Evaluation of the influence of the posterior lingual frenulus in breastfeeding: clinical trial

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41771

Keywords:

Lingual Frenum; Ankyloglossia; Infant; Breast feeding.

Abstract

Objective: To evaluate the influence of the posterior lingual frenulum on infant breastfeeding. Method: This is a longitudinal study, with a quali-quantitative, descriptive and analytical approach of the clinical trial type with a source of primary data. The studied population consisted of healthy mother-infant dyads, of both sexes, assisted at the Dental Specialties Center of the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Pernambuco, from September to November 2022. Data collection took place from the assessment of the babies' lingual frenulum, as well as interviews with the mothers. The babies were divided into two groups for comparative purposes, namely the group of babies with posterior lingual frenulum of Coryllos type III (GIII) and the group of babies with posterior lingual frenulum of Coryllos type IV (GIV). Results: Coryllos type III posterior frenulum was found in 65.2% of babies, while type IV in 34.8%. Of these, 56.5% were exclusively breastfeeding in the first consultation and in the second consultation there was an increase to 73.9%. The prevalence of mothers who received guidance on the importance of breastfeeding during pregnancy was 52.2%. Conclusion: Both groups of babies with posterior lingual frenulum (GIII and GIV) presented difficulties in breastfeeding, with difficulty in latching on and breast pain during breastfeeding being more prevalent. After the initial consultation, given the exposure to guidelines, as well as the surgical procedure of lingual frenotomy, there was an improvement in the general condition of breastfeeding in almost all cases.

Author Biographies

Dayanne Oliveira Alves, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria

Cândida Augusta Rêbelo de Moraes Guerra, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria

Maria de Fátima Pessoa de Araújo Sabino, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria

Verônica Maria da Rocha Kozmhinsky, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria

Thais Costa de Alencar, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria 

Gabriella Aguiar Rodrigues Veras, Instituto de Medicina Integral Prof. Fernando Figueira

Departamento de Odontopediatria

References

Almeida Filho, N. & Barreto, M. L. (2012). Epidemiologia e Saúde: fundamentos, métodos e aplicações. Guanabara Koogan.

Berry, J., Griffiths, M., & Westcott, C. (2012). Double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeeding Medicine, 7, 189-194.

Brasil. (2014). Lei n. 13.002, de 20 de junho de 2014. Obriga a realização do Protocolo de Avaliação do Frênulo da Língua em Bebês. Diário Oficial da União. Brasília, 23 jun. 2014. http://www.planalto.gov.br/ccivil_03/_Ato2011-2014/2014/Lei/L13002.htm.

Brazil. (2009). Child health. Infant nutrition: breastfeeding and complementary feeding, Ministério da Saúde do Brasil; 2009. pp. 11–18.

Buryk, M., Bloom, D., & Shope, T. (2011). Eficácia da libertação neonatal da anquiloglossia: Um ensaio aleatório. Pediatrics, 128, 280-288.

Castro, K. F., Garcia, T. R. & Souto, C.M.R.M. (2009). Breast intercurrences related to lactation: a study involving recent mothers in a public maternity de João Pessoa, PB. O Mundo da Saúde. 33(4), 433–439.

Colombari, G. C., Mariusso, M. R. & Ercolin, L. T. C. (2021). Relationship between Breastfeeding Difficulties, Ankyloglossia, and Frenotomy: A Literature Review. J Contemp Dent Pract, 22(4), 452–461.

Coryllos, E. & Salloum, A. C. (2004) Breastfeeding: Best for baby and mother. American Academy of Pediatrics, 1–12.

Cunha, A., Martins, V., Lourdes, M., Paschoini, M., Parreira, B. & Ruiz, M. (2019). Prevalence of nipple traumas and related factors among post-partum women assisted in a teaching hospital. Escola Anna Nery, 23(4).

Emond, A., Ingram, J., Johnson, D., Blair, P., Whitelaw, A., Copeland, M. & Sutcliffe, A. (2014) Ensaio aleatório e controlado de frenotomia precoce em bebés amamentados com um laço de língua comestível. Arquivos de Doenças na Infância. Fetal e Neonatal Edition, 99, 189-195.

