Diode Laser Aided Frenectomy for Severe Ankyloglossia – A Case Report

A. Thirumagal Anuraaga

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

Veena Shivanna

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

Nagalakshmi Chowdhary

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

V. Rajashekar Reddy *

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

D. Sharmila

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

Aishwarya Agarwal

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru -572107, India.

*Author to whom correspondence should be addressed.


Abstract

Ankyloglossia is a congenital disorder that develops when the inferior lingual frenulum is excessively short and attaches to the tip of the tongue, restricting its movements. It results in limited tongue mobility, which in turn affects speech and also leads to growth discrepancies. Diode lasers can be utilized as a secure surgical tool for correcting tongue tie using a minimally invasive dentistry technique and for also easing young patients' anxiety towards dental treatment. The use of a diode laser with a 976 nm wavelength for frenectomy procedures has been reported only in a few numbers till date. Hence, this paper describes the case of 13 year old male patient with the complaint of restricted tongue movements and speech difficulties and its management. Early detection and appropriate surgical intervention are the crucial factors to avoid problems related with Ankyloglossia and help the patients to lead a better life.

Keywords: Ankyloglossia, diode laser, frenectomy, lingual frenulum


How to Cite

Anuraaga , A. Thirumagal, Veena Shivanna, Nagalakshmi Chowdhary, V. Rajashekar Reddy, D. Sharmila, and Aishwarya Agarwal. 2023. “Diode Laser Aided Frenectomy for Severe Ankyloglossia – A Case Report”. Asian Journal of Pediatric Research 13 (3):1-6. https://doi.org/10.9734/ajpr/2023/v13i3269.

Downloads

Download data is not yet available.

References

Garrocho-Rangel A, Herrera-Badillo D, Pérez-Alfaro I, Fierro-Serna V, Pozos-Guillén A. Treatment of ankyloglossia with dental laser in paediatric patients: Scoping review and a case report. European journal of paediatric dentistry. 2019 Jun 1;20(2): 155-63.

Jaikumar S, Srinivasan L, Kennedy Babu SPK, Gandhimadhi D, Margabandhu M. Laser-assisted frenectomy followed by post-operative tongue exercises in ankyloglossia: A report of two cases. Cureus. 2022 Mar 17;14(3):e23274.

American Academy of Pediatric Dentistry. Management considerations for pediatric oral surgery and oral pathology (Reference manual). Pediatr Dent. 2018;40:373-82.

Khan MK, Jindal MK. Successful rehabilitation of a child patient with ankyloglossia using the diode laser of wavelength 808 nm and speech therapy. Saudi J Oral Sci. 2022;9:135-40.

Reddy NR, Marudhappan Y, Devi R, Narang S. Clipping the (tongue) tie. J Indian Soc Periodontol. 2014 May;18(3): 395-8.

Yadav RK, Verma UP, Sajjanhar I, Tiwari R. Frenectomy with conventional scalpel and Nd:YAG laser technique: A comparative evaluation. J Indian Soc Periodontol. 2019;23:48-52.

Kotlow LA. Ankyloglossia (tongue tie): A diagnostic and treatment quandary. Quintessence Int. 1999;30:259 62.

Kale AM, Sethi KS, Karde PA, Mamajiwala AS. Management of ankyloglossia. J Oral Res Rev. 2019;11:72-5.

Subramanyam D. Laser assisted labial frenectomy-A case report. Research Journal of Pharmacy and Technology. 2019;12(8):3883-5.

Tancredi S, De Angelis P, Marra M, Lopez MA, Manicone PF, Passarelli PC, Romeo A, Grassi R, D'Addona A. Clinical comparison of diode laser assisted "v-Shape Frenectomy" and conventional surgical method as treatment of ankyloglossia. Healthcare (Basel). 2022 Jan 4;10(1):89.

Chaubal TV, Dixit MB. Ankyloglossia and its management. J Indian Soc Periodontol. 2011 Jul;15(3):270-2.

Saskianti T, Aprillia Z, Puteri MM, Zahra AA, Tedjosasongko U. Lingual frenectomy as treatment of ankyloglossia in children: A case report. Indonesian Journal of Dental Medicine. 2018;1(1):18-21.

Pattanshetty et al. Lingual frenectomy with diode laser therapy: A case report. Journal of Multidisciplinary Dental Research. 2018:4(1);39-44.

Suter VG, Bornstein MM. Ankyloglossia: Facts and myths in diagnosis and treatment. J. Periodontol. 2009;80:1204–1219.

Srinivasan B, Chitharanjan AB. Skeletal and dental characteristics in subjects with ankyloglossia. Progress in Orthodontics. 2013 Dec;14(1):1-7.

Akhil S, Paul J, D’Lima JP, Parackal ST, Thomas D, Archana NV. Management of ankyloglossia by diode laser-a case report. IP International Journal of Periodontology and Implantology. 2020;5:41-44.