Having recently seen a few babies with tongue tie or Ankyloglossia I asked Dr Laurie Kobler if I could use his article to inform parents of this sometimes debilitating condition. These days many doctors either neglect to inform parents or believe it is unnecessary to treat a baby with ankyloglossia this can lead to several problems including poor attachment causing damage to the nipple and even poor feeding.
Take a look inside your baby’s mouth. If you notice a shortened frenum which you feel may be contributing to your baby’s poor attachment I suggest you seek medical advice. If you are in NSW give Dr Kobler a call.
Neo-natal Ankyloglossia Release
By Dr Laurie Kobler B.D.S.
Ankyloglossia – A condition in which the sublingual frenum is shortened, tight or otherwise restrictive, resulting in reduced mobility of the tongue.
- Infant. Interference with feeding, most especially causing maternal breast/nipple pain, significant air intake and extended feeding time. This can express itself in poor weight gain.
- Toddler. Commonly causes difficulty with speech, as well as ongoing eating issues associated with the condition. Often unable to phoeneticise correctly and rapid speech can be difficult to understand.
- Unseen effects on personality development and self-esteem associated with poor communication skills are possible.
- Inability to circumlocute is messy. Occasionally excessive saliva flow is also evident.
- Older child/adult. Poor oral hygiene. Reduced tongue mobility impacting intimacy issues
- Non-treatment with associated symptoms as described
- Conventional surgery often performed at 6 months age under G.A. using scalpel, scissors & sutures. Breast feeding opportunity has passed with associated nutritional compromise. This is significantly more invasive, costly and painful with longer healing time & often increased costs.
- Laser correction can be performed as young as possible, is quick, minimal pain and rapid healing, allowing breast feeding to continue or re-commence if possible. Minimally invasive and less cost as well as less time commitment to procedure. No requirement for hospitalisation or overnight stay.
- Pre-operative photographic record
- Topical anaesthetic application
- (Local anaesthetic is rarely needed)
- Tension frenum (DeLorenz Retractor)
- Release ankyloglossia
- post-operative photographic record
Take a look inside your baby’s mouth. If you notice a shortened frenum which you feel may be contributing to your baby’s poor attachment I suggest you seek medical advice. If you are in NSW give Dr Kobler a call at Intergrity Dental Clinic 02 96514488
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