{"id":7353,"date":"2026-08-06T06:00:00","date_gmt":"2026-08-06T06:00:00","guid":{"rendered":"https:\/\/www.belodonte.es\/?p=7353"},"modified":"2026-06-22T11:10:19","modified_gmt":"2026-06-22T11:10:19","slug":"frenectomia-lingual-en-bebes-que-es-quan-es-necessaria","status":"publish","type":"post","link":"https:\/\/www.belodonte.es\/ca\/frenectomia-lingual-en-bebes-que-es-quan-es-necessaria\/","title":{"rendered":"Frenectomia lingual en beb\u00e8s: qu\u00e8 \u00e9s i quan \u00e9s necess\u00e0ria"},"content":{"rendered":"\n

El fre lingual \u00e9s una petita membrana de teixit que connecta la part inferior de la llengua amb la terra de la boca. En la majoria dels beb\u00e8s, aquest fre t\u00e9 la longitud i l’elasticitat adequades per a permetre un moviment lingual normal. No obstant aix\u00f2, en un percentatge significatiu de nounats, el fre \u00e9s massa curt, gruix o est\u00e0 inserit en una posici\u00f3 que restringeix el moviment de la llengua, una condici\u00f3 coneguda com a anquilogl\u00f2ssia. Quan aquesta restricci\u00f3 interfereix amb la lact\u00e0ncia, la frenectomia lingua<\/strong>l \u00e9s el tractament d’elecci\u00f3.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s l’anquilogl\u00f2ssia i amb quina freq\u00fc\u00e8ncia es presenta?<\/h2>\n\n\n\n

L’anquilogl\u00f2ssia, comunament anomenada \u00abllengua lligada\u00bb, \u00e9s una anomalia cong\u00e8nita caracteritzada per un fre lingual curt, fibr\u00f3s o anormalment inserit que limita el rang de moviment de la llengua. La seva prevalen\u00e7a s’estima entre el 4% i l’11% dels nounats segons diferents estudis, la qual cosa la converteix en una de les anomalies cong\u00e8nites orals m\u00e9s freq\u00fcents.<\/p>\n\n\n\n

Hi ha diferents sistemes de classificaci\u00f3 segons el grau d’afectaci\u00f3 i la localitzaci\u00f3 de la inserci\u00f3 del fre (classificaci\u00f3 de Kotlow, entre les m\u00e9s utilitzades en la pr\u00e0ctica cl\u00ednica), que distingeixen entre anquilogl\u00f2ssia anterior (quan la inserci\u00f3 \u00e9s visible i pr\u00f2xima a la punta de la llengua) i anquilogl\u00f2ssia posterior (quan la restricci\u00f3 est\u00e0 m\u00e9s oculta sota la mucosa i \u00e9s m\u00e9s dif\u00edcil de diagnosticar a simple vista).<\/p>\n\n\n\n

Com afecta l’anquilogl\u00f2ssia a la lact\u00e0ncia materna?<\/h2>\n\n\n\n

El moviment correcte de la llengua \u00e9s fonamental per a una succi\u00f3 efica\u00e7 durant la lact\u00e0ncia materna. El beb\u00e8 necessita elevar i estendre la llengua per a comprimir el mugr\u00f3 contra el paladar i crear el buit necessari per a extreure la llet de manera eficient.<\/p>\n\n\n\n

Quan el fre restringeix aquest moviment, el beb\u00e8 compensa mossegant o comprimint el mugr\u00f3 amb les genives en lloc d’utilitzar la llengua, la qual cosa provoca dolor intens, esquerdes i ferides en el mugr\u00f3 matern, succi\u00f3 inefica\u00e7 amb presses prolongades i esgotadores, esc\u00e0s guany de pes del beb\u00e8 per transfer\u00e8ncia insuficient de llet, i un cercle de frustraci\u00f3 que en molts casos porta a l’aband\u00f3 preco\u00e7 de la lact\u00e0ncia materna.<\/p>\n\n\n\n

Diversos estudis assenyalen que entre el 25% i el 60% dels casos de dolor persistent durant la lact\u00e0ncia tenen relaci\u00f3 amb algun grau d’anquilogl\u00f2ssia no diagnosticada.<\/p>\n\n\n\n

Com es diagnostica l’anquilogl\u00f2ssia en el nounat?<\/h2>\n\n\n\n

El diagn\u00f2stic de l’anquilogl\u00f2ssia combina l’exploraci\u00f3 f\u00edsica directa de la cavitat oral amb l’avaluaci\u00f3 funcional de la succi\u00f3.<\/p>\n\n\n\n

En l’exploraci\u00f3 f\u00edsica es valora la longitud del fre, el seu gruix, la seva elasticitat i el punt d’inserci\u00f3 tant en la llengua com en la terra de la boca. L’avaluaci\u00f3 funcional \u00e9s igualment important: s’observa la capacitat del beb\u00e8 per a elevar la llengua, estendre-la m\u00e9s enll\u00e0 del llavi inferior i realitzar moviments laterals.<\/p>\n\n\n\n

Eines validades com l’escala de Hazelbaker (Hazelbaker Assessment Tool for Lingual Frenulum Function) combinen par\u00e0metres anat\u00f2mics i funcionals per a objectivar el grau de restricci\u00f3 i orientar la decisi\u00f3 terap\u00e8utica.<\/p>\n\n\n\n

El diagn\u00f2stic ha de realitzar-lo sempre un professional amb experi\u00e8ncia espec\u00edfica, ja que l’anquilogl\u00f2ssia posterior pot passar desapercebuda en una exploraci\u00f3 superficial i \u00e9s precisament la que amb m\u00e9s freq\u00fc\u00e8ncia genera problemes funcionals significatius en la lact\u00e0ncia.<\/p>\n\n\n\n

