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The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study.
Eur J Paediatr Dent 2017; 18(4):319-325EJ

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.

MATERIALS 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%).

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.

Authors+Show Affiliations

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, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.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, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29380619

Citation

Ferrés-Amat, E, et al. "The Prevalence of Ankyloglossia in 302 Newborns With Breastfeeding Problems and Sucking Difficulties in Barcelona: a Descriptive Study." European Journal of Paediatric Dentistry, vol. 18, no. 4, 2017, pp. 319-325.
Ferrés-Amat E, Pastor-Vera T, Rodriguez-Alessi P, et al. The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study. Eur J Paediatr Dent. 2017;18(4):319-325.
Ferrés-Amat, E., Pastor-Vera, T., Rodriguez-Alessi, P., Ferrés-Amat, E., Mareque-Bueno, J., & Ferrés-Padró, E. (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), pp. 319-325. doi:10.23804/ejpd.2017.18.04.10.
Ferrés-Amat E, et al. The Prevalence of Ankyloglossia in 302 Newborns With Breastfeeding Problems and Sucking Difficulties in Barcelona: a Descriptive Study. Eur J Paediatr Dent. 2017;18(4):319-325. PubMed PMID: 29380619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: a descriptive study. AU - Ferrés-Amat,E, AU - Pastor-Vera,T, AU - Rodriguez-Alessi,P, AU - Ferrés-Amat,E, AU - Mareque-Bueno,J, AU - Ferrés-Padró,E, PY - 2018/1/31/entrez PY - 2018/1/31/pubmed PY - 2018/1/31/medline SP - 319 EP - 325 JF - European journal of paediatric dentistry JO - Eur J Paediatr Dent VL - 18 IS - 4 N2 - 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. MATERIALS 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%). 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. SN - 1591-996X UR - https://www.unboundmedicine.com/medline/citation/29380619/The_prevalence_of_ankyloglossia_in_302_newborns_with_breastfeeding_problems_and_sucking_difficulties_in_Barcelona:_a_descriptive_study_ L2 - https://doi.org/10.23804/ejpd.2017.18.04.10 DB - PRIME DP - Unbound Medicine ER -