What to do if the frenulum under the tongue is damaged

.

A tiny patch of skin under the tongue can sometimes cause a lot of problems and worries. We are talking about a frenulum that is attached under the tongue. The pronunciation and clarity of speech, as well as comfort when eating, depend on its location, length and elasticity. This delicate membrane can quickly regenerate, but you should not neglect timely treatment measures if you receive an injury to the frenulum of the tongue.

The frenulum of the tongue is responsible for its movement. Shortened frenulum - pronunciation defects

A little about the complexities of the anatomy of the tongue

The frenulum of the tongue is a thin bridge that connects the lower part of the oral cavity to the tongue. Its main function is to maintain the correct position of the tongue in the mouth by ensuring its movement, which is directly related to diction and the ability to pronounce individual sounds.

To see the frenulum, it will be enough to lift the tongue upward. It is located in the middle of the tongue, connecting to the base of the gums, as if holding this organ in place.

A normal frenulum does not cause discomfort

The length of the frenulum of an adult is approximately 3 cm. If this figure is less or the frenulum of the tongue is located in such a way that when it is raised, it is strongly stretched, we can talk about a short frenulum. In turn, it will interfere with the free rotation, protrusion and elevation of the tongue.

A short hyoid frenulum is a congenital developmental anomaly in which the tip of the tongue is sharply fixed closer to the bottom of the oral cavity. In this condition, a child from early childhood may have problems sucking the mother's breast, and over the years the anomaly is expressed in the development of speech. There are two methods to combat this feature: surgical and speech therapy. But which one is better to choose for a child and is it possible to do without cutting?

According to the majority, a person has only one frenulum in the mouth - under the tongue, but this opinion is wrong. The frenulum is located both between the gum and upper lip, and behind the lower lip. All three have their own functions and require special attention, but today we’ll talk about the hyoid frenulum, its purpose and what to do in cases where it is short.

The frenulum of the tongue is a mucous membrane, which is a fold that connects the movable tongue and the fixed floor of the oral cavity. Its main purpose is to stabilize and reduce excessive activity of the tongue. The frenulum seems to soften the movements of the tongue and is a kind of limiter.

In the absence of deviations, the frenulum is located in the middle of the lower side of the tongue and fastens it to the sublingual area. It does not interfere with the movement of the tip of the tongue, but allows it to be fixed, leaving it mobile. The normal length indicators for the frenulum of the tongue are:

• for newborns - 8 mm;
• in children five years old - 17 mm;
• for adults - from 27 to 30 mm.

By 1.5 years, the length of the tip of the tongue, free from the frenulum, is 16 mm.

Signs of a short frenulum and its incorrect location

In addition to being too short, the frenulum may not be positioned correctly under the tongue. A mother may suspect a problem while breastfeeding. With a short frenulum, the baby may be capricious when attached to the breast. He throws his head back and arches. For this reason, feeding may be frequent and prolonged, with rest breaks. The baby may bite the breast, make clicking noises, or refuse the breast altogether. As a result, the baby may experience underweight.

Older children and adults with a short or incorrectly positioned frenulum may have difficulty pronouncing letters such as “r”, “l”, “d”, “t”, as well as sibilants. Problems such as malocclusion and difficulty chewing solid foods may also occur. A person with a short frenulum cannot or finds it difficult to reach the lips and palate with the tip of his tongue, as well as stick it out of the mouth. In order to eat normally, he has to put food closer to the root of his tongue.

Types of anomalies in the development of the frenulum:

When choosing the right method for correcting a frenulum, it is important to consider its type, of which there are only five.

• The bridle is practically absent. It is tightly intertwined with the muscles of the tongue and is practically part of it.
• There is a frenulum, but it is short and seems to merge with the muscles of the tongue. This type is often diagnosed with cleft lip and palate.
• Thin and transparent. It only slightly interferes with the movements of the tongue.
• Translucent and thin. As her tongue rises, she splits the tip into a heart shape.
• Opaque thick frenulum. When you try to reach forward with your tongue outside the mouth, its tip curls up, while the back part is raised.

Should I stretch my bridle or trim it?

Treatment of a short frenulum of the tongue is carried out using three methods:

• speech therapy;
• surgical;
• surgical and speech therapy.

The treatment method should be selected exclusively by a dentist, and not a speech therapist. However, before making a decision, I recommend listening to the opinions of both experts. Indications for the surgical method are difficulties in feeding the baby, as well as the formation of an incorrect bite. Usually this disease can be detected by a doctor during an examination of the child in the maternity hospital. An operation is also performed there, which is considered painless.

