Management of Familial Ankyloglossia in Pediatric Patient Under Electrocautery Procedure

Ardista Rani Lestari, Mega Moeharyono Puteri*, Udijanto Tedjosasongko, Paramita Devi Oktaviani, Luluk Rahmawati, Shinta Purnamasari

Abstract

Ankyloglossia, commonly referred to as tongue-tie, is a congenital condition affecting the tongue. It is characterized by a short, thick, and tight lingual frenulum that attaches to the tip of the tongue, leading to restricted tongue movement. This condition can result in various issues, such as difficulties in mastication, challenges in pronouncing consonants, and poor oral hygiene. A nine-year-old male patient came to the Department of Pediatric Dentistry, Universitas Airlangga Dental Hospital, Surabaya, complaining of restricted tongue movement, which was causing difficulty in articulating certain letters such as “r, s, n, d.” Intraoral examination revealed a shortened lingual frenulum, measured at 8.5 mm, and was diagnosed as ankyloglossia class II according to the Kotlow’s Classification. A lingual frenectomy using electrocautery was performed with parental consent and no sutures were needed. The patient was prescribed antibiotics, analgesics, and mouthwash, and instructed not to drink or eat hot food and to maintain oral hygiene. Follow-up visits after one week showed successful wound healing and improved tongue mobility. Ankyloglossia can significantly impact patients by restricting tongue movement and causing speech difficulties, highlighting the importance of timely treatment through surgical intervention. The advantages of using electrocautery for lingual frenectomy include a bloodless surgical field, the absence of sutures, and a shorter treatment duration, making it an excellent choice for pediatric patients.

Keywords

familial ankyloglossia; lingual frenulum; electrocautery; human & health

Cite This Article

Lestari, R. L., Puteri, M. M., Tedjosasongko, U., Oktaviani, P. D., Rahmawati, L., Purnamasari, S. (2024). Management of Familial Ankyloglossia in Pediatric Patient Under Electrocautery Procedure. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 5: Sep-Oct 2024, Pages 869-873, URL: https://www.ijscia.com/wp-content/uploads/2024/09/Volume5-Issue5-Sep-Oct-No.659-869-873.pdf

Volume 5 | Issue 5: Sep-Oct 2024