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Home Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum...

Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum release. Functional surgical approach

Authors:

  • g. Olivi
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy
  • M. D. Genovese
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy
  • M. Olivi
    Private practice, Rome, Italy
  • W. C. Yue
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy
  • P. Hand
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy
  • L. Marigo
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy
  • M. Cordaro
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS” School of Dentistry, Università Cattolica del Sacro Cuore - Master Laser Dentistry, Rome, Italy

DOI:

https://doi.org/10.23804/ejpd.2021.22.01.09

ABSTRACT


Aim

The aim of this study was to review the craniofacial growth impairment and different malfunctions associated with short lingual frenum and to assess the validity of lingual frenum surgery based on minimally invasive laser release with a myofunctional approach.

Material and methods

Thirty patients, children and adolescents whose ages ranged from 8 years to 18 years, diagnosed with a short lingual frenum and concomitant orthodontic problems and/or presence of associated muscular or postural problems, were treated in this study. Pre-operative tongue assessment was performed following morphological and functional criteria, consisting of measurement of the free tongue, and of visual assessment of tongue protrusion out of the mouth and elevation to the incisive palatal papilla. Postural evaluation was assessed in frontal and lateral view. Laser surgery was completed with local anaesthesia, using Erbium YAG laser (2940 nm, LightWalker, AT-Fotona, Ljubljana, Slovenia) equipped with sapphire conical tip (600 micron), with energy ranging from 120 to 160 mJ, at 15 Hz frequency, and varying the adjustable pulse duration from 300 µs to 600 µs.

Results

Significant improvement was noted in 29 of 30 patients comparing preoperative scores to both three-week and two-month post-op scores. Postural improvement was found in 18 of 30 patients, indicating the multifactorial involvement of different causes for correct body posture.

Conclusion

This study confirmed the validity of Erbium:YAG laser surgery as an effective technique in children and adolescents to release a short lingual frenum. The functional approach of the procedure performed with the Erbium:YAG laser, and the concomitant myofunctional therapy demonstrated to be simple and safe in children, and adolescents. Because of the multifactorial causes involved in correct body posture, an adequate osteopathic therapy is important to successfully complete the full body rehabilitation.

PLUMX METRICS

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Keywords:

airway impairment, ankyloglossia, laser lingual frenotomy, lingual frenum, osas, postural evaluation, speech impediment, tongue-tie

Issue:

Vol.22 – n.1/2021

Page:

47 – 54

Publisher:

Ariesdue

Topic:

Interdisciplinary update

Cite:


Harvard: g. Olivi, M. D. Genovese, M. Olivi, W. C. Yue, P. Hand, L. Marigo, M. Cordaro (2021) "Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum release. Functional surgical approach", European Journal of Paediatric Dentistry, 22(1), pp47-54. doi: 10.23804/ejpd.2021.22.01.09
Vancouver: g. Olivi, M. D. Genovese, M. Olivi, W. C. Yue, P. Hand, L. Marigo, M. Cordaro. Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum release. Functional surgical approach. European Journal of Paediatric Dentistry [Internet]. 2021.1 [cited 2023Mar.25];22(1):47-54. Available from: https://www.ejpd.eu/abstract-pubmed/short-lingual-frenum-in-infants-children-and-adolescents-part-2-lingual-frenum-release-functional-surgical-approach/
MLA: g. Olivi, M. D. Genovese, M. Olivi, W. C. Yue, P. Hand, L. Marigo, M. Cordaro Short lingual frenum in infants, children and adolescents. Part 2: Lingual frenum release. Functional surgical approach. European Journal of Paediatric Dentistry. 2021;22(1):47-54

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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