Abstract
The tongue is the important oral structure that is responsible for speech, swallowing and positioning of the teeth. Ankyloglossia
or tongue tie is the result of short tight frenulum that causes limitation in tongue movement, therefore when the tongue is
retruded it causes blanching of the soft tissue and also place excessive force on the mandibular anteriors. The lingual frenum
may cause midline diastema in lower central incisors. This case report describes two cases where the patient diagnosed with
ankyloglossia underwent lingual frenectomy procedure by two different techniques electrosurgery and scalpel method under
local anesthesia without any complications. After a follow up of 6 months the healing was uneventful without scar formation
in both the cases. The tongue showed good healing with protrusion several millimeters beyond the lower lip.
Key words: ankyloglossia, lingual frenum, electro surgery,
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Case Report
Fig. VII
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Case Report
DISCUSSION
CONCLUSION
REFERENCES
1. Lawrence A. Kotlow Ankyloglossia (tongue-tie): A
diagnostic and treatment quandary. Quintessence
International 1999; 30:259-262
2. Tanaj, chaubal, maladixit Ankyloglossia and its
management. J Indian Soc Periodontal 2011: vol 15;
270-272
3. Oringer MJ Electrosurgery for definitive conservative
modern periodontal surgery .Dent clin North Am vol
13; 53: 1969
4. Fisher SE, Frame JW Electrosurgical management of soft
tissues and restorative dentistry. Dent clin North Am vol
24:247; 1980
5. Suter VG, Bornstein MM Ankyloglossia: facts and myths
in diagnosis and treatment J Periodontol. 2009 Aug;
80(8):1204-19