Treatment of Ankyloglossia: A Review

Author:

Frezza Alessandro1,Ezeddine Fatima1,Zuccon Andrea1,Gracco Antonio1,Bruno Giovanni12ORCID,De Stefani Alberto13

Affiliation:

1. Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy

2. Department of Industrial Engineering, University of Roma Tor Vergata, 00133 Roma, Italy

3. Department of Pharmacological Sciences, University of Padova, 35122 Padova, Italy

Abstract

Aim: The aim of this narrative review is to analyze and compare the current scientific evidence regarding the diagnosis and treatment of hypertrophic lingual frenulum in preschool and school-age children. The treatments considered in this review are traditional surgical therapy, laser-assisted surgical therapy, and functional rehabilitation therapy. Materials and methods: A comprehensive literature review was conducted using the PubMed and PubMed Central search engines, considering articles published in the English language between 1 January 2000 and 30 June 2022. The bibliographic search was performed using the following keywords as search strings: “lingual”, “frenulectomy”, “frenulotomy”, “frenulum”, “ankyloglossia”, and “laser.” Results: A total of 14 articles were included in this review, including four prospective observational studies, one case–control study, three cross-sectional studies, four retrospective studies, and one randomized controlled trial. The data extracted from each article are summarized in a table. Conclusions: In the literature, there are still limited studies regarding the treatment of hypertrophic frenulum. No common indications for the treatment of ankyloglossia and universally used classification for lingual frenulum were found. Currently, clinicians prefer the use of a diode laser for treatment. This method offers several advantages over the use of a scalpel blade. Many studies agree on the usefulness of providing patients with myofunctional rehabilitation to improve lingual mobility, both prior to surgical therapy and in the postoperative period.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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