Lingual frenulum and malocclusion: An overlooked tissue or a minor issue
Context: Tongue-tie (more formally known as ankyloglossia) is a congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict mobility of the tongue tip impairing its ability to fulfill its functions. The clinical significance of ankyloglossia is varied; rarely symptom...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | http://www.ijdr.in/article.asp?issn=0970-9290;year=2015;volume=26;issue=5;spage=488;epage=492;aulast=Vaz |
| _version_ | 1811276471541432320 |
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| author | Anna Cecilia Vaz Pavithra M Bai |
| author_facet | Anna Cecilia Vaz Pavithra M Bai |
| author_sort | Anna Cecilia Vaz |
| collection | DOAJ |
| description | Context: Tongue-tie (more formally known as ankyloglossia) is a congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict mobility of the tongue tip impairing its ability to fulfill its functions. The clinical significance of ankyloglossia is varied; rarely symptomatic to a host of problems including infant feeding difficulties, speech disorders, malocclusions, and others.
Aims: The need of this study was to evaluate the occurrence and severity of tongue-tie and its association with the type of malocclusions in two populations and also to correlate the various malocclusion traits with the grades of tongue-tie.
Subjects and Methods: A total of 700 school children in the age group of 9-17 years were examined for the presence of tongue-tie, 350 from regular schools and 350 from special schools. The presence was evaluated, measured, and graded into Grades I-V according to Kotlow′s method. The malocclusion was assessed according to Angle′s classification. Severity of crowding was assessed by Little′s irregularity index in each case. Various other malocclusion traits were visually assessed, in relation to the positions of the teeth.
Statistical Analysis Used: Spearman′s rank correlation method was used to test the relationship between type of malocclusions, grades of tongue-tie and severity of crowding. Significance was considered at the (P < 0.05) level.
Results: Statistically significant differences were seen between grades of tongue-tie and Angle′s types of malocclusion and Spearman′s correlation between them showed negative correlation. The Spearman′s correlation showed a negative correlation between tongue-tie grades and severity of crowding.
Conclusions: As the grade of tongue-tie increased, its association with Classes I and II malocclusion decreased. The lower grades of tongue-tie are associated with increased lower incisor crowding. Shorter, tight frenulums are more associated with maxillary constriction, anterior open bite, and spacing of the lower anteriors. |
| first_indexed | 2024-04-12T23:58:05Z |
| format | Article |
| id | doaj.art-9478a91bd9294bd28029c329fcb44bbe |
| institution | Directory Open Access Journal |
| issn | 0970-9290 1998-3603 |
| language | English |
| last_indexed | 2024-04-12T23:58:05Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj.art-9478a91bd9294bd28029c329fcb44bbe2022-12-22T03:11:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032015-01-0126548849210.4103/0970-9290.172044Lingual frenulum and malocclusion: An overlooked tissue or a minor issueAnna Cecilia VazPavithra M BaiContext: Tongue-tie (more formally known as ankyloglossia) is a congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict mobility of the tongue tip impairing its ability to fulfill its functions. The clinical significance of ankyloglossia is varied; rarely symptomatic to a host of problems including infant feeding difficulties, speech disorders, malocclusions, and others. Aims: The need of this study was to evaluate the occurrence and severity of tongue-tie and its association with the type of malocclusions in two populations and also to correlate the various malocclusion traits with the grades of tongue-tie. Subjects and Methods: A total of 700 school children in the age group of 9-17 years were examined for the presence of tongue-tie, 350 from regular schools and 350 from special schools. The presence was evaluated, measured, and graded into Grades I-V according to Kotlow′s method. The malocclusion was assessed according to Angle′s classification. Severity of crowding was assessed by Little′s irregularity index in each case. Various other malocclusion traits were visually assessed, in relation to the positions of the teeth. Statistical Analysis Used: Spearman′s rank correlation method was used to test the relationship between type of malocclusions, grades of tongue-tie and severity of crowding. Significance was considered at the (P < 0.05) level. Results: Statistically significant differences were seen between grades of tongue-tie and Angle′s types of malocclusion and Spearman′s correlation between them showed negative correlation. The Spearman′s correlation showed a negative correlation between tongue-tie grades and severity of crowding. Conclusions: As the grade of tongue-tie increased, its association with Classes I and II malocclusion decreased. The lower grades of tongue-tie are associated with increased lower incisor crowding. Shorter, tight frenulums are more associated with maxillary constriction, anterior open bite, and spacing of the lower anteriors.http://www.ijdr.in/article.asp?issn=0970-9290;year=2015;volume=26;issue=5;spage=488;epage=492;aulast=VazClassificationlingual frenulummalocclusiontongue-tie |
| spellingShingle | Anna Cecilia Vaz Pavithra M Bai Lingual frenulum and malocclusion: An overlooked tissue or a minor issue Indian Journal of Dental Research Classification lingual frenulum malocclusion tongue-tie |
| title | Lingual frenulum and malocclusion: An overlooked tissue or a minor issue |
| title_full | Lingual frenulum and malocclusion: An overlooked tissue or a minor issue |
| title_fullStr | Lingual frenulum and malocclusion: An overlooked tissue or a minor issue |
| title_full_unstemmed | Lingual frenulum and malocclusion: An overlooked tissue or a minor issue |
| title_short | Lingual frenulum and malocclusion: An overlooked tissue or a minor issue |
| title_sort | lingual frenulum and malocclusion an overlooked tissue or a minor issue |
| topic | Classification lingual frenulum malocclusion tongue-tie |
| url | http://www.ijdr.in/article.asp?issn=0970-9290;year=2015;volume=26;issue=5;spage=488;epage=492;aulast=Vaz |
| work_keys_str_mv | AT annaceciliavaz lingualfrenulumandmalocclusionanoverlookedtissueoraminorissue AT pavithrambai lingualfrenulumandmalocclusionanoverlookedtissueoraminorissue |