Laser-Assisted Tongue-Tie Frenectomy for Orthodontic Purpose: To Suture or Not to Suture?

Nammour, Samir

doi:10.1089/photob.2019.4647

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Similar outcomes have been highlighted in other recent studies [ 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], making laser-assisted frenectomy a more valuable option compared to the conventional surgical method used in the last years. In particular, Nammour et al [ 50 ] focused on the reduced need for sutures, while Brignardello-Petersen [ 48 ] and Viet et al [ 53 ] highlighted different positive outcomes in diode laser frenectomy when compared to the traditional surgical method, such as reduced discomfort of the patients, reduction in the operation time, and reduced need of infiltration anesthesia.…”

Section: Discussionsupporting

confidence: 85%

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

et al. 2022

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(1) Background: Ankyloglossia, or tongue-tie is a condition, in which the tip of tongue cannot protrude beyond the lower incisor teeth because of short frenulum linguae, often containing scar tissue. Limitations of movement are the most important clinical symptoms of this condition, together with feeding, speech, and mechanical problems. (2) Methods: the present study included two groups of patients (group A and group B) including, respectively, 29 and 32 patients (61 patients total), aged from 8 to 12 and presenting ankyloglossia classified according to the Kotlow’s classification. The patients in group A underwent a common surgical procedure. For the patients of group B, a diode laser device (K2 mobile laser, Dentium, Korea) with a micro-pulsed wavelength of 980 ± 10 nm and power of 1.2 watts was used. The post-surgical discomfort of the patients (recording the pain perceived immediately after the end of the anesthesia and during the following week, using the Numeric Rating Scale (NRS) system) and healing characteristics (recorded using the Early Wound Healing Score or EHS) were evaluated. (3) Results: The results shows that the pain in the patients who underwent laser-assisted frenectomy is significantly reduced (p < 0.001) when compared to those who underwent conventional surgical frenectomy, both immediately after surgery (with a reduction in the average NRS of 80.6%) and after the first week (with a reduction in the average NRS of 86.58%). Additionally, in the same patients, an augmentation in the average value of the EHS of 45% was recorded, highlighting significantly (p < 0.001) better quality in the healing of the wound within the 24 h after surgery. Moreover, other advantages observed in the use of laser assisted-frenectomy are the absence of bleeding and, consequently, a clear operative field; no need to use sutures; no need to take painkillers or antibiotics after surgery; and having a faster recovery and less time needed to perform the operation. (4) Conclusions: within the limits of the present study, it seems possible to assert that the laser frenectomy performed using the v-shape technique presents a series of advantages if compared to the conventional surgical method.

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Section: Discussionsupporting

confidence: 85%

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

et al. 2022

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“…Earlier studies conducted by various authors state that surgical correction is more invasive and difficult to be performed in young children, whereas laser is safe, minimally invasive, bactericidal, and provides a bloodless operating field. [ 16 17 ] The newer concept of functional frenuloplasty using laser is yet to gain momentum. Further literature works like randomized controlled trials and systematic reviews should accumulate regarding functional frenuloplasty and OMT to make them more popular in the management of tongue-tie.…”

Section: Discussionmentioning

confidence: 99%

Management of ankyloglossia by functional frenuloplasty using diode laser

Cherian,

Saeed,

Anusha

et al. 2023

J Orthodont Sci

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Ankyloglossia or tongue-tie is a condition present since birth that results in restricted movement of the tongue due to the attachment of the lingual frenulum. The condition affects breastfeeding, speaking, swallowing, occlusion, and proper tongue posture. Tongue ties vary in degree of severity from mild cases of mucus membrane bands to complete tongue ties where the tongue adheres to the floor of the mouth. Treatment options such as speech therapy, frenotomy,frenectomyhave all been suggested in the literature. Surgical correction often causes, bleeding,chances of infection, swelling, and relapse. A systemically healthy 23-year-old male patient who experienced difficulty in speech since childhood was referred for treatment to the dental clinic in September 2020. He was diagnosed with Kotlows class III tongue tie and angles class 3 malocclusion. Orthodontic correction and Functional frenuloplasty using a diode laser was carried out. In conjunction with it,orofacial myofunctional therapy was advised. Follow-up: The surgical procedure was uneventful. The patient was reviewed post-operatively at regular intervals every 3 months to check for relapse. This paper elaborates on the newer modes of diagnosis, orofacial myofunctional therapy, and lingual frenuloplasty with diode laser. This technique will help to overcome all the challenges of conventional tongue-tie treatments providing long-term excellent results.

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“…This is also confirmed by other recent studies. In particular, Nammour et al [35] focused on the significant advantage of not having to suture traumatized tissues during the procedure. However, Brignardello-Petersen [36] and Viet et al [37] highlighted the reduction in patient discomfort, shorter operation time, and reduced amount of anesthesia required as benefits of using a diode laser compared to traditional surgery.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Ankyloglossia: A Review

Frezza,

Ezeddine,

Zuccon

et al. 2023

Children

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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.

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Laser-Assisted Tongue-Tie Frenectomy for Orthodontic Purpose: To Suture or Not to Suture?

Cited by 7 publications

References 26 publications

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

Management of ankyloglossia by functional frenuloplasty using diode laser

Treatment of Ankyloglossia: A Review

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