The child's tongue tie is short, do you want to cut it? When is the best time to cut?

time:2022-12-02 author:Fever
The child's tongue tie is short, do you want to cut it? When is the best time to cut?

In the process of parenting, most parents are very concerned about the baby's milk intake, complementary foods, physical development, skin condition, etc., but they pay little attention to the tongue inside the baby's mouth. In fact, the child's tongue also hides huge the secret!

1. The performance of tongue tie is too short

Some parents may be confused, what is there to observe about this tongue? In fact, if you look carefully, you will find that the tongue that the baby sticks out generally has three shapes: they are U, V, W, and the W looks like an upside-down heart shape. If your baby's tongue is W-shaped, then special attention should be paid to it. This shape will make it difficult for the child to stick out the tongue because the tip of the tongue is pulled so hard that it is difficult to move. This is the phenomenon of "short tongue and tendons". What is the tongue? When the baby cries and opens his mouth, the tendon in the middle under the tongue is the tongue tendon. It's actually a bundle of connective tissue that looks like a "strap" that connects the tongue to the floor of the mouth, so it's also called a tongue-tie. There is no very clear definition of the phenomenon of short lingual frenulum. However, mothers can judge whether their baby has a "short tongue-tie" problem by the following conditions:
  • One ​​is when the tongue-tie is attached to the tip of the tongue or close to the tip of the tongue. ;
  • One ​​is that the tongue cannot extend beyond the lower incisors by more than 2mm;
  • One ​​is that it is difficult to move the tongue forward Lifting up to the upper incisors, or difficulty moving the tongue from side to side.
Simply put, it is more difficult to extend the tongue forward, upward and downward, which obviously limits the range of motion of the baby's tongue. In the above three situations, it can be roughly judged that the tongue tie is too short. But to be diagnosed, you still need to go to the hospital.

Second, the harm and impact of short tongue tie

The baby with short tongue tie mainly occurs in the following situations: 1. It affects the normal feeding of breastfeeding babies. The breastfeeding posture is to put the tongue on the gums to suck milk, but the baby with short tongue tie, because the tongue can't be stretched long and can't be put on, which makes the TA spend a lot of effort and still can't get milk, it will wow big. Crying, or biting my mother's nipple when I'm in a hurry to breastfeed, making my mother sore. When the baby can't get milk, the harder she bites, the more pain the mother will feel, the less she dares to breastfeed, and the less milk she will produce... In such a vicious cycle, breastfeeding can no longer be sustained. What needs to be explained here is that with regard to breastfeeding, whether it is the novice mother's breastfeeding posture is wrong, or the baby's tongue tie is too short to bite the mother and the mother does not dare to breastfeed. Which is the main reason? Parents need help from the doctor. judge below. 2. Affecting the pronunciation of children's speech Some parents think that the tongue tie is too short because the child speaks too late or does not speak clearly. But in fact, the short tongue tie is not the reason why the child speaks sooner or later, at most it affects the pronunciation of certain words. For example, letters such as t, d, sh, ch, etc., need to raise the upper jaw or upper incisors to pronounce, but the short tongue-tie tongue movement is inconvenient, and there may be problems of inaccurate pronunciation. However, most of the time, the normal tongue development will not stretch too long, and the upturn is too high, so it does not have a great impact on the child's pronunciation. If parents find that their children have speech problems, they can ask a speech trainer to evaluate them first to avoid misdiagnosis. 3. Oral ulcers When the child's lower incisors erupt, if the problem of short lingual frenulum is too serious, it will cause the frenulum to rub against the lower teeth repeatedly, which will easily lead to traumatic ulcers in the middle of the tongue frenulum. Whether or not treatment is needed for the above effects is still controversial. Therefore, if you find that your baby has a short tongue-tie problem, parents should not worry too much. 3. Tongue tie is too short, should you cut it? If you find that there is a certain distance between the baby's tongue tie and the tip of the tongue, and the baby has no major problems with breastfeeding, it is recommended that parents do not rush to take the child for treatment. This is because the tongue tie will improve with the age of the baby, generally around the age of 2, when the tongue tie may have moved away from the tip of the tongue. Therefore, in most cases, the tongue tie is too short is a temporary physiological phenomenon. However, if the child does have breastfeeding difficulties, pronunciation problems, psychological problems and periodontal disease, it is necessary to discuss with the doctor to determine when it is appropriate to correct the baby's tongue. Babies under 1.6 months of age have immature oral development. At this time, the difficulty of the operation is low. Generally, anesthesia is not required. If the child after the age of 2.4 is 4 years old and still has obvious problems with pronunciation, after consulting the relevant speech rehabilitation specialist, there are no other problems, then surgery. But it still depends on the actual situation of the child. At this time, it is also necessary to ask the relevant doctor to understand the extent of the child's tongue tie, which anesthesia method to use, and the form of surgery. After all, the clearer the understanding, the less panic parents and children will have. In short, the problem of short tongue tie in children should be judged rationally. After all, there is no clear conclusion whether surgery is necessary or the best age for surgery. of.
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