Totalmente de acuerdo contigo, no todos los frenillos dan problemas, pero muchas veces si. Por eso ante dificultades durante la lactancia es imprescindible explorar la boca del lactante y por supuesto observar una toma. Fue un corte de 1 segundo practicado con anestesia local y con tigeras en la misma consulta y con nosotros, los padres, presentes. Y muy felices.
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Correspondence to:. Summary: A fold of tissue, the lingual frenulum, extends onto the inferior surface of the tongue from near the base of the tongue on midline. The shape, length and alignment of lingual frenulum vary between individuals. The aim of this study is to evaluate morphology of lingual frenulum with respect to gender. Ninety seven volunteers who were students and employees of Zonguldak Karaelmas University, School of Medicine participated in the study.
Two individuals with a history of hepatitis and 20 individuals with inadequate photographs were excluded from the study. Morphometric analyses were performed on the photographs of 75 volunteers 36 men, 39 women.
Lingual frenulum photograph of each individual was taken using standard photographic techniques. The morphology of the lingual frenulum was evaluated with linear measurements and geometric morphometrics methods.
The length of lingual frenulum between the attachments of it, to the floor of the mouth and the inferior surface of the tongue were measured using Digimizer software.
Four reference points determined previously were marked by tpsDig2 software on photographs. This process was repeated for each sample to create a txt file containing reference points of 75 individuals. Statistical analysis of txt files were carried out using Morpheus software. It can be suggested that lingual frenulum had similar architecture in both sexes.
Participaron en el estudio 97 voluntarios, estudiantes y empleados de la Facultad de Medicina de la Universidad Zonguldak Karaelmas. Se puede sugerir que el frenillo lingual tiene una arquitectura similar en ambos sexos. The mucosa that covers the bottom surface of the tongue spreads through the floor of the mouth and from there to the gums. Lingual frenulum differs from one individual to another in terms of shape, length and location Kotlow, The purpose of this study is to evaluate the structure of lingual frenulum according to gender and to determine the differences -if there are any- by means of geometric morphometrics.
This study was performed with the participation of 97 volunteers who were students and staff of Zonguldak Karaelmas University, School of Medicine. Due to positive hepatitis history in two volunteers, and due to the technical errors in their mouth photographs, 20 volunteers were excluded from the study. The analysis were performed on 75 people; 39 women group 1 and 36 men group 2. The mouth opening of individuals was measured via digital compass.
In this study, to minimize the changes due to the soft tissue characteristic of the sublingual area, the mouth photographs of the participants were taken while the mouth was maximally opened, and the tip of the tongue was in touch with the posterior surface of upper central incisors.
Two photographs of the lingual frenulum front and lateral views were taken using standard photography techniques Fig. The position of the lingual frenulum used in this study is stated to be the most appropriate position by Marchesan Lingual frenulum photograph taken while the mouth was maximally opened, and the tip of the tongue was touching to the posterior surface of upper central incisors.
A: From the front; B: Lateral. On the photographs, the distance between starting point of lingual frenulum at the floor of the mouth and the place where it stuck to the tongue was measured linearly and the area of the frenulum within those reference points was measured using Digimizer software Fig.
The linear measurement values were evaluated with independent sample test. Linear measurement of lingual frenulum using Digimizer software.
Geometric morphometrics, which is an efficient and accurate method, was preferred to evaluate lingual frenulum using the mouth photographs Monterio, Previously determined 4 reference points were marked on the photographs using tpsDig2 software Fig. The data in these text documents was analyzed statistically using Morpheus software. The reference points on documents created by TpsDig and TpsUtil softwares.
The intersection point of lateral margin of the lingual frenulum with the floor of the mouth on the right side. Uppermost point of lingual frenulum. Bottom point of lingual frenulum. The intersection point of lateral margin of the lingual frenulum with the floor of the mouth on the left side. In our study, the maximum mouth opening distance measured using a digital compass was The maximum mouth opening while the tip of the tongue touching the posterior surface of upper central incisors was found to be The average length value of lingual frenulum measured in the photographs was Area value was found to be Depending on the geometric morphometrics analysis, the shape diversity was reflected on deformation grids.
The points where the shape diversity concentrates were identified via TPSspline software, and the deformation grids of the groups were compared; however no significant deformations were observed Fig. Deformation grid of the lingual frenulum illustrating the consensus between genders with TPSsplin scale factor 5. Almost all of these studies were related to clinical approaches. Most of the studies on lingual frenulum were associated with the ankyloglossia tongue-tie , a condition characterized by a situation where it is shorter than normal, and encompass the symptoms of this pathology and its treatment Geddes et al.
In addition, lingual frenulum was used as a reference point in the evaluation of occlusion Bissasu, In our study, the structure, length and area of lingual frenulum were evaluated according to gender. There are several studies in the literature related with the length measurement of lingual frenulum: In the study of Kotlow frenulum measurements were performed on children aged between years with short frenulum. He divided the study group into 5 categories depending on the attachment site of the lingual frenulum to the tongue.
Similarly, in his quantitative study on 98 individuals who were older than 18, Marchesan, divided the lingual frenulum structure into two groups and carried frenulum measurements in these groups. The measurement results of mouth opening using a digital compass were similar to those of ours Table III. To our knowledge there is no other study in the literature in which the structure, length and area of lingual frenulum was evaluated according to sex.
Depending on the results of the current study it can be suggested that the structure of lingual frenuluma doesn't show any differences according sex. In conclusion, it is evident that many structures in human body have differences according to gender; however, it can be concluded that lingual frenulum has a similar structure in both genders. Agarwal, P.
Tongue-tie: an update. Indian Pediatr. Reliability of the hazelbaker assessment tool for lingual frenulum function. Breastfeed J. Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics, 5 :e63, Use of lingual frenum in determining the original vertical position of mandibular anterior teeth.
Lingual function and relative length of the lingual frenulum. Speech Hear Res. Frenulotomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics, 1 :e, Tongue tie.
Morphometrics as a tool for the study of genetic variability of honey bees. Pediatric tongue-tie division: Indications, techniques and patient satisfaction.
Ankyloglossia tongue-tie : a diagnostic and treatment quandary. Quintessence Int. Lingual frenulum: quantitative evaluation proposal. Orofacial Myology, , Ankyloglossia:incidence and associated feeding difficulties. Head Neck Surg.
Why morphometrics is special: The problem with using partial wraps as characters for phylogenetic inference. Common tongue conditions in primary care. Newborn tongue-tie:prevalence and effect on breast-feeding. Board Fam. Email: cagbarut yahoo. Received: Accepted: Servicios Personalizados Revista. Correspondence to: Summary: A fold of tissue, the lingual frenulum, extends onto the inferior surface of the tongue from near the base of the tongue on midline. A: From the front; B: Lateral On the photographs, the distance between starting point of lingual frenulum at the floor of the mouth and the place where it stuck to the tongue was measured linearly and the area of the frenulum within those reference points was measured using Digimizer software Fig.
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Frenillo lingual y lactancia materna