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Neither of my children have had it, but I have a couple of friends whose infants have. Usually, it was diagnosed because the mother and infant were having difficulty with nursing and it was part of the physical examination to determine possible medical causes to explain the nursing challenges. I know you can get the frenulum "clipped" and sometimes this helps the baby latch.
It actually affects a very small percentage of infants (under 5%).
When my daughter was born, I thought the membrane under her tongue was too close to the front and would cause a problem, but the doctor assured me it was all right and it was. I didn't give it further thought. I suspect the doctors know when it requires something be done.
It's a fairly easy procedure and it's VERY easy to diagnose...life up the baby's tongue and see if the frenulum is too close to her gums. It would also be noticeable if the baby can not suck properly. One of my college roommates did not have the procedure to correct and while she got by, she spoke with a lisp, could not stick her tongue out, couldn't lick her lips, etc.
My daughter was tongue tied but did not have feeding problems. We waited to have the frenectomy done until she was 4 and not pronouncing several of her sounds correctly. BUT she was diagnosed as an infant we just weren't super worried because she ate well.
My son's was diagnosed by the dentist, never by the ped. When he had other work done (some deformed teeth in the back removed and spacers put in) the clipped it. It was no big deal
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