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KMID : 0358920090360040568
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Journal of the Korean Academy of Pedodontics
2009 Volume.36 No. 4 p.568 ~ p.574
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LINGUAL FRENECTOMY UNDER ORAL SEDATION
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Jang Yong-Gul
Park Ho-Won
Lee Ju-Hyun
Seo Hyun-Woo
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Abstract
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Tongue-tie is a congenital anomaly characterized by an abnormally short lingual frenum, which may restrict tongue tip mobility. In the neonate and infant, tongue-tie was said to cause difficult breast-feeding. In the older infant, toddler and young child, poor speech has been frequently listed because movement of tongue tip is limited. Also as a abnormal tongue position, various orthodontic problems, later mechanical and social manifestations could be developed. Treatment options such as observation, speech therapy, frenotomy and frenectomy have been suggested. The optimal timing for the surgery has not been determined, but early intervention may be appropriate for the children with significant tongue-tie who has the significant potential to speech difficulties and later social and mechanical problems. Sedation is an effective method for incapable of cooperative and the handicapped children, necessary to early intervention. We report three cases, using oral sedation for the frenectomy in young children with severe tongue-tie. After treatments, we could find out sufficient tongue movement and improved speech ability.
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KEYWORD
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Tongue-tie, Sedation, Lingual frenum, Frenectomy, Early intervention
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