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Home Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and...

Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release

Authors:

  • P. Hand
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • G. Olivi
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • C. Lajolo
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • G. Gioco
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • L. Marigo
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • R. Castagnola
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry
  • M. Cordaro
    Institutions Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry

DOI:

https://doi.org/10.23804/ejpd.2020.21.04.10

ABSTRACT


Aim

This study aimed to determine the impact of laser surgical tongue-tie, lip-tie, buccal tie release on breastfeeding and
Gastroesophageal Reflux Disease (GERD) in a prospective cohort study conducted from June 2019 to June 2020 in a private general
dental practice.

Methods

Preoperative, one-week and one-month postoperative surveys were completed,
consisting of Visual Analogue Scale (VAS) for nipple pain severity, Breastfeeding Self-Efficacy Scale Short Form (BSES-SF), and the
Revised Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R). All study participants were breastfeeding dyads (0–12 weeks of
age) with untreated ankyloglossia and/or tethered maxillary/buccal frena. The laser surgery was completed using 2 different near-
infrared diode lasers with 300µm diameter fibre: a 980 nm wavelength diode laser (Lasotronix Smart Pro, Piaseczno Poland) was used
at 4.0 W, gated with 100 µs t/on and 100 µs t/off, and a 1470 nm wavelength diode laser (Pioon S1, Wuhan Pioon Tech Co Ltd.,
Wuhan, China), used at 3.5W, gated with 50 ms t/on and 50 ms t/off.

Results

Statistically significant improvement was noted in
VAS, I-GERQ-R and BSES-SF comparing preoperative scores to both one-week and one-month scores. The study had 132
breastfeeding dyads enrolled. Posterior tongue-tie was noted in 71% of this cohort.

Conclusion

This study confirms the need for
functional assessment of tongue and lip movement for this significantly affected cohort. Laser surgical release (frenotomy) of tongue-tie,
lip-tie, buccal-tie resulted in significant improvement in breastfeeding outcomes. These improvements (VAS, I-GERQ-R and BSES-SF)
in breastfeeding outcomes were found for cohorts of the classically recognised anterior tongue-tie and the less obvious (without
functional assessment) submucosal tongue-tie were found.

PLUMX METRICS

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Publication date:

December /2020

Keywords:

ankyloglossia, breastfeeding, buccal-tie, gastroesophageal reflux, laser frenotomy, lip-tie, posterior tongue-tie, visual analogue scale

Issue:

Vol.21 – n.4/2020

Page:

309 – 317

Publisher:

Ariesdue

Cite:


Harvard: P. Hand, G. Olivi, C. Lajolo, G. Gioco, L. Marigo, R. Castagnola, M. Cordaro (2020) "Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release", European Journal of Paediatric Dentistry, 21(4), pp309-317. doi: 10.23804/ejpd.2020.21.04.10
Vancouver: P. Hand, G. Olivi, C. Lajolo, G. Gioco, L. Marigo, R. Castagnola, M. Cordaro. Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release. European Journal of Paediatric Dentistry [Internet]. 2020Dec.1 [cited 2023Mar.25];21(4):309-317. Available from: https://www.ejpd.eu/abstract-pubmed/short-lingual-frenum-in-infants-children-and-adolescents-part-1-breastfeeding-and-gastroesophageal-reflux-disease-improvement-after-tethered-oral-tissues-release/
MLA: P. Hand, G. Olivi, C. Lajolo, G. Gioco, L. Marigo, R. Castagnola, M. Cordaro Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release. European Journal of Paediatric Dentistry. 2020;21(4):309-317

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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