Short lingual frenule in short

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Disorder	Short lingual frenzy: the thin fibro-mucous tissue lamina, which joins the ventral wall of the tongue to the mucosa of the oral floor, is too short
Medical terminology	Short frenule = ankyloglossia or tongue-tie
Epidemiology	Around 1990: sample of 1, 100 children: 78 small patients presented tongue-tie (corresponding to 7%) Currently: short frenulum affects 3-5% of newborns Males are more at risk (prevalence: 2 males, 1 female)
Classification of the severity of the lingual short frenulum	Grade F0: lingual raphe completely anchored to the floor of the buccal cavity Grade F1: sub-lingual caruncle connected to the lower region of the tongue via the frenulum Grade F2: frenulum joins the sublingual caruncle to half the space present between the plane of the lips and that of the tongue Grade F3: the motility of the tongue is only partially reduced
Short frenulo: causal factors	The triggering causes are not yet fully clarified Hypothesis: alteration of apoptotic processes, useful for dividing the tongue from the floor of the buccal cavity
Lingual short frenule: diagnostic criteria	Evaluable diagnostic parameters: inability of the subject to touch the palate with the tip of the tongue open-mouthed bifid language butterfly tongue restricted sublingual space
When to undergo resolute therapies	1st theory: subject the child to surgery after just a few months after birth 2nd theory: stalling, as it is not uncommon for the lingual short frenulum to develop in the 12 months from birth 3rd theory: medical intervention for the purpose of surgery at the age of six years of the child
Short frenulo: difficulty of the language	Dystriches or organic dyslalia on the letters L, T, Z, R consonants that require the raising of the language, evidently denied by the excessive brevity of the frenulum
Short lingual frenzy: Difficulty feeding at the breast	The brevity of the lingual frenulum prevents proper suction, as the newborn is unable to create a certain pressure at the level of the nipple
Short lingual frenule and severe occlusional deficits	Ingestion of lower incisor teeth; Teeth rotations on its axis; Front beanies, inability to completely close the mouth; Inter-incisive diastemas
Short lingual frenzy and difficulty in swallowing	Inability to bring the dorsal surface of the tongue into contact with the palate: repercussions on its correct language function
Other complications	Repercussions on correct oral hygiene Difficulty kissing or playing wind instruments Inability to lick your lips or move your tongue into the oral cavity to remove food debris
Resolving therapies against the short lingual frenulum	Speech therapy sessions frenulotomy frenuloplasty frenectomy