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Infant feeding

Get advice and support with infant feeding from other users here.

Tight labial frenulum causing BFing problems. HV says nothing will be done. Any experience/advice out there?

39 replies

LackaDAISYcal · 14/01/2009 19:45

DS has had problems latching since he was born; typically not being able to maintain good suction, clucky feeding, lots of wind and causing me a lot of pain and discomfort as well as several blocked ducts, three lots of mastitis and a milk blister all in the space of ten weeks (and I feel the burn again this evening )

I had concerns about the frenulum connecting his top lip to the gum, and following some links from Grendle spoke to the HV about it. She confirmed today that it is very thick and tight and connects to the underside of his top gum. She said that this is probably the cause of my BFing issues and noted that when he is latched his top lip isn't flared out as normal. She also said that because DS is thriving (on the 75th centile), it's unlikely that anything will be done about it, if indeed anything can be done.

I've made an appointment to see my GP, but in the meantime has anyone had experience of this with their DC, what effect has it had on BFing long term as things seem to be getting worse for me, not better and does anyone know if clipping it can be done in the UK and what effect it will have on his latch.

Bit of an odd one, but thanks for any input

OP posts:
LackaDAISYcal · 09/03/2009 14:15

MIA, from the research I've done, labial frenulums (frenula???) are much less common than tongue tie, and don't always impact on feeding which is why it isn't really out there in the public domain as a potential problem in the same way that tongue tie is.

It can impact on speech development though and obviously might cause some distress when the child is older (although it hasn't hurt Madonna's career ) and will result in dental work to correct it.

What I'm not sure about is if it were to be snipped at baby stage, would the teeth come in with no gap?

OP posts:
MIAonline · 09/03/2009 14:27

I presume there would be no gap as the tie goes between the teeth. You are right though it is much less common than tongue tie, though I think that they often go hand in hand so would have thought it would be checked at the same time, but that is just wishful thinking on my part!

EachPeachPearMum · 09/03/2009 15:50

Swissuk- it took several years to go back- though as I was older, all my teeth were already through, and also, I didn't wear a brace to close the gap.

I think I need to check DD and DS now...

swissuk · 09/03/2009 20:14

She is 18 months. I had so many problems feeding her too. Some people I know said that the hosptal checked their LOs at birth. It should really be standard.

I think it is harder to get it done after 9 months because they say it doesn't bother them and won't affect feeding.

I am still waiting to hear back from the guy. All I have from the hospital so far is that if a doctor refers then it could be done on the NHS. Otherwise you have to pay. But I don't know under what conditions a doctor would refer. Maybe it would have to be a dentist.

swissuk · 09/03/2009 20:14

She is 18 months. I had so many problems feeding her too. Some people I know said that the hosptal checked their LOs at birth. It should really be standard.

I think it is harder to get it done after 9 months because they say it doesn't bother them and won't affect feeding.

I am still waiting to hear back from the guy. All I have from the hospital so far is that if a doctor refers then it could be done on the NHS. Otherwise you have to pay. But I don't know under what conditions a doctor would refer. Maybe it would have to be a dentist.

swissuk · 09/03/2009 20:19

hmmm just trying to figure out how to delete double posts That one was in reply to MIA but a bit delayed.
Thanks EachPeach. It is good that the gap closed without a brace even though it took time.

MIAonline · 09/03/2009 20:28

Keep us updated swissuk

EachPeachPearMum · 09/03/2009 20:34

I saw dentist, who referred to hospital- and it was done on nhs, even though classed as cosmetic.
Oh- and you can't delete double posts!

swissuk · 14/03/2009 12:44

Haven't forgotten this thread JUst waiting for a reply. After the initial reply when the doctor asked for info, I haven't heard back. Will see what happens next week. Sent the email again today 'incase'

EachPeachPearMum · 16/03/2009 21:11

Hi Swiss... sorry you have no response yet...
I checked dd's frenulum- and it is really low like mine was... though her gap isn't big at all- maybe I was unlucky?

swissuk · 18/03/2009 11:32

Well I got an email today. This is a quote:

At her age, I'd do nothing. This is because that is what I've been taught.I have seen some which are a nuisance with milk teeth, but not with 2nd teeth.
It will still tether the lip, but that does not seem to be a problem in older children and adults.
I've seen a couple where the reason for division was teeth cleaning and pain, but have never done a division for lip cosmesis.

When her big teeth are in and there is still a problem, I'd be delighted to divide it, if I haven't retired...

This is a proper excision and mobilisation of the mucosa and stitch it up under GA, so is very different from a tongue-tie division, (which at her age needs a GA anyway), but is basically a quick snip.

So I guess no one wants to do anything until the second teeth are through, even though it would make it all easier. And not for cosmetic reasons... hmmmm.

I can understand the points, but hers is so low and tight, that she can't really smile properly and the middle teeth are smaller than the others so it is obviously hindering them. But that doesn't seem to matter.

I guess I have to be patient

swissuk · 18/03/2009 11:34

*At her age, I'd do nothing. This is because that is what I've been taught.I have seen some which are a nuisance with milk teeth, but not with 2nd teeth.
It will still tether the lip, but that does not seem to be a problem in older children and adults.
I've seen a couple where the reason for division was teeth cleaning and pain, but have never done a division for lip cosmesis.

When her big teeth are in and there is still a problem, I'd be delighted to divide it, if I haven't retired...

This is a proper excision and mobilisation of the mucosa and stitch it up under GA, so is very different from a tongue-tie division, (which at her age needs a GA anyway), but is basically a quick snip.*

swissuk · 18/03/2009 11:35

Man! I am having so much trouble posting!!! I have to figure out this forum The second one was his email. Sorry. going to practise editing now...

EachPeachPearMum · 22/03/2009 19:40

What is the mucosa?

I guess you just have to wait... I wouldn't say it was 'cosmetic' if she has problems smiling though, surely?

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