Frenulectomy with Diode Laser Technology in Paeditric Patients: Quantitative and Qualitative Evaluations. Randomized Double- Blind Clinical Trial

Autor: Miriam Fioravanti, Gian Luca Sfasciotti, Antonella Polimeni, Francesca Zara, Gaspare Palaia, Mariana Guaragna
Jazyk: angličtina
Rok vydání: 2020
Předmět:
paediatric
lingual frenulum
Incisive papilla
lcsh:Technology
tongue-tie
Double blind
Laser technology
diode laser
lcsh:Chemistry
03 medical and health sciences
laser therapy
0302 clinical medicine
stomatognathic system
Tongue
ankyloglossia
frenulectomy
laser
oral surgery
Frenulum
medicine
General Materials Science
Instrumentation
Lingual Frenulum
Pathological
lcsh:QH301-705.5
Fluid Flow and Transfer Processes
Orthodontics
business.industry
lcsh:T
Process Chemistry and Technology
digestive
oral
and skin physiology
General Engineering
food and beverages
030206 dentistry
lcsh:QC1-999
Computer Science Applications
body regions
Clinical trial
stomatognathic diseases
medicine.anatomical_structure
lcsh:Biology (General)
lcsh:QD1-999
lcsh:TA1-2040
business
lcsh:Engineering (General). Civil engineering (General)
030217 neurology & neurosurgery
lcsh:Physics
Zdroj: Applied Sciences, Vol 10, Iss 4114, p 4114 (2020)
Applied Sciences
Volume 10
Issue 12
ISSN: 2076-3417
Popis: 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&rsquo
s free tongue measurement (&ge
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.
Databáze: OpenAIRE
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