Ankyloglossia is a developmental anomaly characterized by a shortened lingual frenulum, which can range from cases with no clinical relevance to severe cases, where frenectomy may be indicated. In newborns, this indication has increased exponentially. The purpose of this report is to discuss obstruction of the sublingual caruncle, with a recurrent ranula, as a post-surgical complication of laser lingual frenectomy performed in a newborn. The treatment provided is also discussed (marsupialization and removal of the affected sublingual glands). Lingual frenectomy should be performed with great care, especially in newborns, because the sublingual caruncles can be affected and complications can occur.
Breastfeeding is vital for infant nutrition, bonding, and overall health. However, challenges can arise with the presence of tethered oral tissues, commonly known as labial (lip) tie or lingual (tongue) tie, otherwise known as ankyloglossia. This case study explores the differential resolution of breastfeeding symptoms in a one-month-old infant with both labial and lingual ties.
In the oral cavity, the frenum is an anatomical structure composed of mucosal folds that connect the lip and cheek to the alveolar mucosa, gingiva, and underlying periosteum. An abnormally positioned maxillary labial frenum can contribute to the formation of a diastema and gingival recession. Various techniques have been proposed for the correction of aberrant frenal attachments, including frenectomy and frenal repositioning procedures.
A high-power diode laser (808 nm) is a potentially cost-effective, effective, and safe option for lingual frenectomies. An eight-year-old female patient with mild difficulty in articulating some phonemes, Angle class III malocclusion with maxillary atresia, and bilateral anterior and posterior crossbite was indicated for diode laser frenectomy. The procedure was performed with the following parameters: λ = 808 nm (±20 nm), 1.
Background: Aberrant frenum attachments often lead to mucogingival deformities, culminating in both functional impairments and aesthetic concerns. Traditional frenectomy procedures are associated with extensive incisions and resultant wound defects. To address these challenges, a novel T-shaped incision technique has been developed.
The alveolar mucous membrane, the gingiva, and the underlying bone are fixed to the lip and cheek by the frenum, a fold in the mucous membrane. The surgical process known as a frenectomy involves completely removing the frenum that connects it to the bone. Traditional frenectomy involves using a blade, while a more recent technique is frenectomy assisted by a laser.
