of bite, the quality of breast feeding, diction and health of the teeth. If the bridle is short, the baby may have problems with sucking, and subsequently - with the aesthetics of the oral cavity and speech.

Bridles in the mouth three, although the most famous bridle of the language is the bunch that connects it with the bottom of the oral cavity. Anomalous development of this mucous strip is called ankilosses. The vices of the formation of the two other bridles are less common, but no less significant for the full development of the child.

Bridle of the upper lip.

Location: enters the upper lip and gum mucosa over the front cutters.

Effects:

diasthem (gap between front teeth);
sensitivity of teeth;
exposure of the roots;
caries tooth cervix;
bite disruption;
development of periodontitis;
lubricated pronunciation of lip sounds, vowels "O", "U".

Time for the operation: in the hospital or in 7-8 years (after the appearance of central cutters).

Bridle of Lower Lip.

Location: It is woven into the lower lip and the gum mucosa above the level of the front incisors.

impaired sucking function;
malocclusion;
caries front teeth;
the diasthem of the lower front cutters.

Time for carrying out surgery: at any age, but more often after the appearance of indigenous incisors.

Language bridle

Location: connects the language and lower part of the oral cavity at a distance of 0.5-0.8 mm from the neck of the front teeth.

Effects:

dickey disorders (misuse of hissing, "d", "t", "p", "l" and other letters);
problems with applying to the chest;
difficulty chewing hard food at high age;
malocclusion;
development of parodintitis, gingivitis and other diseases of the oral cavity;
salivation;
problems with sleep, apnea;
belching, diarrhea, indentation of the stomach;
a quiet inexpressive voice with a bellache;
breathing disorder, the formation of oral respiration, as a result, frequent colds;
spinal curvature.

Time for the operation:

0-9 months;
2-2.5 years (a milk bite was formed, the wrong pronunciation was not yet fixed);
after 5 years (a permanent bite is formed).

Left - the correct location of the language. Right - bridle of the language.

Language bridle

The most common anomaly is a short bridle of a child in a child. According to the World Health Organization, this pathology suffers every three children out of ten, and the boys are three times more often than girls. In 50% of cases, ankilosion is inherited, but sometimes it can be a manifestation of congenital malformations. The formation of intrauterine anomaly can affect stress, drug intake, the effects of chemicals on the mother's body during pregnancy. The risk of ankilosses is likely to mothers older than 35 years old.

Signs of short bridle

The normal length of the bridle of the tongue in newborns should be at least 8 mm. By five years, this indicator may increase to 17 mm. By 18 months, the length of the free tip of the tongue is 16 mm. To diagnose an anomaly at home, you do not need to resort to measurements. It will help make pronounced symptoms.

In children of chest:

frequent and long-lasting feedings with rest interruptions;
whims during applying to breasts, bending, heading of the head;
slack in weight;
biting breasts during sucking;
"Casting" sounds during feeding;
refusal of the chest.

Older children and adults:

wrong bite;
periodontitis;
problems with fixation of implants and prostheses;
difficulties in the pronunciation of hissing sounds, "p", "l", "d", "t" and other letters.

Some changes in the structure of the oral cavity may indicate a short bridle:

unfolded bottom cutters;
split tip of the tongue and recess on its surface when stretching;
the inability to get tongue to the sky, lick the lips or drop it outside the mouth;
the language seems hunchbat, the rear of it is raised, and the bottom presses to the bottom;
problems with solid food: to swallow, it must be put on the back of the language.

The average and hard degree will cause orthodontic problems in the future. Important early correction!

Test to determine the functionality of the language

American Professor Alison Haselbeaker in his book "Tongue-Tie" ("Language Language") suggested a test to determine the length of the bridle in which it took into account its appearance and functionality. Each parameter is estimated at the three levels of development. In general, there are three degrees of anomaly:

lightweight - the length of the jumper is more than 15 mm in violations in the pronunciation of sounds;
average - length less than 15 mm in the presence of all signs;
heavy - length from 0 to 10 mm with all signs.

