3 0 0 0 OA 小帯切除術

著者
金子 忠良 豊田 潤 近津 大地
出版者
日本小児口腔外科学会
雑誌
小児口腔外科 (ISSN:09175261)
巻号頁・発行日
vol.21, no.1, pp.25-32, 2011-06-25 (Released:2014-07-18)
参考文献数
25
被引用文献数
2

There are two primary locations in the mouth where frenula are identified; lip frenula and cheek frenula exist in the oral vesitibule and a lingual frenulum exists in the oral cavity proper. All frenula appear as a ruffle or fold of the mucous membrane.   Few disturbances originate in a morphological abnormality; almost all originate in a malpositioning of the adhesion, and present various symptoms. In cases where abnormal adhesion of the frenulum causes oral problems and treatment is needed, age seems to be an important factor. Ankyloglossia causes breastfeeding difficulties, articulation disorders, pronunciation disorders, and chewing and swallowing difficulties in the infant and young child. An abnormal cheek frenulum, which influences oral hygiene, can lead to gingivitis and periodontitis in young and middle-aged people. An abnormal cheek frenulum interferes with the stability of dentures when teeth are lost in old age; it makes it difficult to set them properly.  Because there seem to be many abnormalities in the lingual frenulum and the upper lip frenulum of infants and young children, we focused on assessment, diagnosis and surgical procedures (frenectomy) for both types of abnormality.

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@Dr_Asuw ありがとうございます。 上唇小帯に関しては乳幼児期に切除すべきケースはほぼないと考えております。 歯槽頂を超えて極端に太いなら小児歯科専門医、歯科口腔外科などへご依頼いただき、歯列への影響や上唇の運動制限等があれば就学以降に切除検討とするのが一般的かと。 https://t.co/lEdwet2FXg
赤ちゃんの舌小帯強直症の割合 「欧米では舌小帯短縮症の発現頻度は0.02~4.8%であるされるが,授乳障害で来院した乳児外来患者の12.8%に舌短縮症が認められた」「Segalらの過去10年間の文献的検索でも,舌小帯短縮症の有病率はやや高く,4~10%と報告している」 https://t.co/48QjJCCMHy

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