scholarly journals Laser: The torch of freedom for ankyloglossia

2014 ◽  
Vol 47 (03) ◽  
pp. 418-422 ◽  
Author(s):  
Shivlal L. Vishnoi ◽  
Sarath Chandran ◽  
Gaurav V. Bakutra ◽  

ABSTRACTThe tongue is an important oral structure that affects speech, position of teeth, periodontal tissues, nutrition, swallowing, nursing, and certain social activities. Ankyloglossia or tongue-tie, is a congenital anomaly characterized by an abnormally short lingual frenulum, which restricts mobility of the tongue. Though the ankyloglossia is not a serious condition, it may lead to a host of problems including infant feeding difficulties, speech disorders, and various mechanical and social issues related to the inability of the tongue to protrude. Hence, management of ankyloglossia should be considered at any age considering the risk-benefit evaluation. Tongue being highly vascular and mobile structure, laser-assisted lingual frenectomy is the simplest, safest and less traumatic of all the treatment modalities available, with most promising results in minimally invasive dentistry. Here, a case of ankyloglossia is reported with its management by diode laser.

2014 ◽  
Vol 04 (04) ◽  
pp. 110-112
Author(s):  
Manavi Prabhu ◽  
Sharath KS ◽  
Thomas Biju ◽  
Santhosh Shenoy B. ◽  
Shamila Shetty

AbstractLingual frenulum is the vertical fold of mucous membrane under the tongue, attaching it to the floor of the mouth. This congenital anomaly could cause diastema, difficulties in the movement of the tongue, feeding difficulties, speech disorders and various mechanical and social issues. Conventional frenectomy techniques would include the use of a scalpel, which often requires at least one suture and leads to some degree of post-operative discomfort as well as the need for a return visit to remove the suture. The main advantages of using thediode laser are that there is no bleeding; less of operative pain, no need of anesthesia, and suturing is not required, minimizing post-operative discomfort for the patient, and reducing procedure time for the practitioner.


2015 ◽  
Vol 6 (2) ◽  
pp. 112-115
Author(s):  
R Santosh ◽  
KM Roopavathi ◽  
Sanjay VenuGopal ◽  
G Pushpalatha ◽  
Darshana Bennadi ◽  
...  

ABSTRACT Ankyloglossia (AG) commonly known as tongue-tie. This congenital anomaly characterized by an abnormal short lingual frenulum attached to floor of mouth. Though the ankyloglossia is not a serious issue, but it may cause problems, like feeding difficulties, speech disorders, and hamper quality of life through affecting their social life and confidence. Hence, management of ankyloglossia should be considered at age, which should include surgical management as well as efforts should be made to improve the quality of life of the patient. The purposes of this report to describe about ankyloglossia, its management for the better clinical approach and improve the quality of life of the patient. How to cite this article Roopavathi KM, VenuGopal S, Pushpalatha G, Bennadi D, Santosh R, Madhura AS. Ankyloglossia and Quality of Life. World J Dent 2015;6(2):112-115.


Author(s):  
Ebtehal G. Albeshir ◽  
Abdulrahman A. Balhaddad ◽  
Heba Mitwalli ◽  
Xiaohong Wang ◽  
Jirun Sun ◽  
...  

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Emanuela Sitzia ◽  
Sara Santarsiero ◽  
Filippo Maria Tucci ◽  
Giovanni De Vincentiis ◽  
Angela Galeotti ◽  
...  

Abstract Background Congenital nasal pyriform aperture stenosis (CNPAS) is a rare condition that may occur alone or as part of a multi-formative syndrome. Management remains difficult. There is no specific treatment protocol. Traditional surgery would be anachronistic; a non-invasive or minimally invasive therapeutic option is required. However, the rarity of the disease and the infantile context render randomised clinical trials difficult. Case presentation We present the case of a one-month-old Caucasian boy with CNPAS. He presented to the Emergency Department of the Bambino Gesù Pediatric Hospital with nasal obstruction, noisy breathing, feeding difficulties, and suspected sleep apnoea. During hospitalisation, he underwent overnight pulse oximetry, airway endoscopy, and maxillofacial computed tomography (CT); the final diagnosis was CNPAS with moderate obstructive sleep apnoea syndrome. We successfully treated the patient using an innovative strategy that involved collaboration between ear-nose-and-throat surgeons and orthodontists. Conclusions A combination of minimally invasive balloon surgery and placement of a palatal device may successfully treat CNPAS; it may also treat other types of nasal bone stenosis. Future studies may allow the development of practice consensus treatment strategies.


