Diagnosis and treatment of ankyloglossia: A narrative review and a report of three cases.

Tsaousoglou, Phoebus; Topouzelis, Nikolaos; Vouros, Ioannis; Sculean, Anton (2016). Diagnosis and treatment of ankyloglossia: A narrative review and a report of three cases. Quintessence international, 47(6), pp. 523-534. Quintessenz Verlags-GmbH 10.3290/j.qi.a36027

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Ankyloglossia or tongue-tie is a congenital oral anomaly with short, tight, and thick lingual frenulum. It may be asymptomatic or can cause movement limitations of the tongue, speech and articulation difficulties, breastfeeding difficulties in neonates, as well as periodontal and malocclusion problems. The etiopathogenesis of ankyloglossia is unknown; it can occur either as a sole anomaly in the vast majority or in association with other craniofacial anomalies.


The aims of this paper were (1) to provide a comprehensive review on the criteria for clinical assessment and diagnosis, etiology and inheritance, and the therapeutic options of ankyloglossia; and (2) to demonstrate the treatment of ankyloglossia by means of frenuloplasty in three cases.


The available evidence from the literature indicates that among neonates, children, and adults the prevalence of ankyloglossia is low and in some cases remains undiagnosed. The early clinical assessment, diagnosis, and treatment are beneficial for the patients and their mothers.


Frenuloplasty is a safe, quick, effective, and economical method and for this reason the parents should not hesitate towards frenulum release. More clinical studies are needed to confirm the benefits of the surgical interventions and to compare the results with those obtained using nonsurgical therapy or with untreated cases.

Item Type:

Journal Article (Further Contribution)


04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine

UniBE Contributor:

Sculean, Anton


600 Technology > 610 Medicine & health




Quintessenz Verlags-GmbH




Eveline Carmen Schuler

Date Deposited:

05 May 2017 15:31

Last Modified:

05 May 2017 15:31

Publisher DOI:


PubMed ID:




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