COMPREHENSIVE MANAGEMENT OF ANKYLOGLOSSIA AND LABIAL FRENULUM ANOMALIES: A PEDIATRIC APPROACH
Keywords:
Ankyloglossia, labial frenulum,, pediatric dentistry,, frenotomy, frenuloplasty, oral function,Abstract
Ankyloglossia and labial frenulum anomalies are among the most frequently encountered oral soft tissue abnormalities in pediatric patients, often leading to breastfeeding difficulties, impaired speech development, malocclusion, and compromised oral hygiene. Early diagnosis and timely intervention are essential to prevent long-term functional and developmental complications. This article provides a comprehensive overview of the etiology, classification, clinical presentation, and diagnostic criteria of lingual and labial frenal anomalies in children. Furthermore, various management strategies, including conservative approaches, surgical techniques such as frenotomy and frenuloplasty, and postoperative rehabilitation protocols are discussed. Emphasis is placed on multidisciplinary collaboration involving pediatricians, pediatric dentists, maxillofacial surgeons, and speech therapists to ensure optimal treatment outcomes. The review highlights current evidence-based practices and underscores the importance of individualized patient-centered care in the management of ankyloglossia and labial frenulum anomalies.
References
Hazelbaker AK. The Assessment Tool for Lingual Frenulum Function (HATLFF). Columbus, OH: Aidan & Eva Press; 2010
Coryllos E, Genna CW, Salloum AC. Congenital tongue-tie and its impact on breastfeeding. American Academy of Pediatrics Section on Breastfeeding Newsletter. 2004;13(2):1–6.
Kotlow LA. Diagnosing and understanding the maxillary frenum in infants. J Pediatr Dent Care. 2004;10(3):11–14
Geddes DT, Langton DB, Gollow I, Jacobs L, Hartmann PE, Simmer K. Frenulotomy for breastfeeding infants with ankyloglossia: Effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics. 2008;122(1):e188–e194
Walsh J, Links A, Boss E, Tunkel D. Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997–2012. Otolaryngol Head Neck Surg. 2017;156(4):735–740
O’Callahan C, Macary S, Clemente S. The effects of office-based frenotomy for anterior and posterior ankyloglossia on breastfeeding. Int J Pediatr Otorhinolaryngol. 2013;77(5):827–832
Mills N, Keough N, Geddes DT, Pransky SM, Mirjalili SA. Defining the anatomy of the neonatal lingual frenulum. Clin Anat. 2019;32(6):824–835





