Untying the Tongue Tie

https://doi.org/10.18320/JIMD/201704.0372

Tongue tie limits the functional ability and social embarrassment due to speech problem of the individual. Due to this condition, correction like combined surgical intervention and speech therapy is needed at the earliest

Choice of management for ankyloglossia includes timely and appropriate surgical intervention, followed by speech therapy which delivers pleasing results, often in a less time than expected. Surgical techniques for ankyloglossia can be classified into three procedures: (i) Simple cutting of the frenulum i.e. Frenotomy (ii) Complete excision of the whole frenulum i.e. frenectomy (iii) Frenuloplasty involves various methods to release the ankyloglossia and correct the anatomic situation. Surgical intervention for treating ankyloglossia includes conventional technique with scalpel, electrocautery and LASER. Without post-operative exercise for tongue, there will be no convincing improvement in speech. It improves ability for sensation of parts of tongue (kinaesthesia) and rapid alternating movements of tongue (diadochokinesis).

The incidence of ankyloglossia in various reports ranges from 0.02% to as high as 4.8% of term newborns. Several classifications have been proposed, but none have been universally accepted. Ankyloglossia can be classified based on Kotlow’s assessment.

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

DrMadhusudhan's Blogs

Nutrition is essential for human development and is the focal point of health and well being. According to the WHO, Nutrition is the science of food and its relationship to health and Malnutrition is the cellular imbalance between the supply of the nutrients and the energy and the body’s demand for them to ensure growth, […]

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

View original post

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Nutrition is essential for human development and is the focal point of health and well being. According to the WHO, Nutrition is the science of food and its relationship to health and Malnutrition is the cellular imbalance between the supply of the nutrients and the energy and the body’s demand for them to ensure growth, […]

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Nutrition is required for Healthy Mouth, why?

Nutrition is essential for human development and is the focal point of health and well being. According to the WHO, Nutrition is the science of food and its relationship to health and Malnutrition is the cellular imbalance between the supply of the nutrients and the energy and the body’s demand for them to ensure growth, maintenance, and specific functions.

Malnutrition prevents children from reaching their full physical growth and mental potential. Health and physical consequences of malnutrition in children are lower intellectual quotient (IQ), greater behavioural problems, delay in their physical growth, motor development and deficient social skills; susceptibility to contracting diseases. Oral health conditions, dietary practices, nutritional status and general health status are all inter-related factors.

pic source ; kidsmilehigh
Nutrition promotes healthy development and maintenance of oral health.

Oral manifestation in Malnutrition

Oral cavity is influenced by the diet for development, depending on whether there is an early or late nutritional imbalance, the consequences are certainly different. A shortage of minerals and vitamins in the conception period influences the development of the dental organogenesis in the future embryo, the growth of maxilla and skull/facial development. Diet influences the health of the oral cavity, conditioning the onset of caries, development of the enamel, onset of dental erosion, state of periodontal health, salivary characteristics and oral mucous in general.

The effect of malnutrition on the dentition, including effects on tooth eruption patterns, enamel hypoplasia, and on dental caries prevalence. Acute periodontal conditions in malnourished populations include NOMA (cancrum oris) and acute necrotizing ulcerative gingivitis. Various nutritional deficiencies, including those of calcium, vitamin D, ascorbic acid, and protein may be related to various forms of periodontal disease or manifest oral symptoms which mirror periodontal disease.

An insufficient intake of proteins can lead to atrophy of the lingual papillae, connective tissue degeneration, alteration in dentinogenesis and cementogenesis, altered development of the maxilla, malocclusion and linear hypoplasia of the enamel. An insufficient supply of lipids can result in inflammatory and degenerative pathologies of salivary glands. Inadequate intake of carbohydrates can lead to altered organogenesis, caries, periodontal disease and can influence the metabolism of dental plaque.

Malnutrition is a serious health concern. For a developing country like India, poverty, lack of awareness and illiteracy contribute toward the widespread malnutrition. Malnutrition in turn leads to disease morbidity and mortality especially in the pediatric group and places additional burden on the already limited resources of the country.

Author’s comment

Malnutrition is a risk to oral health with unfavorable socio demographic factors, which calls for a need to improve the living conditions and adequate utilization of available health and nutritional supplementary services through intersectoral approach.

Resources:

MALNUTRITION – A RISK FOR ORAL HEALTH http://worldwidejournals.co.in/index.php/ijsr/article/view/1966

Saliva-The Versatile fluid

DrMadhusudhan's Blogs

An outbreak of COVID-19 (coronavirus disease) is emerging and rapidly spreading worldwide. Saliva stands at the entry of respiratory system and was also found COVID-19 nucleic acid positive. Saliva is gaining importance day by day and is functionally equivalent to the serum maintaining a physiological state of the body, including hormonal, emotional, nutritional, and metabolic variations. In recent times, the use of salivary diagnostics in a clinical setting is becoming a reality because of the improved efficiency of genomic and proteomic technologies.

Noninvasive nature, less hazardous and secure to health care workers, salivary specimen collection for diagnosis of various diseases and including pandemic coronavirus disease has more advantages and acceptable for patients. Till now, three approaches have been reported to collect saliva—coughing out, saliva swabs, and directly from salivary gland duct.

Diagnostic Use of Saliva over Serum
The biochemical components present in the whole saliva holds a lot of importance…

View original post 220 more words