Tongue tie broken

A broken frenulum will affect the patient's voice. At this time, we should rinse our mouths with clean water, and bacteria will grow in the mouth. We should go to the dentist for treatment. Generally, surgery is required to cut the frenulum, and the risk of surgery is relatively high. The main population affected is infants, and the treatment will be relatively troublesome, but anesthesia must be performed to prevent the infant from affecting the surgical operation.

The tongue tie has a fixing function and also plays a very obvious role in pronunciation. Lacerations and bleeding need to be treated. First of all, it is recommended to rinse your mouth with clean water to avoid the growth of oral bacteria and infection, and go to a professional dental department for repair, which will greatly improve future functions.

Tongue-tie surgery is one of the oral and maxillofacial surgical procedures. That is, use surgery to repair or correct the short tongue tie and restore normal pronunciation function.

Department

Dentistry

Indications

Tongue-tie correction surgery

1. Abnormal tongue-tie attachment or short frenulum deformity, except for that caused by alveolar ridge, is most commonly a congenital deformity. Infants and young children may have a short tongue tie or a deformed frenulum, which may cause bedsores due to frequent friction between the frenulum and the lower incisors when the tongue is extended forward. Due to poor development of the baby, the lower deciduous incisors have erupted at 6-9 months of age, and the lingual frenulum is still attached to the alveolar ridge on the lingual side of the mandible, restricting the movement of the tip of the tongue so that it cannot extend out of the mouth, or forming a groove at the tip of the tongue when extending forward, and the tip of the tongue cannot curl up to contact the upper front teeth, causing the lingual frenulum to be too short.

2. For edentulous patients, the lingual frenulum or maxillo-glossal muscle is attached close to the top of the alveolar ridge, which often hinders the placement and retention of dentures.

Preoperative diagnosis

1. The baby's upper and lower deciduous incisors have erupted (6 to 9 months), and the movement of the tongue tip is restricted and cannot be extended out of the mouth, or the tongue tip is extended forward to form a groove.

2. The mandibular anterior teeth are missing, which hinders the retention of dentures.

Surgical procedures

Tongue tie correction procedure

The best time to perform surgery for congenital abnormal or short frenulum of the tongue should be between 1 and 2 years old.

1. General anesthesia is recommended for young children during surgery to ensure their cooperation. It can be performed under local anesthesia in adults.

2. Use a vascular clamp to clamp the upper end of the frenulum on the ventral side of the tongue and lift it upwards. Use a small blade or small scissors to cut the frenulum directly to its root. Be careful not to cut too deep to avoid damaging the deep lingual vein or tongue muscle.

3. Suture the incision longitudinally.

Precautions

When cutting the frenulum, avoid damaging the submandibular gland duct and the nipple at its opening.