In many cases - with minimal deviation of the length of the frenum from the anatomical norm - there is no symptomatology. This happens with an easy degree of ankyloglossy: when the distance between the attachment point of the frenum on the ventral surface of the tongue and its tip is at least 12 mm.
By the way, four degrees of ankyloglossia are determined: light (the length of the bridle is 12-16 mm), moderate (8-11 mm), heavy (3-7 mm) and full (less than 3 mm).
Symptoms of a short frenum of the tongue with its moderate and significant shortening in patients of different ages manifest themselves in different ways. In newborns, the most common first signs are expressed in violation or complete absence of the possibility of breastfeeding. Because of the limited mobility of the tongue, the baby can not grab the nipple and normally suck milk, which forces a bottle with a pacifier. Although with intensive allocation of breast milk, breastfeeding is possible and in the presence of this defect.
Mothers who breastfeed should have an idea of how to identify a short bridle of the tongue. The signs of a short frenulum of the tongue in a baby can be its rapid fatigue in the process of sucking: if the baby often falls asleep at the breast, but wakes up hungry and begins to cry. For this reason, the child shows increased anxiety at night and poorly gaining weight.
In addition, eating disorders (seizure of the nipple not by the tongue, but by the gums) leads to the appearance of pain and nipple damage, obstruction of the ducts in the mammary glands and mastitis.
A short frenum of the tongue in a child of the first three years of life creates problems with eating food that requires chewing. Clear symptoms of ankyloglossia are:
- inability to stick out his tongue over the upper gum;
- bending the tongue down when it protrudes from the mouth;
- impossibility to touch the palate with the tongue;
- the difficulty of moving the language from side to side;
- V-shaped form of the tip of the tongue (resembling the pictogram of the heart) when it is raised.
After three years, speech problems become noticeable, especially distortions in the articulation of the sounds of DT, ZS, L, R, H, C, W. A visit to a specialist is required if more than half of the speech of a three-year-old child is not understood outside the family circle.
With age, the short frenulum of the tongue in an adult can stretch out and become longer: it all depends on its thickness and initial size.