The test estimates the bridle in such parameters.

Put your finger in the middle of the lower lip of the child and spend it from one side of the mouth to another. The language should freely follow the finger.
Ask the kid to raise the language to the upper sky. The tip must be free to get to the top.
Spend your finger from the middle of the lower lip to the chin of the child. Language is free to the bottom of the lips.
Touch the top of the top of the top sky. During sucking, the language must be fully smoothed and shrink from the end to the sky.
Touch the top of the top of the top sky. Language should not be declined.
In the raised state, the language of the round or square shape.
The language is attached to the bottom of the oral cavity.
Length of the bridle with a raised language more than 1 cm.

Any inconsistencies with these requirements can be considered deviations from the norm.

Classification of species short bridle

There are 5 types of abnormal development of jumpers:

transparent, thin, slightly restrains the functionality of the language;
translucent, thin, when lifting the language, its ending is splitted in the form of a "heart";
opaque, thick, when extending the tip forward, the tip will be turned it out, the rear part is raised;
a short, splits with the muscles of the language (observed at the crevices of the sky and lips);
the bridle is almost absent, closely intertwined with the muscles of the language.

If there are suspicion of ankyloglosses, you should contact the dentist or orthopedic. The doctor will advise the optimal method of treatment. Many parents are afraid of surgery and long doubt if it is necessary to cut the bridle.

Surgical intervention

Surgical intervention is shown in such cases:

problems with breastfeeding;
malocclusion;
displacement of the teeth;
incorrect sound pronunciation, which cannot be corrected by classical methods.

The decision to carry out the operation must take together several doctors: surgeon, orthopedist and speech therapist.

Types of operation

Depending on how the bridle is cut, there are three types of operations.

Franulotomy. The easiest type of operation. The cut on the bridle is made by scissors at a distance of 1/3 from the length of the jumper closer to the lower teeth. First dissect the mucous membrane, then the heavy. After the approach of the sides of the mucous membrane after 3-4 mm, seam is superimposed.
Phrenheltectomy, or Glycmander method. The bridle is fixed by clamping, then cuts are made between the clamp, lip and mucosa from the teeth. The edges of the wound are sewn.
Franuloplasty, or grape method. Cut and peeling triangular flap, the edges of the wound come closer to the seams. Cuts are made from transitional fold and interdental nipple. Then the triangle is sewn to the remaining wound surface. There are also similar methods for carrying out methods of phrenuloplastics of Limberg, Popovich, and plastic is carried out with a short bridle of the lips. Indications for operation - orthopedic and orthodontic diseases.

How is the operation going

Before surgery, it is necessary to pass on the analysis of blood and urine. The bridle in newborns is usually suited in the maternity hospital if the doctor diagnosed an anomaly. Franulotomy is possible up to 9 months and is carried out under local anesthesia. Since at this time the bridle has not yet covered the nerve endings and vessels, the operation is painless and bloodless. After her, the child immediately applied to the chest. The rehabilitation process takes several hours.

Older children operation is done in the clinic at local anesthesia. It takes 5-10 minutes. To prevent bleeding, use an electrocoagulator or electronics. The wound heals within 24 hours. After the operation, it is recommended for several days not to use too hot and solid food, carefully monitor the hygiene of the mouth. In some cases, fraulloplasty may be required.

Contraindications

Cutting the bridles is not performed if at least one of the cases is diagnosed:

oncology;
blood diseases;
infectious processes in the body and oral cavity;
stomatitis.

Classical methods of treatment

Exercises for stretching

For stretching the bridle, including after the operation, uncomplicated exercises are used.