If a short frenulum is detected by such signs as incorrect pronunciation of letters, then most often the defect can be overcome by stretching the membrane with the help of classes with a speech therapist. In some situations, plastic surgery of the sublingual fold is prescribed. And after healing, the doctor can prescribe speech therapy exercises with a specialist, which prevent the development of incorrect speech habits.

Most often, if the frenulum is positioned correctly relative to the tongue and has normal thickness, then the problem can be solved without surgery by working with an experienced speech therapist, doing exercises and using special massages for the tongue.

Why does the frenulum hurt?

Tongue diseases are a fairly common problem, but most often quickly solved. The main thing is to choose the right treatment by contacting an experienced specialist.

The mucous membrane under the tongue is highly sensitive; therefore, it can become inflamed and painful even in those people who have never experienced problems with it. It reacts to all kinds of irritants and is also easily damaged.

An abnormal frenulum is injured more often

Causes of pain in the frenulum of the tongue:

Quite often, pain in the tongue can be echoes of problems in various human organs - the esophagus, teeth and salivary glands.

A lack of vitamins and minerals provokes the development of anemia, a lack of nutrients and B vitamins can also negatively affect the health of the oral mucosa.

An abscess near the frenulum can lead to injury

One of the key rules for pain in the frenulum is not to ignore these painful sensations, because the delicate and sensitive tissues under the tongue perform functions necessary for the body. And it is always easier to prevent a disease than to deal with its consequences and complications.

Possible complications

Plastic surgery of the frenulum is a simple operation, but still it does not exclude the occurrence of complications:

• Development of the inflammatory process. This complication is most likely, since the oral cavity is filled with various microorganisms and can cause infection. In this case, symptoms such as fever, local swelling, suppuration and pain are usually observed.
• Soreness. This consequence is normal. It is associated with soft tissue injury and can be aggravated by eating and drinking. In these situations, it is recommended to resort to the use of painkillers.
• Formation of a rough scar. This consequence of the operation is the result of refusal to perform tongue exercises.
• Increased body temperature. This symptom is a normal variant in children. If present, anti-inflammatory drugs may be prescribed. Body temperature should return to normal in 2-3 days. If this does not happen, then you should contact a specialist.
• Discomfortable sensations in the presence of stitches. Negative feelings usually disappear after a couple of days.
• Smacking in babies. The symptom is alarming, as it may indicate improper latching of the breast or nipple. Smacking that does not disappear after 3 days indicates a medical error.
• Seams coming apart. To avoid such a complication, it is necessary to ensure that the child does not fall or talk too much and actively. Also, you should not look into the child’s mouth, pulling the tongue too far. If the stitches come apart, you should immediately consult a doctor.
• Formation of white plaque on the wound surface. Do not be alarmed, plaque is not pus, but indicates epithelialization. But there should be no swelling, fever or other symptoms of poisoning. The plaque does not require cleansing; it will disappear on its own by the time it is completely healed.
• The tongue will remain numb and swollen for some time after the procedure. This is due to the fact that the effect of the anesthetic has not yet completely worn off. All these symptoms disappear within one day.

Parents of small children and adult patients should not worry about plastic surgery of the lingual frenulum. This procedure does not pose a health hazard and is very easy to tolerate. You can go to the World of Dentistry clinic with a “light” heart, since we employ qualified surgeons who know their business.

Causes of frenulum rupture

Life is filled with different situations in which you can break the frenulum of the tongue. This often happens as a result of:

• injuries - for example, from a fall;
• impact - hitting your face can cause injury to the frenulum;
• sudden movement of the tongue.

If there is a small tear in the frenulum, there is no need to panic; it will go away on its own after some time. If the gap is deep, you need to contact your dentist, who will tell you how to relieve the pain and, if necessary, prescribe treatment.

Severe injuries may require surgery.

Preparing for surgery

Before the procedure, it is necessary to perform a number of preparatory measures:

• Consult a specialist.
• Perform diagnostic tests.
• At least 2 weeks before surgery, donate urine and blood for analysis, undergo testing for blood clotting, viral hepatitis, and HIV.
• Adult patients should undergo fluorography and, if necessary, an electrocardiogram.
• Take a test for an allergic reaction to the drugs used.
• Immediately before the operation, it is better to eat a hearty meal, since after the procedure this will not be possible for several hours.
• Perform professional oral hygiene and treat it with an antiseptic.

Methods of plastic surgery of the frenulum of the tongue

• Frenotomy (transverse intersection). This is the easiest way to correct the frenulum, with which you can correct the small thickness or width of the organ.
• Frenectomy (removal of a fragment of the frenulum). The method is used when the thickness and width of the hyoid fold is too large.
• Frenuloplasty (cutting and relocation). The technique helps to get rid of the pathology of fusion of the frenulum with the floor of the mouth or lower lip.

