A closer look at ankyloglossia in children—A case series

Abstract

Ankyloglossia, often known as tongue-tie, is characterized by a small lingual frenum that obstructs normal tongue movement. It is a rare congenital oral abnormality. The most significant clinical symptom of movement restriction is evaluated clinically by requesting the patient to protrude and elevate their tongues, where the “heart-shaped” tongue can be seen. In children, ankyloglossia can lead to breastfeeding difficulties, speech disorders, poor oral hygiene, and bullying during childhood and adolescence. Regarding the management of ankyloglossia and its clinical importance, there are always divergent views. For successful outcomes, postoperative tongue exercises and speech therapy are essential. These treatments can also measure tongue motions to examine the sounds of letters and words. Recently, the laser approach has been frequently used in dentistry to treat children with ankyloglossia. The present clinical case series of ankyloglossia in children describes a variety of treatments, including electrocautery, laser, and scalpel. Kotlow’s classification, the patient’s age, and patient cooperation played a role in the treatment decision. All of the surgical methods described are effective, but they all call for a trained expert. Both the laser and the electrocautery methods were regarded as suitable for children and safe processes. This case series highlights the significance of early tongue-tie diagnosis and treatment to avoid complications and facilitate improvement in eating and speaking issues. Considering children’s fear and anxiety, laser frenectomy provides a more efficient and comfortable treatment for both the child patient and the dentist when compared to the other two methods.