Pull the tongue forward and spend them from side to side.
Try to reach the tip of the tongue to the bottom and upper lips.
"Horce". Click the tongue, squeezing it to the sky and sharply dropping down.
Drick the baby to the top lip of the jam and ask to lick.
Open your mouth wide and stroke the sky away from the teeth.
Smile by opening your mouth. Touch the tongue of the tongue alternately, then the lower teeth.
Close the mouth and descend the tongue tongue into one cheek, then to another.
Pigeons more often let's lick the spoon.
Close the mouth, and pull the lips with the tube.
Stretch closed lips in a smile.
Pull your lips and try smack.

Classes should be made 5 times a day for 5 minutes. Do the exercises often, but not long. Long-term classes tire the child.

Reception of tension of the bridle in E. V. Novikova.

Speech therapy massage

The speech therapist may recommend a massage to stretch the bridle. It is carried out with absolutely clean fingers. Sometimes the doctor can wrap them into sterile handkerchiefs. This procedure is not pleasant, but can bring tangible results.

Clean the bridle between the index and thumbs and spend them along the jumper from the bottom up.
Place the middle and index fingers under the tongue so that the bridle is between them. Press the front area of \u200b\u200bthe language and gradually pull it out. The middle and index fingers remain fixed.
Grasp the tip of the tip and pull it down with big and index fingers. Then, with the help of the index finger, delay the jumper up with the force.
On the tip of the tongue, put the cut edge of the pipette in the form of a ring. Open your mouth and press the ring to the sky. Shut your mouth. Repeat the exercise ten times three times a day.

A short bridle should not be caused for panic parents. Before making the decision to cut the jumpers, consult with several specialists. If acute orthopedic or dental diseases are diagnosed, it is worth thinking about the operation. In other cases, rely on the recommendation of the doctor and their own capabilities. Classic treatments will require a lot of patience and strength. However, if you are ready to spend them, dare. Toddler's health in your hands!

The bridle of the language is a connecting tissue, with which this body is attached to the bottom of the oral cavity. In all people, the density and length of this partition can be different, but if it is so short, which limits the movement and functionality of the language in the oral cavity, they talk about pathology - ankyloglossey (although the disease is not a shortening bridle).

According to medical data, it is more often an anklilosion for boys, as well as in children whose parents also had or have this deviation from anatomical norm. But eliminating the defect is quite simple, and therefore reasons for excitement, if the child has a short bridle of the tongue, as a rule, no.

How to define a short bridle of a child in a child: symptoms and signs

Most often, pathology detect neonatologists - back in the maternity hospital, or later - a pediatrician, surgeon, dentist. But for a number of symptoms, determine or suspect that the child has a short bridle, parents themselves.

From birth, the baby has difficulties with the seizure of the chest and sucking, that is, feeding occurs in defective, with violations and complications. A older child with this pathology does not pronounce the hissing and the letter r, a number of other sounds, has an inexpressive diction, it is difficult to understand it.

Recognize a short bridle in children can be visually: it is usually attached to the tip of the tongue, leaving very little free space at its lower part. It also happens that the fastening of the bridle is normal, but due to its very short length of the movement, the tongue is strongly limited: the child can easily flash the tongue abroad of the lower lip, to spend it along the inside of the upper gums, lick the lips. When trying to narrow the language of the mouth and in the highlight, it is formed an elevation (humpbalance) or it is folded with the groove (the surface of the language is raised on both sides, forming the bending in the form of the top of the heart). Children with a shortened subwinding membrane often involuntarily pronounce clay sounds and clicks. But specifically smoke the language, imitating the horsepower of horsepower, the child does not manage, as lick, for example, a saucer.

It is on the wrong seizure and sucking breast that this anatomical feature is found in newborns. If it is not corrected, then such a baby will not be able to fully suck the chest, starts to lag in weight and growth. Therefore, to refuse him in the chest, carrying out feeding on the regime, it is impossible. In this case, the woman risks losing breast milk.

Usually, the infants with a short bridle are more often asking for breasts, more restless due to malnutrition, quickly refuse the breast after the start of feeding or she simply slipping out of their mouths all the time (kids can not "succumb" to the chest and fix the tongue in the desired position ).