En qu\u00e8 consisteix la frenectomia lingual i com es realitza?<\/h2>\n\n\n\n

La frenectomia lingual \u00e9s un procediment quir\u00fargic breu i senzill que consisteix en l’alliberament del fre lingual mitjan\u00e7ant una petita incisi\u00f3 que permet la mobilitat normal de la llengua. En nounats i lactants petits, el procediment pot realitzar-se amb tisores quir\u00fargiques est\u00e8rils (frenectomia) o amb l\u00e0ser de d\u00edode, sense necessitat d’anest\u00e8sia general, ja que el fre en aquesta etapa t\u00e9 escassa vascularitzaci\u00f3 i innervaci\u00f3, la qual cosa fa que el procediment sigui r\u00e0pid (a penes uns segons) i amb sagnat m\u00ednim. El beb\u00e8 pot ser alletat immediatament despr\u00e9s del procediment, la qual cosa a m\u00e9s t\u00e9 un efecte calmant natural. En beb\u00e8s majors o en casos d’anquilogl\u00f2ssia posterior m\u00e9s complexa, pot ser necess\u00e0ria anest\u00e8sia local i una t\u00e8cnica quir\u00fargica una mica m\u00e9s \u00e0mplia, denominada frenulopl\u00e0stia.<\/p>\n\n\n\n

Quina evid\u00e8ncia dona suport a la realitzaci\u00f3 de la frenectomia?<\/h2>\n\n\n\n

L’evid\u00e8ncia cient\u00edfica sobre el benefici de la frenectomia lingual en casos d’anquilogl\u00f2ssia amb impacte funcional documentat en la lact\u00e0ncia \u00e9s consistent, encara que la literatura reconeix una certa heterogene\u00eftat metodol\u00f2gica en els estudis disponibles.<\/p>\n\n\n\n

Una revisi\u00f3 sistem\u00e0tica publicada en la revista Pediatrics va concloure que la frenectomia millora de manera significativa el dolor matern durant la lact\u00e0ncia i, en grau m\u00e9s baix per\u00f2 tamb\u00e9 de manera rellevant, l’efic\u00e0cia de la succi\u00f3 del beb\u00e8.<\/p>\n\n\n\n

Les societats cient\u00edfiques, inclosa l’Acad\u00e8mia Americana de Pediatria, recomanen que la decisi\u00f3 de realitzar la frenectomia es basi en una valoraci\u00f3 individualitzada que combini l’exploraci\u00f3 anat\u00f2mica amb l’impacte funcional real sobre la lact\u00e0ncia, evitant tant el infradiagn\u00f2stic (que perpetua el dolor matern i compromet la lact\u00e0ncia) com el sobrediagn\u00f2stic (que sotmet a procediments quir\u00fargics innecessaris a beb\u00e8s sense restricci\u00f3 funcional real).<\/p>\n\n\n\n

Qu\u00e8 ocorre si l’anquilogl\u00f2ssia no es tracta a temps?<\/h2>\n\n\n\n

Quan l’anquilogl\u00f2ssia no es diagnostica ni es tracta durant el per\u00edode de lact\u00e0ncia, les seves conseq\u00fc\u00e8ncies poden estendre’s m\u00e9s enll\u00e0 d’aquesta etapa.<\/p>\n\n\n\n

A mitj\u00e0 termini, pot associar-se a dificultats en la introducci\u00f3 d’alimentaci\u00f3 complement\u00e0ria, alteracions en el desenvolupament de la parla (especialment en l’articulaci\u00f3 de determinats fonemes que requereixen elevaci\u00f3 lingual), problemes d’higiene oral per la dificultat per a moure restes d’aliment amb la llengua, i en alguns casos, alteracions en el desenvolupament del paladar i l’oclusi\u00f3 dental per la falta d’est\u00edmul lingual adequat durant el creixement craniofacial.<\/p>\n\n\n\n

Per aquest motiu, encara que la lact\u00e0ncia sigui el motiu de consulta m\u00e9s freq\u00fcent, el diagn\u00f2stic i tractament preco\u00e7 de l’anquilogl\u00f2ssia t\u00e9 beneficis que es projecten en el desenvolupament a llarg termini del nen.<\/p>\n\n\n\n

Si la lact\u00e0ncia et resulta dolorosa o el teu beb\u00e8 no guanya pes de manera adequada, demana una valoraci\u00f3 espec\u00edfica del fre lingual. \u00c9s una de les causes m\u00e9s freq\u00fcents i m\u00e9s f\u00e0cilment solucionables de dificultat en la lact\u00e0ncia. Contacta amb nosaltres.<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

El fre lingual \u00e9s una petita membrana de teixit que connecta la part inferior de la llengua amb la terra de la boca. En la majoria dels beb\u00e8s, aquest fre t\u00e9 la longitud i l’elasticitat adequades per a permetre un […]<\/p>\n","protected":false},"author":3,"featured_media":7352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[35],"tags":[],"class_list":["post-7353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-odontopediatria-2"],"yoast_head":"\nFrenectomia lingual en beb\u00e8s: qu\u00e8 \u00e9s i quan \u00e9s necess\u00e0ria - Cl\u00ednica Belodonte<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.belodonte.es\/frenectomia-lingual-bebes-que-es-cuando-es-necesaria\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Frenectomia lingual en beb\u00e8s: qu\u00e8 \u00e9s i quan \u00e9s necess\u00e0ria - Cl\u00ednica Belodonte\" \/>\n<meta property=\"og:description\" content=\"El fre lingual \u00e9s una petita membrana de teixit que connecta la part inferior de la llengua amb la terra de la boca. 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