Laser: The torch of freedom for ankyloglossia

Barot, Varshal J; Vishnoi, Shivlal; Chandran, Sarath; Bakutra, Gaurav

doi:10.4103/0970-0358.146630

Cited by 21 publications

(7 citation statements)

References 7 publications

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“…Barot et al reported very positive results after a frenectomy with laser technology (wavelength: 810 nm; fiber diameter: 200 µm used in direct contact with the tissue; power 2 W in a continuous mode and a focused beam). Through this protocol, the authors achieved complete healing, an increase of >16 mm in tongue mobility and speech improvement after therapy [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study

Fioravanti

Zara

Vozza

et al. 2021

IJERPH

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This randomized, double-blind and controlled clinical trial investigates how a diode laser lingual frenectomy can improve obstructive sleep apnea syndrome (OSAS) in pediatric patients. Background: Several authors have shown that a short lingual frenulum causes a reduction in incoming air flow and the relationship between OSAS and a short lingual frenulum. Methods: Thirty-two pediatric patients were equally randomly divided into a Study Group (SG) and a Control Group (CG). On each SG patient a polysomnography 1 (PSG1) and a lingual frenectomy were performed using a diode laser via Doctor Smile Wiser technology, power 7 W. After three months, a new polysomnography (PSG2) was performed to evaluate the lingual frenectomy efficacy in pediatric patients. The pain was assessed by a numerical rating scale (NRS) before and after surgery. The CG followed the same protocol without a lingual frenectomy but myofunctional and speech therapy were conducted to qualitatively and quantitatively improve the lingual functionality. In the SG, eight subjects (50%) had severe OSAS and eight had moderate (50%) while in the CG, three subjects had severe OSAS (18.8%) and thirteen had moderate (81.2%). Results: In the SG, 93.8% were classified as mild OSAS and 6.2% as moderate. In contrast, in the CG, 18.75% were classified as mild OSAS, 62.5% as moderate and 18.75% as severe. Conclusion: The study demonstrates how a lingual laser frenectomy can improve OSAS in pediatric patients.

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Section: Discussionmentioning

confidence: 99%

The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study

Fioravanti

Zara

Vozza

et al. 2021

IJERPH

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“…Also, Derikvand et al [40] have demonstrated positive factors of using laser technology in terms of healing and postoperative complications. Furthermore, Barot et al [41] reported an improvement in tongue mobility and speech in patients treated with a laser. The absence of traditional surgical instruments and the hemostatic effect of the laser allow for bloodless surgeries without the need for sutures, which would be uncomfortable during the postoperative period, especially when performing myofunctional exercises.…”

Section: Discussionmentioning

confidence: 98%

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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“…The tongue should not be blanched when retruded anteriorly. A diastema between the mandibular central incisors should not be produced by the lingual frenum [7].…”

Section: Discussionmentioning

confidence: 99%

Laser-Assisted Lingual Frenectomy: A Case Report

Dhadse,

Patil,

Salian

et al. 2024

Cureus

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A lingual frenectomy is a surgical procedure aimed at addressing "tongue-tie" or ankyloglossia, where a strip of tissue restricting tongue movement is removed. Typically, this strip extends from the bottom of the mouth to the underside of the tongue. The procedure, often performed using a diode laser, offers several advantages including simplicity and safety for patients. It can significantly improve speech articulation and eating for individuals with ankyloglossia. This case report highlights the successful treatment of a female patient experiencing speech difficulties with diode laser therapy for tongue-tie.

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Laser: The torch of freedom for ankyloglossia

Cited by 21 publications

References 7 publications

The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study

The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study

Treatment of Ankyloglossia: A Review

Laser-Assisted Lingual Frenectomy: A Case Report

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