The language of the newborn baby takes the most active part in the process of prey of breast milk. And when its mobility and possibilities are limited due to a short bridle, the baby has to use in the process of feeding the lip and gums. As a result, moms notice that the crumb is biting or chewing the nipple, feeding is accompanied by strong painful sensations for the mother. The child itself is also great: due to the constant tension of the muscular muscles of the jaws, they can even be observed with their tremor (trembling).

Thus, applying to the chest with a short bridle of the tongue in the newborn is quite ineffective, discomfort and pain, require a lot of patience and a certain skill.

The consequences of the short bridle of the tongue in children

Difficulties with feeding in infancy is not the only problem that a short bridle entails. The incorrect functioning of the language affects the formation of jaws and dental rows in general, can distort the bite, serve as a predisposing factor in the development of gingivitis, periodontitis and other dental problems.

If you do not fix the defect, then later the child will have to face problems in the formation and development of speech, with diction and sound impeller, it will be necessary to deal with the speech therapist. Among other unpleasant consequences of Ankilossee - excessive separation of saliva, the formation of the slot between the front teeth, night snoring and apnea.

What to do if short bridle in children

Ankilossey treatment can be made conservative and operational. The decision on the method of therapy, its necessity and the deadlines accepts a specialist. Operational treatment conducts surgeon, ENT or dentist, conservative - speech therapist.

Operation: How and at what age a short bridle of the tongue in children is cut

If the pathology has been found in a newborn child who is not able to suck fullly chest, then the bridle is cut off immediately, even without applying any anesthesia, because it has very little blood vessels and is completely deprived of nerve endings, and therefore not sensitive to pain. For this use special surgical scissors. The procedure is very lightweight, simple, painless and safe. After cutting the bridle, the baby is immediately offered to suck the breast - it contributes to stopping blood and faster healing.

Circus the bridles of the tongue in children of several months of life is made under local anesthesia, and the senior anesthesia can also be used with the imposition of seams. The classic surgical method in this case is also applicable, but in modern clinics prefer to resort to the use of the laser - electrocoagulation.

The optimal duration of the operation determines the specialist. Usually, urgently bridle the language is cut, if the child cannot suck the breast normally (that is, in the period of infancy); If there are obvious associated with this, problems with the speech apparatus (that is, in the period of active development of speech, in 3-5 years); In the formation of incorrect bite and displacement of the teeth.

In any of the cases, the cutting operation of the bridle does not represent any difficulties for a specialist, it takes only a few minutes and does not threaten any complications. But after conducting surgical treatment, an older child additionally arises the need for speech therapy.

Massage for stretching the bridle language, exercises

In some cases, surgeons are not advised to trim the bridle, recommending instead to contact the speech therapist:

if the state of the bridle is not critical and does not require surgical intervention;
if, according to the specialist, later cutting the sub-banding membrane will not solve the problem with the fuzziness of speech in children over 4-5 years.

The speech therapist will offer the child to engage in special articulation gymnastics for stretching the bridle and improve its elasticity. You can try to fulfill some exercises together with the baby at home yourself:

The child must open the mouth and try to reach the tongue to the tip of the nose, before the chin. Let him get tongue and pulls it up first, then down - alternately.
You must move the tongue on the upper lip from the side to the side to the side of the upper lip from the side to the side, so that the lower jaw remains fixed.
Invite the child to lick the saucer, and to more interest it - apply something delicious to the surface of the plate.

There is also a special speech therapy massage to stretch the bridle of the tongue, but it is a rather unpleasant, and even a painful procedure, and therefore children do not like it.

It should be understood that it is possible to achieve a positive result only in the case of regular classes and hard work, performing gymnastics daily several times a day and all the time increasing its complexity and duration. Moreover, it is necessary to start doing exercises as early as possible.

I wish you success!

Especially for - Elena Semenova