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Home The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking...

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

Authors:

  • E. Ferrés-Amat
    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
  • T. Pastor-Vera
    Psy D, PhD. Head of the Service of Speech and Orofacial Myofunctional Therapy, Hospital de Nens, Barcelona, Spain
  • P. Rodriguez-Alessi
    MD, Pediatr, IBCLC. Service of Paediatrics and Service of Human Lactation, Hospital de Nens, Barcelona, Spain
  • E. Ferrés-Amat
    DDS, MSc, PhD, Service of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
  • J. Mareque-Bueno
    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
  • E. Ferrés-Padró
    MD, DMD, OMFS, PhD. Head of Service of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain

DOI:

https://doi.org/10.23804/ejpd.2017.18.04.10

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.

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%).

Conclusion

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.

PLUMX METRICS

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Publication date:

December /2017

Keywords:

ankyloglossia, breastfeeding, frenotomy, myofunctional therapy, sucking problems, tongue-tie

Issue:

Vol.18 – n.4/2017

Page:

319 – 325

Publisher:

Ariesdue

Cite:


Harvard: E. Ferrés-Amat, T. Pastor-Vera, P. Rodriguez-Alessi, E. Ferrés-Amat, J. Mareque-Bueno, E. Ferrés-Padró (2017) "The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study", European Journal of Paediatric Dentistry, 18(4), pp319-325. doi: 10.23804/ejpd.2017.18.04.10
Vancouver: E. Ferrés-Amat, T. Pastor-Vera, P. Rodriguez-Alessi, E. Ferrés-Amat, J. Mareque-Bueno, E. Ferrés-Padró. The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study. European Journal of Paediatric Dentistry [Internet]. 2017Dec.1 [cited 2023Feb.03];18(4):319-325. Available from: https://www.ejpd.eu/abstract-pubmed/the-prevalence-of-ankyloglossia-in-302-newborns-with-breastfeeding-problems-and-sucking-difficulties-in-barcelona-a-descriptive-study/
MLA: E. Ferrés-Amat, T. Pastor-Vera, P. Rodriguez-Alessi, E. Ferrés-Amat, J. Mareque-Bueno, E. Ferrés-Padró The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study. European Journal of Paediatric Dentistry. 2017;18(4):319-325

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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