Frenotomy and frenectomy are fairly simple techniques that can be performed with a scalpel or laser. Frenuloplasty requires certain skills from the surgeon. The more preferable method of performing tongue frenuloplasty is the laser technique. Using a laser has a number of advantages:

• Speed ​​of the procedure.
• No need for stitches.
• No bleeding during surgery.
• Instant disinfection of the cut surface.
• No scars after plastic surgery.
• Fast and comfortable recovery period.

Laser correction is often used in children, since surgical instruments that frighten the child are not used during the procedure. In addition, wound healing occurs much faster than after using a scalpel.

The frenuloplasty lasts no more than 30 minutes. Children need to remain calm for at least 15 minutes.

Recovery period

After plastic surgery of the frenulum of the tongue, in most cases, experts give the following recommendations for effective recovery:

• Do not eat or drink for several hours after the intervention. Drinking water is allowed.
• Visit your doctor as scheduled.
• Avoid eating hard and spicy foods while the wound is healing.
• Perform oral hygiene thoroughly and regularly. After each meal, rinse with an antiseptic solution.
• Do the exercises that the doctor tells you about.

Is it painful to perform lingual frenuloplasty?

Many parents worry about anesthesia, since tongue frenulum correction is mostly performed on children. Experts reassure: there will be no pain, since high-quality local anesthesia is used during plastic surgery. If the operation is performed with a laser, then you can do without anesthetics altogether. This technique is used in newborns. If pain relief is necessary, topical anesthetics in the form of gels, sprays, and ointments can be used.

What to do if the frenulum is torn under the tongue

Injury and rupture of the frenulum can occur when its length is limited and there is insufficient elasticity. Getting this injury is not so easy, but it is possible when using sharp instruments or falling.

There is a certain list of actions that must be followed in order for this injury to pass without consequences for the body.

An injured frenulum definitely requires treatment

Rinse your mouth. Just clean, preferably cold water will do. If there is bleeding, the mouth should be rinsed with an antiseptic solution. This could be hydrogen peroxide, furatsilin, chlorophyllipt or maraslavin. You can also make a solution using baking soda, at the rate of 1 teaspoon of soda per glass of water.

To reduce pain, cotton swabs soaked in a lidocaine solution will help. Simply apply a tampon to the site of injury and the pain will noticeably decrease after a short period of time.

Minimize the load on the speech apparatus until complete healing.

To avoid re-rupture and microcracks, it is better to remain calm during the healing period.

Furacilin for rinsing is an effective remedy

Avoid consuming too hot or cold foods, as well as dry and rough foods. In the daily menu, it is better to use dishes with a liquid consistency, soft, not hot foods.

Surgical suturing of an injured frenulum

Local antiseptics are useful - trachysan, furatsilin, etc. The form of action is convenient for you: lollipops, spray, solution.

By taking a course of vitamins, recovery will be faster. It is recommended to adhere to the rules of personal hygiene; it is better not to touch the rupture site with your hands or apply pressure.

If the rupture site does not heal for a long time and causes discomfort, you should consult a doctor.

Surgical treatment of an injured lower frenulum

An experienced specialist will help relieve pain and prescribe, if necessary, adequate treatment.

Laser treatment - modern technology

Help from traditional medicine

Using folk recipes and solutions, you can disinfect wounds without resorting to pharmaceuticals. In addition, many of them promote rapid healing of wounds and reduce pain.

Sage tincture. An excellent assistant in the fight against pain during the treatment of various oral injuries. To obtain a miraculous decoction, you need 2 tbsp. pour sage with 2 cups of boiling water and leave for about half an hour. You can rinse 5-10 times a day or as needed.

Sage tincture for rinsing - an effective folk remedy

Chamomile tincture. Chamomile has long been known for its antimicrobial properties. 1 tbsp of dried flowers of this plant is poured with boiling water and infused for 30-40 minutes. The broth must be filtered and used as a rinse solution several times a day.

Bedstraw decoction. This decoction can be used as a tea or rinse. Pour a tablespoon of herb into 1 cup of boiling water and leave for at least 30 minutes.

Alcohol tincture of St. John's wort. It is necessary to prepare 5 parts of 40% alcohol and 1 part of dried St. John's wort herb, let it brew for a while. After this, use 25-30 drops of tincture per glass of water and rinse. This is an excellent remedy for injuries to the tongue and oral cavity.

Using folk recipes, you can save a lot, and the result sometimes exceeds all expectations.

Prices