Lingual frenotomy is the release of a tight or short lingual frenulum to relieve This procedure can routinely be performed on newborn infants (less than 4. Lingval :// How to do Frenectomy (lingual)http:// Dr. Amik Maytesyan. Loading Unsubscribe from Dr. A lingual frenectomy is the removal of a band of tissue (the lingual frenulum) connecting the The skill of the provider is most important in the success of this procedure. It is unknown if Laser frenectomy results in a lower risk of relapse (i.e. .

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A Short lingual frenulum. Placing a few stitches in your mouth to help the area heal. Your physician will discuss the risks and potential side effects before the procedure. Frenectomy with use of one hemostat.

Surgical techniques for the treatment of ankyloglossia in children: a case series

You should notice results almost immediately. An eight-year-old male who felt socially embarrassed about his tongue-tie presented for treatment. In most of cases, ankyloglossia is seen as an isolated finding in children. Two incisions were made with a 15c blade following the hemostats, cutting through the upper and lower aspects of the frenulum, thus a triangular tissue held with the hemostats was completely removed Fig. Babies experience only minimal discomfort and can breastfeed immediately after the procedure, since the lingual frenulum is thin and with few blood vessels, resulting in very little bleeding after the cutting, as seen in the first case presented here.

Aust NZ J Surg. Common risks of a lingual frenectomy include:. However, when the frenulum is too short, the use of two hemostats may not be feasible due to space limitation. Its prevalence is around 4. Having a short frenulum can make it difficult to swallow — especially for infants and children — and speak.


Laser may be considered a simple and safe alternative for children while reducing the amount of local anesthetics needed, the bleeding and the chances of infection, swelling and discomfort. A lingual frenectomy is a surgical procedure that removes a band of tissue that connects the underside of the tongue with the bottom of the mouth. D First incision following the curvature of the hemostat, frenectoky through the upper aspect of the frenulum.

The grooved director was removed and a silk suture was used for tongue traction. Domenico Maceria professor at Allan Hancock Collegeclaims that some South Korean parents have their children undergo frenectomy “which lengthens the tongue by about one millimeter” in the belief they will pronounce English better.

Surgical techniques for the treatment of ankyloglossia in children: a case series

Speech articulation problems are the most common indications for lingual frenulum surgery in preschool children 17 To clip or not to clip, that is the question? H cClinical aspect of the surgical site on the seventh postoperative day. However, surgery should be performed before the child develops abnormal swallowing and speech patterns. Need help with financial assistance. Lingual frenectomy Genioglossus advancement Glossectomy.

Absence of the inferior labial and lingual frenula in Ehlers-Danlos syndrome. The extraoral and intraoral antisepsis, anesthesia of lingual nerve Fig.

Lingual frenectomy before and after photos of a 5-year-old boy with ankyloglossia. Views Read Edit View history. The condition may also cause dental problems in children.

Patients should not rinse their mouth out for the first 24 hours. Additionally, maternal cocaine use is reported to increase the risk of ankyloglossia to more than threefold 2 Your doctor may prescribe pain medicine to help during recovery.

European Journal of Paediatric Dentistry. Laser also enhances access and visualization due to the lack of interposed instruments and bleeding at the operative field. The indication of surgery for functional limitations due to ankyloglossia should occur if evaluation shows that function may be improved by surgery The grooved director allows firm control of the tongue during anesthesia and serves as a guide for the incision at the upper aspect of the frenulum.


Frenotomy the clipping of the lingual frenulum is the most indicated technique for babies with ankyloglossia since it is a conservative, simple and quick procedure that may be performed in the dental office settings during initial consultation 12 YAG lasers in the treatment of ankyloglossia.

Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader frenctomy clinical quality improvement and in efficient healthcare delivery. It is unknown if Laser frenectomy results in a lower risk of relapse i.

Suture was not performed, and postoperative period was uneventful Fig. Frenotomy in a baby with ankyloglossia.

CO2 Laser Lingual Frenectomy – LightScalpel

If you were given a local anesthetic, you might need to wait a few hours until the anesthetic wears off before you notice any results. Please review our privacy policy. After the surgery, the made with lingul 15c blade from the tip to the base of the tongue following the device Fig.

J Paediatr Child Health. Functional evaluation and new therapeutical approach” PDF. A two-year-old boy with ankyloglossia was referred to the Clinic of Pediatric Dentistry for management of the oral condition due to speech delay.

Int J Pediatr Otorhinolaryngol. B Restricted central tongue tip elevation caused by abnormal attachment of the base of the tongue. In the present work, a case series of children diagnosed with ankyloglossia and approached with different surgical techniques was presented.