2020 ◽  
pp. 5-8
Author(s):  
O.P. Kerzyuk ◽  
N.M. Rozhko ◽  
A.V. Kindrat

Nowadays, gastroesophageal reflux disease (GERD) is particularly relevant because it concerns many health and social issues. According to international and national statistics, the number of GERD patients is constantly increasing, especially among the socially active segments of the population. GERD is one of the most important problems of modern gastroenterology due to the increase in the number of patients with this pathology, the presence of both typical and atypical symptoms significantly impair the quality of patients’ life. Atypical symptoms of GERD may lead to overdiagnosis of some diseases and worsen their course; sometimes patients run the risk of developing serious complications with the need of long-term medical treatment in case of insufficient awareness of physicians about GERD. Increased attention should be given to issues of concomitant pathology of the oral cavity and diseases of the esophagus taking into account the anatomical proximity, the commonness of the blood supply, innervation and humoral regulation, because the mouth is the first division of the alimentary canal. Therefore, all GERD-associated changes in the oral cavity can be divided into change in soft tissues (the vermilion border, mucosa, tongue, periodontal tissues) and hard tissues of teeth and a deterioration of the content and quality of oral fluid. Our study aimed at examining the prevalence and variation of pathological changes in the oral mucosa of GERD patients. We examined 90 patients aged 25–35 years and 45–55 years. Patients were divided into 3 groups of 30 patients in each group: 1 group – patients with diagnosed GERD with high acidity; 2 group – patients with low acidity, 3 group – control. The patients have been examined by a gastroenterologist based on generally accepted criteria, esophageal pH monitoring data as well as fibrogastroduodenoscopy of esophagus and stomach. Dental assessment included evaluating the state of oral hygiene (index Green-Vermilion), and oral mucosa condition; the periodontal status was assessed by the index Rassel. In conclusion, the findings indicate a variety of changes in oral cavity in patients with GERD, both with high and with low acidity. The prospect of our further research will be to develop an algorithm for diagnosis and treatment of oral GERD manifestations and secondary dental disease prevention.


2018 ◽  
Vol 35 (5) ◽  
pp. 358-366
Author(s):  
Yiğit Akın ◽  
Matthew Young ◽  
Muhammad Elmussareh ◽  
Nickolaus Charalampogiannis ◽  
Ali Serdar Gözen

2017 ◽  
Vol 34 (3) ◽  
pp. 123-128
Author(s):  
Natalia Elson ◽  
Irene Brandes

The preservation of healthy human body and function for every patient should be the goal of all health practitioners. Dentistry is not an exception to this philosophy. In past few decades, the improvements of scientific method and technology has led to a better understanding of oral microflora and dental materials resulted in the shifting of caries management method from G. V. Black’s “extension for prevention” to the modern “minimally invasive” approach in dentistry. The minimally invasive approach to dental caries establishes a proper doctor-patient relationship, thus empowering and educating the patient to take responsibility for their own dental health. The proper sequence of caries management should be the introduction of preventive strategies such as oral hygiene instructions, reminialization regiments, and risk assessments followed by minimal surgical interventions. Using the laser technology in the aspect of surgical intervention has many clinical advantages. Some of the clinical benefits include its selectivity for carious tissue, reduction of needs for local anesthesia, decontamination effect of preparation surfaces, minimal thermal stimulus to pulp chamber, increase in surface adhesion for composite materials, and other soft tissue applications. The combination of caries prevention program, disease control, risk assessment, and laser technology application on the surgical intervention significantly reduces the long-term restorative needs and thus preserves more healthy natural tooth structures, which complement the concept of minimally invasive dentistry. In cosmetic surgery, the same rules apply. The same laser types are used as well.


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