The World Health Organization (WHO)16 has recommended that mothers exclusively breastfeed for the first 6 months of the child’s life.
The benefits of breastfeeding have been reported and the causes of precipitated weaning have been widely studied.
Although lingual frenulum alteration (tongue-tie) has been considered as one of the causes for breastfeeding difficulties, it is a subject of much controversy among various healthcare professionals.
Tongue-tie occurs when a common minor embryologic tissue remnant causes restrictions in the normal movement of the tongue.
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Breastfeeding difficulties due to tongue-tie include ineffective latching, inadequate milk transfer and maternal nipple pain. According to several studies, lingual frenotomy is suggested when these complaints are reported.
Benefits after frenotomy such as better latching, maternal nipple pain reduction, and maintenance of breastfeeding practices have been reported.
°Journal of Applied Oral Science
°Roberta Lopes de Castro MARTINELLI / Irene Queiroz MARCHESAN / Reinaldo Jordão GUSMÃO / Heitor Marques HONÓRIO / Giédre BERRETIN-FELIX