• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.28 no.4
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• pp.310-317
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• 2002

We have examined 20 tongue-tie patients who had been operated the lingual frenectomy in Dept. of Oral & Maxillofacial surgery, Pusan National University for the effect of the lingual frenectomy on the tongue motion and speech, and divided patients into groups by age. Each group was separated as follows ; the age of 5-6, 7-9, 10-12, 13-15, and 16-18. We measured the frenal lengh, the range of tongue motion and evaluated the speech pre- and postoperatively. The preoperative patient groups have larger tongue tips and smaller lingual frenums than normal ones. In the preoperative patient group, there was significant obstacle of the protrusive and superior movement of the tongue. The exception was the laterotrusive movement on both sides. There was the lower value of the Picture Consonant Articulation Test(PCAT) in the preoperative 5 to 6 year-old group compared with normal group. In other age groups, there was no significant difference. The range of postoperative PCAT in all age groups has become as similiar as that of normal group. The 5 to 6 year-old group which had significant difference in PCAT was improved in PCAT. In conclusion, we propose that the PCAT as well as anatomical tongue size and functional tongue movement is the basis of the indication of lingual frenectomy and the 5-6 year-old is the optimal time of the lingual frenectomy for improvement of the tongue movement and the speech.

• The Journal of Advanced Prosthodontics
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• v.3 no.4
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• pp.236-239
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• 2011

Maxillary labial and buccal frena are considered as normal anatomic structures in the oral cavity. However, they may exist intraorally as a thick broad fibrous attachment and/or become located near the crest of the residual ridge, thus interfering with proper denture border extension resulting in inferior denture stability, retention and overall patient satisfaction. This case report highlights the importance of clinical examination and treatment planning which may mandate preprosthetic surgery prior to fabrication of a new conventional complete denture. Adequate patient satisfaction with conventional complete dentures can be significantly increased after frenectomy.

• The Journal of the Korean dental association
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• v.8 no.5
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• pp.411-412
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• 1970

• Maxillofacial Plastic and Reconstructive Surgery
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• v.14 no.1_2
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• pp.40-53
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• 1992

This sutdy aimed at examining the effect of lingual frenectomy on phonation & tongue movement. Almost the patient visiting to department of oral & maxillofacial surgery for the treatment of tongue tie always complain the speech problem. Many operation was performed according to this problem. But the objective evaluation of the speech change have been deficient. The experimental group was 25 adult males. Fourteen Korean consonants & after Korean vowels was combined and seventy sound was made for speech analysis. Before & after lingual frenectomy, the speech of the above mentioned group was recorded and then analysed by the Speech Workstation computer software. And before & after operation, the lingual frenum & tongue protrusion amount vas measured. The results were as follows : 1. The pre-operative length of lingual frenum was inverse proportion with the pre-operative length of the protrusive tongue. 2. The average difference between pre & post-operative length of the protrusive tongue was about 23 mm. 3. In the comparison of consonant continuing time change, fricative consonant(r, s, h) was increased post-operatively. 4. In the comparison of the vowel frequency formant change, the "i"and "u" sound vas reliably changed. 5. There was no reliable speech changes on the other sounds.

• The Journal of the Korean dental association
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• v.23 no.10 s.197
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• pp.823-823
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• 1985

• The Journal of the Korean dental association
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• v.21 no.2 s.165
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• pp.90-90
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• 1983

• The Journal of the Korean dental association
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• v.12 no.4
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• pp.220-221
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• 1974

• Journal of the korean academy of Pediatric Dentistry
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• v.23 no.3
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• pp.609-614
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• 1996

Laser is getting more attention from increasing numbers of dental clinicians by its own several unique characteristics : precision, hemostasis, and bactericidal capacity. It also provides patients with several advantages of minimal tissue damage. faster healing with less postoperative pain and minimal use of local anesthetics. Labial or lingual frenectomies were performed successfully in three pediatric patients using Nd-YAG laser. When compared to the conventional scalpel method, less local anesthetics were needed and the bleeding control was so excellent that any suture was not necessary. The operation sites were completely healed without any infection or complication and discomfort from swelling or pain was not noted in all cases throughout the healing process.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.4
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• pp.568-574
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• 2009

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 limit ed. 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.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.12 no.3
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• pp.42-48
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• 1990

This is a case report on an unusual - heavy buccal frenum in young lady which was treated by frenectomy, vestibuloplasty and total-palatal mucosal free graft. The authors noticed that this abnormal condition lead several chronic complications in young patient as like as premature loss of upper molar teeth, early and rapid loss of alveolar bone around insertion of frenum, over - extended eruption of lower molar teeth and abnormal mandibular movements, etc. After frenectomy and surgical extension of buccal vestiblue on both upper and lower posterior regions, we obtained a full - sized palatal mucosal graft and moved it on upper and lower extension area seperately as two pieces of free grafts to offer inherent function of denture - bearing mucogingiva and same color - matching with oral mucosa and to prevent post - operative relapse of vestibular height. We discussed here about unusual abnormality and their complications of unusual buccal frenum and its treatment.