Ankyloglossia-Related Speech Articulation Correction in Orthodontics: A Case Report

Purva Joneja; Neha Patil; Richa Sharma

doi:10.56501/intjorofacres.v8i1.996

Authors

Purva Joneja Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh- 462024, India
Neha Patil Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh- 462024, India
Richa Sharma Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh- 462024, India

DOI:

https://doi.org/10.56501/intjorofacres.v8i1.996

Keywords:

Case report, tongue-tie, ankyloglossia, speech problem

Abstract

The ability of the tongue to protrude and elevate is the most crucial characteristic for activities like eating, speaking, nursing, and the development of dental arches. When the lingual frenum is short and tight, it can hinder the movement of the tongue, leading to malalignment of anterior teeth and Speech Articulation. This article discusses a case report of a 20-year-old male patient with a chief complaint of speech difficulty, maxillary anterior teeth spacing, and mandibular anterior teeth crowding. There was lingual frenum attachment suggestive of mild ankyloglossia. Patient underwent a lingual frenectomy pro- cedure under local anaesthesia which resulted in speech correction and relief of lower anterior crowding. Maxillary anterior spacing and midline diastema was corrected with orthodontic mechanotherapy and labial frenectomy, re- spectively. In cases where the frenulum anomaly is severe enough to result in both mechanical and functional limitations, surgery to reduce the frenulum (frenulectomy) is recommended. In consequence, it is fair to state that the chief complaint of inappropriate speech of the patient need to be resolved by an interdisciplinary approach.

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No

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References

Chaubal TV, Dixit MB. Ankyloglossia and its man- agement. Journal of Indian Society of Periodon- tology. 2011;15(3):270-272. https://doi.org/10.4103/0972-124X.85673.

Dydyk A, Milona M, Janiszewska-Olszowska J, Wyganowska M, Grocholewicz K. Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion. Journal of Clinical Medicine. 2023;12(23):7415. https://doi.org/10.3390/jcm12237415.

Melong J, Bezuhly M, Hong P. The effect of tongue- tie release on speech articulation and intelligibility. Ear, Nose & Throat Journal. 2021;14:1-5. https://doi.org/10.1177/01455613211064045.

Baeza C, Genna CW, Murphy J, Hazelbaker AK, Ka- plan M, Martinelli R, et al. Assessment and classifica- tion of tongue-tie. Clin Lact (Amarillo) 2017;8:93–8. https://doi.org/10.1891/2158-0782.8.3.93.

Northcutt ME. The lingual frenum. J Clin Orthod. 2009;43(9):557-65.

Frezza A, Ezeddine F, Zuccon A, Gracco A, Bruno G, De Stefani A. Treatment of Ankyloglos- sia: A Review. Children. 2023;10(11):1808. https://doi.org/10.3390/children10111808.

Colombari GC, Mariusso MR, Ercolin LT, Mazzoleni S, Stellini E, Ludovichetti FS. Relationship between breastfeeding difficulties, ankyloglossia, and freno- tomy: A literature review. J Contemp Dent Pract. 2021;22:452–461.

Suter VG, Bornstein MM. Ankyloglossia: Facts and myths in diagnosis and treat- ment. J Periodontol. 2009;80:1204–1219. https://doi.org/10.1902/jop.2009.090086.

Kupietzky A, Botzer E. Ankyloglossia in the infant and young child: Clinical suggestions for diagnosis and management. Padiatr Dent. 2005;27:40–46.

Bai PM, Vaz AC. Ankyloglossia among children of reg- ular and special schools in Karnataka, India: A preva- lence study. J Clin Diagnostic Res. 2014;8:36–38. https://doi.org/10.7860/JCDR/2014/8267.4485.

Ghayoumi-Anaraki Z, Majami F, Farahnakimoghadam F, Barbari K, Zohour SM, Tahmasebifard N, et al. Prevalence of tongue-tie and eval- uation of speech sound disorder in young chil- dren. Clinical Archives of Communication Disorders. 2022;7(3):125-30. https://doi.org/10.21849/cacd.2022.00787.

Lalakea ML, Messner AH. Frenotomy and frenuloplasty: If, when, and how. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2002;13(1):93-7. https://doi.org/10.1053/otot.2002.32157.