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Ankyloglossia, also known as tongue-tie, is a congenital oral anomaly that may decrease the mobility of the tongue tip [1] and is caused by an unusually short, thick lingual frenulum, a membrane connecting the underside of the tongue to the floor of the mouth. [2]
In addition to the tongue-tie symptoms babies may show, O'Connor says breastfeeding moms may notice physical symptoms of their own that could be clues to the presence of a tongue-tie in their baby.
A frenulum that is attached near the bottom of the tongue, and is sometimes submucosal (not visible), but causes restriction is referred to as a "posterior tongue-tie". [ 7 ] Additionally, an abnormally short frenulum in infants can be a cause of breastfeeding problems, including sore and damaged nipples and inadequate feedings. [ 8 ]
The sides of the tongue are inspected with a gloved hand holding a piece of gauze. The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth.
Tongue coating - food debris, desquamated epithelial cells and bacteria often form a visible tongue coating. [7] This coating has been identified as a major contributing factor in bad breath ( halitosis ), [ 7 ] which can be managed by brushing the tongue gently with a toothbrush or using special oral hygiene instruments such as tongue scrapers ...
Minor physical anomalies (MPAs) are relatively minor (typically painless and, in themselves, harmless) congenital physical abnormalities consisting of features such as low-set ears, single transverse palmar crease, telecanthus, micrognathism, macrocephaly, hypotonia and furrowed tongue.
A boil, also called a furuncle, is a deep folliculitis, which is an infection of the hair follicle. It is most commonly caused by infection by the bacterium Staphylococcus aureus , resulting in a painful swollen area on the skin caused by an accumulation of pus and dead tissue. [ 1 ]
The score is assessed by asking the patient, in a sitting posture, to open their mouth and to protrude the tongue as much as possible. [1] The anatomy of the oral cavity is visualized; specifically, the assessor notes whether the base of the uvula, faucial pillars (the arches in front of and behind the tonsils) and soft palate are visible.