Lingual Frenectomy using Diode Laser in a 8 year old Child - A Case Report

Ankyloglossia, commonly known as Tongue-tie, is a developmental anomaly of the tongue characterized by an abnormally short, thick lingual frenulum resulting in limited tongue movement, feeding and speech problems. It affects quite a large number of infants and children. A careful clinical examination is essential for an early diagnosis of a lingual dysfunction and to choose optimal management, by proper tongue exercises, which leads to satisfactory results in a short time. This report took into consideration a female patient aged 8 years old who was treated with soft tissue diode laser frenectomy and intra and post-surgical bleeding and wound healing were evaluated. A frenectomy can be accomplished either by the routine scalpel technique, electrosurgery or by using lasers. Among various modalities, laser is considered one of the most conservative and simple procedures with good results. They have little absorption in hard tissues, providing selective action and allowing precise cuts, coagulation and vaporization, without causing damage to dental tissues. They reduce the need for anesthesia, control bleeding and do not require sutures. The application of laser resulted in less stress and fear in patients during the procedure, also leading to a more conservative non-invasive method with minimal discomfort and bleeding, therefore making it a boon for Pediartic Dentistry. Keywords: Ankyloglossia, Frenectomy, Lasers, Non-invasive, Tongue-tie