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The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study
 

Type:  Articles

Pubblication date:  12/2017

Authors:  E. Ferrés-Amat*, T. Pastor-Vera**, P. Rodriguez-Alessi***, E. Ferrés-Amat****, J. Mareque-Bueno*****, E. Ferrés-Padró******

Language:  English

Institution:  *DDS, PhD. Service of Oral and Maxillofacial Surgery and Service of Paediatric Dentistry. Hospital de Nens, Barcelona, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain **Psy D, PhD. Head of the Service of Speech and Orofacial Myofunctional Therapy, Hospital de Nens, Barcelona, Spain ***MD, Pediatr, IBCLC. Service of Paediatrics and Service of Human Lactation, Hospital de Nens, Barcelona, Spain ****DDS, MSc, PhD, Service of Oral and Maxillofacial Surgery *****MD, DMD, EBOMS, PhD. Service of Oral and Maxillofacial Surgery Lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain ******MD, DMD, OMFS, PhD. Head of Service of Oral and Maxillofacial Surgery

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue srl

Keywords:  Ankyloglossia; Breastfeeding; Frenotomy; Myofunctional therapy; Sucking problems; Tongue-tie.

URL:   elviraferres@hospitaldenens.com


Title:  The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study

Abstract:  Aim Oral and maxillofacial development is influenced by the lingual frenulum and also affects breathing, occlusion, sucking, swallowing, speech, among others. Ankyloglossia in the newborn may result in breastfeeding difficulties: maternal nipple pain and/or erosion or mastitis, poor weight gain and excessively long breastfeeds. The main objective of this work is to study the prevalence of ankyloglossia in newborns with breastfeeding difficulties. Material and Methods This is a transversal descriptive study of 302 patients, between 0 and 6 months, who attended the hospital as a result of breastfeeding difficulties. All patients with sucking problems and ankyloglossia were included in this study and followed the multidisciplinary treatment protocol made up of the services of Breastfeeding, Speech Therapy and Orofacial Rehabilitation and Oral and Maxillofacial Surgery. Results 1,102 newborns were seen at the paediatric service of Hospital de Nens, Barcelona (Spain) during 2 years; 302 had breastfeeding difficulties and of these, 171 were diagnosed with ankyloglossia (60 girls and 111 boys). Coryllos Grade 3 ankyloglossia was the most prevalent (59.6%) type; 85 infants (49.7%) were exclusively breastfed and 26 (50.35%) were mixed fed (formula and breastfeeding). Only 43 patients had a family history of tongue-tie (25.1%). Conclusions Ankyloglossia linked to breastfeeding difficulties must be treated by a multidisciplinary team. We have found a high prevalence of the condition since the population studied are newborns with sucking problems. If a frenotomy is necessary, we recommend stimulating suction with myofunctional therapy before and after surgery to avoid scar retraction.

 
 
 
 
 
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