Jean's points on the effect of a tight labial frenum on dental caries are important. I, too, would suggest people look at Dr Larry Kotlow (dentist's) excellent website and his recent article in JHL (cited at the end of Jean's post).



Virginia

in sunny Brisbane, Queensland..



> ------------------------------

> A co-worker recently discovered her baby has this condition. She lifted 

> the baby's lip 2 hours after a feeding, and discovered breastmilk still 

> in the vicinity. This raises the risk for this child to get cavities in 

> the front baby teeth because it seems to interfere with oral 

> self-cleaning of tooth surfaces nearby.  I believe I read that any 

> correction should take place either before the baby teeth erupt, or wait 

> till they fall out, because of some connection to dentition. I also 

> believe I read somewhere that it can lead to a wide separation between 

> the two front teeth (a la David Letterman's smile.)

> 

> I find this website very instructive:

> 

> Lawrence A. Kotlow, DDS 

> www.kiddsteeth.com/.../The_Influence_of_the_Maxillary_Frenum_on_the... 

> Mar 22, 2010 – Journal of Human Lactation 

> http://jhl.sagepub.com/content/26/3/304 ... labial frenum attachment. > 



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