Management of Ankyloglossia in a Non-Syndromic Patient Using a Super Pulsed Laser: A Life-Changing Treatment- A Case Report

Urfi Jawed, Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmed Dental College, Aligarh Muslim University, Uttar Pradesh, IndiaFollow
Afaf Zia, Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmed Dental College, Aligarh Muslim University, Uttar Pradesh, IndiaFollow
Ramniwas Kumawat, Department of Dentistry, Govt. Medical College and Bangar Hospital, Rajasthan, IndiaFollow
Afshan Bey, Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmed Dental College, Aligarh Muslim University, Uttar Pradesh, IndiaFollow
Maahin Mahmood, Private practice at Paliwal Dental Clinic, Uttar Pradesh, IndiaFollow

Abstract

Objective: Ankyloglossia affects a person’s overall well-being and life, from malnutrition due to poor feeding and mechanical problems to psychological stress and low self-esteem, thus affecting social life. This case reports the use of non-scalpel techniques, such as a super pulsed laser, to manage ankyloglossia in a non-syndromic patient suffering from speech incompetence and restricted tongue mobility and highlights its advantages over other conventional techniques. Case Report: A 17-year-old male patient presented with a complaint of restricted tongue mobility, due to which he could not pronounce certain words clearly. As the patient was apprehensive about the use of a scalpel, it was decided to manage ankyloglossia using a diode laser against the conventional scalpel technique. Thus, the laser-assisted lingual frenectomy using GaAs super pulsed laser was used to excise the lingual frenulum. Conclusion: This case report suggests that ankyloglossia can be successfully treated by using laser-assisted surgery and gives superior results specifically in terms of lesser pain and bleeding.

References

1. Wallace AF. Tongue tie. Lancet. 1963; 2(7304):377- 8.

2. Ballard J, Chantry C, Howard CR. Guidelines for the evaluation and management of neonatal ankyloglossia and its complications in the breastfeeding dyad. Academy of Breastfeeding Medicine, 2004.

3. Kotlow LA. Ankyloglossia (tongue-tie): A diagnostic and treatment quandary. Quintessence Int. 1999; 30(4):259-62.

4. Messner AH, Ha JF. Ankyloglossia and tight maxillary frenula. In: Lesperance MM. Ed. Cummings Pediatric Otolaryngology. 2nd ed. Philadelphia, PA: Elsevier; 2022. p.473-82.

5. Hazelbaker AK. The assessment tool for lingual frenulum function (ATLFF): Use in a lactation consultant private practice [Thesis]. Pasadena, CA: Pacific Oaks College; 1993.

6. Mills N, Pransky SM, Geddes DT, Mirjalili SA. What is a tongue tie? Defining the anatomy of the in-situ lingual frenulum. Clin Anat. 2019; 32(6):749-61.

7. Greenberg MS, Glick M. Burket’s oral medicine: Diagnosis and treatment. Hamilton: Bc Decker Inc, 2003.

8. Hine MK, Levy BM, Shafer WG. A textbook of oral pathology. 4th edition. Philadelphia: W.B. Saunders, 1983.

9. Perez-Aguirre B, Soto-Barreras U, Loyola- Rodriguez JP, Reyes-Macias JF, Santos-Diaz MA, Loyola-Leyva A, Garcia-Cortes O. Oral findings and its association with prenatal and perinatal factors in newborns. Korean J Pediatr. 2018; 61(9):279-84.

10. Junqueira MA, Cunha NN, Costa e Silva LL, Araújo LB, Moretti AB, Couto Filho CE, Sakai VT. Surgical techniques for the treatment of ankyloglossia in children: A case series. J Appl Oral Sci. 2014; 22(3):241-8.

11. Dell’Olio F, Baldassarre ME, Russo FG, Schettini F, Siciliani RA, Mezzapesa PP, Tempesta A, Laforgia N, Favia G, Limongelli L. Lingual laser frenotomy in newborns with ankyloglossia: A prospective cohort study. Ital J Pediatr. 2022; 48(1):163.

12. Nicoloso GF, dos Santos IS, Flores JA, da Silveira BL, Oliveira MD. An alternative method to treat ankyloglossia. J Clin Pediatr Dent. 2016; 40(4):319- 21.

13. Lamba AK, Aggarwal K, Faraz F, Tandon S, Chawla K. Er, Cr:YSGG laser for the treatment of ankyloglossia. Indian J Dent. 2015; 6(3):149-52.

14. Nammour S. Laser-assisted tongue-tie frenectomy for orthodontic purpose: To suture or not to suture? Photobiomodul Photomed Laser Surg. 2019; 37(7):381-2.

15. Belmehdi A, Harti KE, Wady WE. Ankyloglossia as an oral functional problem and its surgical management. Dent Med Probl. 2018; 55(2):213-6.

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