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Home Bottle-feeding and gastroesophageal reflux disease improvement after restrictive tethered oral tissues release

Bottle-feeding and gastroesophageal reflux disease improvement after restrictive tethered oral tissues release

Authors:

  • P. Hand
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS”. School of Dentistry, Università Cattolica del Sacro Cuore, Rome.
  • G. Olivi
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS”. School of Dentistry, Università Cattolica del Sacro Cuore, Rome.
  • G. Gioco
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS”. School of Dentistry, Università Cattolica del Sacro Cuore, Rome.
  • C. Lajolo
    Head and Neck Department, “Fondazione Policlinico Universitario A. Gemelli – IRCCS”. School of Dentistry, Università Cattolica del Sacro Cuore, Rome.

DOI:

https://doi.org/10.23804/ejpd.2023.1817

ABSTRACT


Aim

This study aimed to determine the impact of laser surgical tongue-tie, lip-tie, buccal-tie release on bottle-feeding and gastroesophageal reflux disease (GERD) after functional assessment of tongue and lip movement in a prospective cohort study conducted from June 2019 to June 2020 in a private general dental practice.

Methods

Preoperative, one-week and one-month postoperative surveys were completed, using the Revised Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R). All study participants were bottle-feeding dyads (0–12 weeks of age) with untreated ankyloglossia and/or tethered maxillary/buccal frena.

Results

The study had 40 bottle feeding infants enrolled. Posterior :tongue-tie was noted in 67.5% of this cohort. Statistically significant improvement in I-GERQ-R scores was reported between preoperative (16.6, SD: 6.1; min-max: 8-28), 1 week (14.1, SD: 4.2; min-max: 6-24) and 1 month I-GERQ-R total scores (9.1, SD: 4.5; min-max:3-27) (ANOVA test - P<.001).

Conclusion

This study confirms the need for functional assessment of tongue and lip movement for this significantly affected cohort when surgical release is proposed. Laser surgical release (frenotomy) of tongue-tie, lip-tie, buccal-tie resulted in significant improvement in I-GERQ-R outcomes were found for cohorts of the classically recognised anterior tongue-tie and the less obvious (without functional assessment) and less diagnosed posterior tongue tie were found.

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Publication date:

March /2023

Keywords:

ankyloglossia, bottle feeding, buccal-tie, gastroesophageal reflux, laser frenotomy, lip-tie, posterior tongue-tie

Publisher:

Ariesdue

Topic:

Perinatal oral health care

Cite:


Harvard: P. Hand, G. Olivi, G. Gioco, C. Lajolo (2023) "Bottle-feeding and gastroesophageal reflux disease improvement after restrictive tethered oral tissues release", European Journal of Paediatric Dentistry, (), pp1-. doi: 10.23804/ejpd.2023.1817
Vancouver: P. Hand, G. Olivi, G. Gioco, C. Lajolo. Bottle-feeding and gastroesophageal reflux disease improvement after restrictive tethered oral tissues release. European Journal of Paediatric Dentistry [Internet]. 2023Mar.24 [cited 2025May.13];():1-. Available from: https://www.ejpd.eu/abstract-pubmed/bottle-feeding-and-gastroesophageal-reflux-disease-improvement-after-restrictive-tethered-oral-tissues-release/
MLA: P. Hand, G. Olivi, G. Gioco, C. Lajolo Bottle-feeding and gastroesophageal reflux disease improvement after restrictive tethered oral tissues release. European Journal of Paediatric Dentistry. 2023;():1-

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Cristina Calchera
Editor in chief: dott. Luigi Paglia
European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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