Effectiveness of Frenotomy for Ankyloglossia in Breastfeeding. Critical Review of the Literature.

Authors

  • Alejandra Alfaro Facultad de Odontología Universidad de Valparaíso
  • Macarena Garrido Facultad de Odontología Universidad de Valparaíso
  • Marion Arce Paniagua Facultad de Odontología Universidad de Valparaíso

Keywords:

Tongue-tie, Ankyloglossia, Beastfeeding

Abstract

Objective: To identify, according to evidence, the effectiveness of the frenotomy in ankyloglossia for infants in achieving correct breastfeeding. Specific objectives: to identify the consequences of ankyloglossia and/or frenotomy in mothers and infants, describe the ways to perform it, considering its pre and post-operative, and to determine the participation of the dentist in the process. 

Materials and Method: A critical review of the literature was conducted using Scopus and PubMed databases. The articles included were those written in Portuguese, English, or Spanish with a maximum of 5 years of antiquity, which studied infants with ankyloglossia undergoing frenotomy. Systematic reviews and meta-analyses were excluded. It was not just treatment that was evaluated but also pre and post-operative, both in the mother and the infant. 

Results: 409 articles were obtained, 138 eliminated in duplicates, selecting 26 after the eligibility criteria, 2 of them were not available, so that finally 24 articles remained, being in-vivo type studies in humans, mainly cohort. 

Conclusion: The evidence supports that the frenotomy is a safe and effective intervention, which generally allows improving breastfeeding, benefiting both the baby and the mother. However, the existence of an objective diagnostic tool that allows early intervention is still essential, in addition to carrying out a multidisciplinary work that includes the study of the infant's environment.

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Published

2020-11-25

How to Cite

Alfaro, A., Garrido, M., & Arce Paniagua, M. (2020). Effectiveness of Frenotomy for Ankyloglossia in Breastfeeding. Critical Review of the Literature. Applied Sciences in Dentistry, 1. Retrieved from https://rcs.uv.cl/index.php/asid/article/view/2520

Issue

Vol. 1 (2020): Supl. 1

Section

Reviews

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