Geddes, D., Langton. D., Gollow, I., Jacobs, L., Hartmann, P. & Simmer, K. (2008). Frenulotomy for breastfeeding infants with ankyloglossia: Effect on milk removal and sucking mechanism as imaged by ultrasoun. Pediatrics. 122(1), 188-94.

Ghaheri, B.A., Cole, M., Fausel, S.C., Chuop, M., & Mace, J.C. (2017). Melhoria do aleitamento materno após a libertação do lábio e do lábio: Um estudo de coorte prospectivo. O laringoscópio, 127, 1217-1223.

Hale, M., Mills, N., Edmonds, L., Dawes, P., Dickson, N., Barker, D. & Wheeler, B. J. (2019). Complications following frenotomy for ankyloglossia: A 24-month prospective New Zealand paediatric surveillance unit study. Journal of Paediatrics and Child Health 56(4), 557–62.

Martinelli, R. L. de C., Marchesan, I. Q. & Berretin-Felix, G. (2018). Posterior lingual frenulum in infants: occurrence and maneuver for visual inspection. Revista CEFAC, 20(4), 478–483.

Martinelli, R. Validação do Protocolo de avaliação do frênulo da língua em bebês. Universidade de São Paulo Faculdade de Odontologia de Bauru. 2015. Tese de doutorado.

Newby, R. M. & Davies, P. S. W. (2016) ‘Why do women stop breast-feeding? Results from a contemporary prospective study in a cohort of Australian women. Eur J Clinical Nutrition. 70(12), 1428–1432.

Ghaheri, B. A., Lincoln, D., Mai, T. N. & Mace, J. C. (2021) Objective Improvement After Frenotomy for Posterior Tongue-Tie: A Prospective Randomized Trial. American Academy of Otolaryngology–Head and Neck Surgery Foundation.

O'Callahan, C., Macary, S., & Clemente, S. (2013). Os efeitos da frenotomia baseada no escritório para a anquiloglossia anterior e posterior no aleitamento materno. International Journal of Pediatric Otorhinolaryngology, 77, 827-832.

Hand, P., Olivi, G., Lajolo, C., Gioco, G., Marigo, L., Castagnola, R. & Cordaro, M. (2020). Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release. European Journal of pediatric dentistry , 21.

Pransky, S. M., Lago, D., & Hong, P. (2015). Breastfeeding difficulties and oral cavity anomalies: The influence of posterior ankyloglossia and upper-lip ties. International Journal of Pediatric Otorhinolaryngology, 79(10), 1714- 1717.

Solis-Pazmino, P., Kim, G. S., Lincango-Naranjo, E., Prokop, L., Ponce, O. J., & Truong, M. T. (2020). Major complications after tongue-tie release: A case report and systematic review. International Journal of Pediatric Otorhinolaryngology, 110356.

1016/j.ijporl.2020.110356

Van Biervliet, S., Van Winckel, M. & Vande Velde, S. (2020). Primum non nocere: lingual frenotomy for breastfeeding problems, not as innocent as generally accepted. Eur J Pediatr 179, 1191–1195.

Walsh, J. & Benoit, M. M. (2019). Ankyloglossia and other oral ties. Otolaryngol Clin North Am, 52(5), 795-811.

WHO. (2003) Global strategy for infant and young child feeding. Geneva: WHO; p. 7.

Published

30/05/2023

How to Cite

ALVES, D. O. .; GUERRA, C. A. R. de M. .; SABINO, M. de F. P. de A. .; KOZMHINSKY, V. M. da R. .; ALENCAR, T. C. de .; VERAS, G. A. R. . Evaluation of the influence of the posterior lingual frenulus in breastfeeding: clinical trial . Research, Society and Development, [S. l.], v. 12, n. 5, p. e29612541771, 2023. DOI: 10.33448/rsd-v12i5.41771. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41771. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences