Once the doctor analyzes your symptoms and clinical history, they will perform a physical examination to assess the tongue and its range of motion.
The indicated treatment will depend on the difficulty of the tongue’s range of movement and the medical criteria since if the lingual frenum’s length is slightly less than normal, rehabilitation therapy with a speech therapist can help counteract the tongue’s mobility limitations.
Some pediatricians may suggest correcting this anomaly from infancy with surgery or allowing some time to pass to observe the evolution of the lingual frenum and, if necessary, a surgical procedure. The support of a lactation expert and a speech therapist may also be required.
Surgery includes two types of procedures:
- Frenotomy: It can be performed with or without anesthesia because it is a quick surgery that causes slight discomfort. After this, the baby can breastfeed immediately. Although complications are practically null, infection, bleeding, and lesions on the tongue or salivary glands may occur.
- Frenuloplasty: It is recommended when something else needs to be repaired in the mouth or the lingual frenum is too wide. This procedure allows the frenum release and the suturing of the wound with absorbable materials as the tongue heals. The possible risks are minimal, but infections, hemorrhages, and injuries to the tongue or salivary glands may occur.
At the Pediatrics Center, we provide specialized care to our small patients from birth to adulthood, through our pediatric, oncology, neurology, and cardiology services at the level of the best medical centers in the world.