Tanı Sürecinden Cerrahi Müdahaleye Uzanan Yol: Pediatrik Frenektomi Üzerine Kapsamlı Bir Derleme

Year 2025, Volume: 8 Issue: 3, 265 - 274, 28.10.2025

Amır Javadzadeh , Mine Keskin , Eren Korunmuş , Elif Bahar Tuna Ince

https://doi.org/10.26650/JARHS2025-1756721

Abstract

Frenulum, oral kavitede dil ve dudak hareketlerini destekleyen önemli bir anatomik yapıdır. Çocukluk döneminde frenulumun anormal gelişimi; konuşma bozuklukları, beslenme güçlükleri ve ortodontik anomaliler gibi çeşitli klinik problemlere yol açabilmektedir. En sık karşılaşılan frenulum anomalileri arasında ankiloglossi (dil bağı) ve hipertrofik labial frenulum yer almakta olup, bu durumların tedavisinde frenektomi adı verilen cerrahi işlem uygulanmaktadır. Frenektomi, anormal frenulumun eksizyonu veya yeniden şekillendirilmesini içeren bir girişimdir ve oral fonksiy6 onların iyileştirilmesi ile kraniofasiyal gelişimin desteklenmesini amaçlamaktadır. Son yıllarda, geleneksel cerrahi tekniklere ek olarak lazer destekli frenektomi gibi minimal invaziv yaklaşımlar giderek yaygınlaşmıştır. Lazerle gerçekleştirilen uygulamalar; daha az kanama, minimal postoperatif ağrı ve daha hızlı iyileşme gibi avantajlar sunmakta ve çocuk hasta grubunda hasta konforunu artırmaktadır. Bu derlemede, çocuk diş hekimliğinde kullanılan farklı frenektomi teknikleri; klinik endikasyonlar, etkinlik, avantajlar ve sınırlılıklar açısından değerlendirilerek, güncel literatür ışığında kısa ve uzun vadeli etkileriyle birlikte tartışılacaktır. Ayrıca, geleneksel ve modern yaklaşımlar karşılaştırılarak çocuk hastalar için en uygun tedavi seçenekleri ortaya konulacaktır.

Keywords

Ankiloglossi , frenektomi , labial frenulum , lazer frenektomi , çocuk diş hekimliği

From Diagnosis to Surgical Intervention: A Comprehensive Review of Paediatric Frenectomy

Abstract

The frenulum is an essential intraoral structure that facilitates the coordinated function and mobility of the tongue and lips. During childhood, abnormal development of the frenulum may result in various clinical complications, including speech disorders, feeding difficulties, and orthodontic anomalies. Among the most frequently observed anomalies are ankyloglossia (tongue-tie) and hypertrophic labial frenulum, which are commonly managed through a surgical procedure known as frenectomy. Frenectomy involves the excision or reshaping of the aberrant frenulum and aims to enhance oral functions and support proper craniofacial development. In recent years, minimally invasive techniques such as laser-assisted frenectomy have gained popularity as alternatives to conventional surgical methods. These laser-based procedures offer several clinical advantages, including reduced intraoperative bleeding, minimal postoperative discomfort, and accelerated wound healing, thereby improving the overall patient comfort in paediatric populations. This narrative review examines the clinical indications, efficacy, benefits, and limitations of various frenectomy techniques used in paediatric dentistry. Furthermore, conventional and modern approaches were compared to identify the most suitable treatment strategies for paediatric patients based on current scientific evidence

Keywords

Ankyloglossia , frenectomy , labial frenulum , laser frenec6 tomy , paediatric dentistry

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