Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-09-24 DOI:10.1111/ipd.70031

Bruno Valério da Silva, Amanda Vieira Barollo, Normanda da Nóbrega Lima Sá, Luciana Butini Oliveira, Luciana Faria Sanglard

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引用次数: 0

Abstract

Background: Clinical diagnosis of ankyloglossia and its therapeutic management through lingual frenotomy (LF) have increased in several countries. However, systematic reviews (SRs) and experts opinions show conflicting results on this topic.

Aim: To synthesize the available knowledge with a critical evaluation of SRs on LF in infants up to 1 year of age on breastfeeding-related outcomes.

Design: An umbrella review was carried out. Searches were conducted (seven electronic databases, gray literature). SRs of clinical trials involving infants up to 1 year of age undergoing LF to treat maternal self-efficacy related to breastfeeding, nipple pain, and/or weight gain were included. The articles were critically analyzed (AMSTAR 2).

Results: We identified 272 studies; 15 SRs were included. Confidence was classified as critically low (n = 14; 93.3%) and moderate (n = 1; 6.7%). Fourteen SRs had more than two critical aspects, indicating that the studies were not conducted properly.

Conclusion: The evidence on the efficacy of LF in infants remains inconclusive in relation to breastfeeding outcomes, especially maternal self-efficacy related to breastfeeding and weight gain. Evidence of benefit for the treatment of breast pain is weak. Overdiagnosis of ankyloglossia may lead to overtreatment of the condition, without high-quality evidence to support the benefits of this procedure.

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舌截骨术在母乳喂养婴儿：一个全面的回顾。

背景：在一些国家，强直性咬合的临床诊断及其通过舌截骨术（LF）的治疗管理有所增加。然而，系统综述（SRs）和专家意见在这一主题上显示出相互矛盾的结果。目的：综合现有的知识，对1岁以下婴儿LF的SRs与母乳喂养相关的结果进行批判性评估。设计：进行了总体审查。进行了检索（7个电子数据库，灰色文献）。包括1岁以下婴儿接受LF治疗与母乳喂养、乳头疼痛和/或体重增加相关的母亲自我效能的临床试验的SRs。对文章进行批判性分析（AMSTAR 2）。结果：我们确定了272项研究；包括15个sr。置信度分为极低（n = 14; 93.3%）和中等（n = 1; 6.7%）。14项特别报告有两个以上的关键方面，表明这些研究没有适当地进行。结论：LF对婴儿母乳喂养效果的影响尚不明确，尤其是与母乳喂养和体重增加有关的母亲自我效能感。对治疗乳房疼痛有益的证据很弱。过度诊断强直性咬合可能导致过度治疗，没有高质量的证据来支持这种手术的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.