"Baby doodh nahi pee pa raha," ya "speech problem hai," ya "neeche ke agewaale danton mein gap hai" — yeh sab ek chhoti si cheez se ho sakti hai jo muh ke andar hai lekin bahut kam log isko identify karte hain। Dr. Ritu Goyal, MDS Oral & Maxillofacial Surgeon Budh Vihar mein frenectomy regularly karti hain — babies se lekar adults tak।
Frenulum Kya Hota Hai
Muh mein chhoti chhoti tissue folds hain jo organs ko connect karti hain — inhe frenulum kehte hain:
- Lingual frenulum: Jeebh ke neeche — jeebh ko floor of mouth se connect karta hai
- Labial frenulum (upper): Upper lip ko upar ke madi se
- Labial frenulum (lower): Lower lip ko neeche ke madi se
Tongue Tie (Ankyloglossia) — Kya Hota Hai
Lingual frenulum bahut short ya tight hai — jeebh poori tarah move nahi kar sakti। Isse:
- Babies mein: Breastfeeding mein problem — nipple latch nahi karta, baby khana nahi kha raha, maa ko dard
- Toddlers mein: Speech problems — "r", "l", "t" sounds affected
- Adults mein: Jeebh movement limited — kuch sounds, khaana chabana, kissing affected
Lip Tie Kya Hai
Upper labial frenulum bahut thick ya low-attached — upper lip restrict hoti hai। Babies mein breastfeeding issue. Adults mein — upper front danton mein gap (diastema) jo akele braces se nahi bharta।
Frenectomy Procedure
Simple aur quick:
- Local anaesthesia (babies mein topical gel bhi kaafi)
- Laser ya scissors se frenulum cut
- Laser mein stitches nahi, bleeding bahut kam
- 5-15 minute procedure
- Babies mein almost immediate breastfeeding improvement
Recovery
- Laser mein 1-2 din mild soreness
- Stretching exercises post-procedure — reattachment prevent karne ke liye
- Adults mein 3-5 din soft foods
Real case — Krishan Vihar, 2024: 3 mahine ki baby — maa pareshan thi kyunki baby breastfeed properly nahi kar pa rahi thi। Lactation consultant ne tongue tie suspect kiya। Humne assess kiya — tight lingual frenulum tha। Laser se 8 minute mein frenectomy। Usi din feeding better। "Itne mahine dono ne struggle kiya — itni chhoti si cheez thi।"
Tongue tie ya lip tie assessment ke liye 9759864222। Early assessment better hai।
Aksar Pooche Jaane Wale Sawaal
Lingual frenulum (jeebh ke neeche ki tissue) bahut tight ya short — jeebh poori tarah move nahi kar sakti. Babies mein breastfeeding, toddlers mein speech, adults mein jeebh movement affect.
Breastfeeding bahut difficult hai babies mein. Speech significantly affected hai. Diastema (gap) lip tie se aa raha hai. Adult mein movement restricted hai. Assessment ke baad decide hota hai.
Local anaesthesia mein procedure. Babies mein topical gel bhi kaafi. Laser se 5-15 minute, stitches nahi, bahut kam bleeding. 1-2 din mild discomfort.
Reattachment prevent karne ke liye — frenulum wapas thick ho sakta hai bina stretching ke. Doctor stretching exercises sikhata hai — crucial hai recovery mein.
Haan — upper labial frenulum thick hone se upper front teeth mein gap (diastema) hoti hai. Braces ke saath frenectomy karni padti hai tabhi gap theek rehta hai warna wapas aa sakta hai.