Purpose: To diagnose ankyloglossia in newborns and compare two lingual frenulum assessment instruments.
Methods: This cross-sectional study was carried out in Recife, Pernambuco, Brazil, in 2018, with 147 mothers/newborns aged up to 30 days. The Bristol Tongue Assessment Tool and the Lingual Frenulum Evaluation Protocol for Infants were the instruments used. Sociodemographic data were also recorded. The two ankyloglossia diagnostic methods were compared using the McNemar test, obtaining the kappa agreement value and the confidence interval.
Results: Ankyloglossia was present in 4.8% when diagnosed with the Bristol Tongue Assessment Tool, and in 17.0% with the Tongue-Tie Test. Regarding sex, 53.1% of the newborns were males and 46.9% were females; however, there was no association between ankyloglossia and the newborn's sex in either of the assessment methods.
Conclusion: The ankyloglossia diagnosis in newborns varied depending on the assessment instrument used.
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http://dx.doi.org/10.1590/2317-1782/20202019209 | DOI Listing |
BMC Oral Health
January 2025
Department of Pediatric Dentistry, School of Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Background: The impact of ankyloglossia (tongue-tie) on breastfeeding outcomes may be overestimated and surgical treatment in newborns remains a controversial topic. The aim of the present study was to assess and quantify the impact of ankyloglossia in newborns on breastfeeding self-efficacy at 14 days of life.
Methods: A birth cohort study was conducted involving mothers and newborns soon after childbirth at a public hospital in the city of Canoas, southern Brazil.
Codas
November 2024
Laboratório de Prototipagem Assistiva, Programa de Pós-graduação em Neurociências e Biologia Celular, Instituto de Ciências Biológicas, Universidade Federal do Pará - UFPA - Belém (PA), Brasil.
Purpose: Compare infant suction in babies with and without ankyloglossia using a microprocessor-controlled pressure sensor coupled to a pacifier.
Methods: Fifty-five infants from 0 to 2 months of age underwent clinical examination for ankyloglossia, after which they were offered a silicone pacifier connected to the pressure acquisitiondevice and suction activity was recorded. Thus, we extracted the frequency of sucks within a burst, the average suck duration, the burst duration, the number of sucks per burst, the maximum amplitude of sucks per burst and the inter-burst interval.
Cureus
September 2024
Department of Periodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Ankyloglossia, also named tongue-tie, is an innate developmental anomaly where the lingual frenum appears anchored to the sublingual space. Even though it is not considered a major congenital condition, it can create a variety of problems, such as difficulty in feeding newborns, difficulty in mastication, speech problems, poor oral hygiene, malocclusion, and hindrance in social interaction because of restricted tongue movements. Lingual frenectomy is the treatment of choice.
View Article and Find Full Text PDFEur J Pediatr
December 2024
Department of Paediatric Otolaryngology, Children's Health Ireland at Temple Street, Dublin, Ireland.
Ankyloglossia, or tongue-tie, is a variation in the anatomy of the lingual frenulum that restricts tongue movement. It is recognised as a cause of breastfeeding difficulty. We prospectively collected data from a specialist tongue-tie assessment clinic and evaluated mothers' experience using a questionnaire.
View Article and Find Full Text PDFArch Argent Pediatr
February 2025
Department of Pediatrics and Neonatology, Sanatorio de la Trinidad Palermo, City of Buenos Aires, Argentina.
Between 1997 and 2012, the diagnoses of ankyloglossia and the indication for frenotomy increased by ˃800%. About 38% of diagnosed cases are surgically treated. Breastfeeding promotion includes evaluating maternal hereditary and personal history of breastfeeding, breast structure, endocrinological physiology, emotional well-being of the mother, breastfeeding technique, quality and quantity of milk, and the newborn's ability to latch on and suckle.
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