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The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study

Author

Listed:
  • Miriam Fioravanti

    (Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Francesca Zara

    (Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Iole Vozza

    (Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Antonella Polimeni

    (Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Gian Luca Sfasciotti

    (Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

Abstract

This randomized, double-blind and controlled clinical trial investigates how a diode laser lingual frenectomy can improve obstructive sleep apnea syndrome (OSAS) in pediatric patients. Background: Several authors have shown that a short lingual frenulum causes a reduction in incoming air flow and the relationship between OSAS and a short lingual frenulum. Methods: Thirty-two pediatric patients were equally randomly divided into a Study Group (SG) and a Control Group (CG). On each SG patient a polysomnography 1 (PSG1) and a lingual frenectomy were performed using a diode laser via Doctor Smile Wiser technology, power 7 W. After three months, a new polysomnography (PSG2) was performed to evaluate the lingual frenectomy efficacy in pediatric patients. The pain was assessed by a numerical rating scale (NRS) before and after surgery. The CG followed the same protocol without a lingual frenectomy but myofunctional and speech therapy were conducted to qualitatively and quantitatively improve the lingual functionality. In the SG, eight subjects (50%) had severe OSAS and eight had moderate (50%) while in the CG, three subjects had severe OSAS (18.8%) and thirteen had moderate (81.2%). Results: In the SG, 93.8% were classified as mild OSAS and 6.2% as moderate. In contrast, in the CG, 18.75% were classified as mild OSAS, 62.5% as moderate and 18.75% as severe. Conclusion: The study demonstrates how a lingual laser frenectomy can improve OSAS in pediatric patients.

Suggested Citation

  • Miriam Fioravanti & Francesca Zara & Iole Vozza & Antonella Polimeni & Gian Luca Sfasciotti, 2021. "The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6112-:d:569697
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    References listed on IDEAS

    as
    1. Giuseppina Laganà & Nicolò Venza & Arianna Malara & Claudio Liguori & Paola Cozza & Calogera Pisano, 2021. "Obstructive Sleep Apnea, Palatal Morphology, and Aortic Dilatation in Marfan Syndrome Growing Subjects: A Retrospective Study," IJERPH, MDPI, vol. 18(6), pages 1-10, March.
    2. Gian Luca Sfasciotti & Francesca Zara & Iole Vozza & Veronica Carocci & Gaetano Ierardo & Antonella Polimeni, 2020. "Diode versus CO 2 Laser Therapy in the Treatment of High Labial Frenulum Attachment: A Pilot Randomized, Double-Blinded Clinical Trial," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
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