Aetiology, diagnosis and treatment of Ankyloglossia

Charisi, C; Koutrouli, Anna; Moschou, Athina; Arhakis, Aristidis

doi:10.1515/bjdm-2017-0024

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…These issues encompassed articulation disorders and difficulties in the range of articulation that adversely affected speech intelligibility, although the specific sounds involved were not detailed [33]. Greek authors also noted in their review paper that individuals diagnosed with ankyloglossia encountered challenges with the articulation of sounds like "t, d, th, l, s" [42]. Some authors, such as Wang et al [43], in a review article based on the analysis of 16 studies on the impact of ankyloglossia on articulation problems, concluded that there is no definitive correlation between tongue frenulum shortening and speech disorders.…”

Section: Effect Of Ankyloglossia On Speech Abnormalities and Dysgloss...mentioning

confidence: 99%

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Dydyk,

Milona,

Janiszewska-Olszowska

et al. 2023

JCM

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(1) Background: The incidence of ankyloglossia is 0.02–10.7%. Its effect on selected dysfunctions has been described; however, no studies report its impact on several disorders in a group of subjects. The aim of this study was to assess the effect of ankyloglossia on swallowing, speech, occlusion and periodontium. (2) Methods: The study group consisted of 86 patients with ankyloglossia, and the control group (n = 86) had a normal tongue frenulum. Type of swallowing, tongue mobility, speech, occlusion and periodontium were assessed. (3) Results: Ankyloglossia pertained to 75.6% patients with infantile swallowing and 41.3% patients with mature swallowing. Limited tongue mobility was found in 29.4% subjects with moderate ankyloglossia and 70.6% subjects with severe ankyloglossia. All subjects with mild ankyloglossia and all the controls had normal tongue mobility. The relationship between dysglossia and ankyloglossia severity was statistically significant. Malocclusion or crowding was diagnosed in 62% subjects with ankyloglossia and 21.6% subjects in the control group. No periodontal abnormalities were found in any subject. (4) Conclusions: (1) A short tongue frenulum negatively influences swallowing and is associated with an “infantile swallowing pattern”. (2) Moderate or severe ankyloglossia significantly limits tongue mobility. (3) A short tongue frenulum negatively influences speech. (4) Ankyloglossia is associated with higher prevalence of malocclusion.

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Section: Effect Of Ankyloglossia On Speech Abnormalities and Dysgloss...mentioning

confidence: 99%

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Dydyk,

Milona,

Janiszewska-Olszowska

et al. 2023

JCM

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“…There are reports of lingual frenum which does not recede as the growth advances and leads to tongue immobility. [ 2 3 ] This causes ankyloglossia (AG) or tongue-tie. AG can be an isolated finding in routine clinical examinations in children.…”

Section: Introductionmentioning

confidence: 99%

Management of ankyloglossia by functional frenuloplasty using diode laser

Cherian,

Saeed,

Anusha

et al. 2023

Journal of Orthodontic Science

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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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Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Dydyk,

Milona,

Janiszewska-Olszowska

et al. 2023

Preprint

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(1) The incidence of ankyloglossia ranges from 0.02 to 10.7%. The literature describes the effect of ankyloglossia on selected dysfunctions of the stomatognathic system, however no studies could be found reporting the influence of ankyloglossia on the occurrence of several disorders in a group of subjects. The aim of the present study was to assess the effect of lingual frenulum on swallowing, speech, occlusion, and periodontal status; (2) Methods: The subjects were 172 patients, 86 with ankyloglossia (study group) and 86 with normal tongue frenulum (control group). In all subjects, the length of tongue frenulum, the type of swallowing, tongue mobility, occlusion, periodontal status and speech abnormalities were assessed; (3) Results: All subjects from the control group and all those with mild ankyloglossia showed normal tongue mobility. A limited tongue mobility was found in 29.4% subject with moderate and in 70.6% subjects with severe ankyloglossia. Rhotacism was observed in 21.3% subjects with normal frenulum, in 2.1% with mild, 38.3% with moderate, and 38.3% with severe ankyloglossia. Malocclusion or crowding was diagnosed in subjects with mild, moderate and severe ankyloglossia in 7.4%, 33.9% and 20.7% subjects (total 62%), respectively, whereas in the control group - in 21.6% subjects. No abnormalities in the periodontium in the area of the lingual surfaces of the crowns of the lower central incisors were found in any of the examined persons. Among patients with infantile type of swallowing 24.4% had a normal length of the tongue frenulum, 11.1% - mild, 28.9% - moderate, and 35.6 - severe ankyloglossia. Among patients presenting a mature type of swallowing 58.7% had a normal length of the frenulum; (4) Conclusions: 1.A shortened tongue frenulum correlates with “infantile swallowing pattern”. 2. Moderate or severe ankyloglossia significantly limits tongue mobility. 3. Short tongue frenulum is related to speech disorders.

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Aetiology, diagnosis and treatment of Ankyloglossia

Abstract: SUMMARY

Cited by 5 publications

References 18 publications

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Management of ankyloglossia by functional frenuloplasty using diode laser

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

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