Frenulectomy with Diode Laser Technology in Paeditric Patients: Quantitative and Qualitative Evaluations. Randomized Double- Blind Clinical Trial
Open Access
- 14 June 2020
- journal article
- research article
- Published by MDPI AG in Applied Sciences
- Vol. 10 (12), 4114
- https://doi.org/10.3390/app10124114
Abstract
Background: Ankyloglossia is an anatomical alteration of the frenulum length, volume, compactness, and insertion. It can lead to alterations in the ability to swallow and chewing, and dysfunctional coordination amongst cranio-facial muscles; these alterations are often responsible for respiratory alterations, skeletal malocclusions and dyslalia or the delay of speech. The aim of this study is to estimate the efficacy of lingual frenulectomy with diode-laser technology through a qualitative and quantitative evaluation. Methods: One hundred and twenty-five pediatric patients were recruited: 100 with a lingual pathological frenulum were randomly divided into four operating groups; the other 25 with a borderline pathological frenulum were recruited as a control group. Each patient was included in a follow-up program (T0-T1-T2-T3-T4) for a quantitative and qualitative evaluation: the first through an accurate measurement of Kotlow’s free tongue measurement (≥16), Mouth Opening with Tongue Tip to incisive papilla (MOTTIP), Maximal Intercisal Mouth Opening (MIO) and Protrusion; and the second using the Assessment Tool for Lingual Frenulum Function (ATLFF), Bristol Tongue Assessment Tool (BTAT), and grade of tongue functionality. Results: The increase of the aforementioned quantitative parameters was circa 10 mm, and all patients reacquired full functionality of the tongue. Conclusions: Diode-laser technology is efficient and innovative in the treatment of pathological lingual frenulums.This publication has 35 references indexed in Scilit:
- Assessment of Lingual Frenulum Lengths in Skeletal MalocclusionJournal of Clinical and Diagnostic Research, 2014
- Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative studyLasers in Medical Science, 2013
- Validation of the Numerical Rating Scale for Pain Intensity and Unpleasantness in Pediatric Acute Postoperative Pain: Sensitivity to Change Over TimeThe Journal of Pain, 2012
- Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laserMedicina Oral Patología Oral y Cirugia Bucal, 2012
- Breastfeeding and non-nutritive sucking patterns related to the prevalence of anterior open bite in primary dentitionJournal of Applied Oral Science, 2011
- Protocol of orofacial myofunctional evaluation with scoresInternational Journal of Pediatric Otorhinolaryngology, 2008
- Ankyloglossia: a morphofunctional investigation in childrenOral Diseases, 2005
- Ankyloglossia: does it matter?Pediatric Clinics of North America, 2003
- The Effect of Ankyloglossia on Speech in ChildrenOtolaryngology -- Head and Neck Surgery, 2002
- The effect of ankyloglossia on speech in childrenOtolaryngology -- Head and Neck Surgery, 2002