Bruno Valério da Silva, Amanda Vieira Barollo, Normanda da Nóbrega Lima Sá, Luciana Butini Oliveira, Luciana Faria Sanglard
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The articles were critically analyzed (AMSTAR 2).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review.\",\"authors\":\"Bruno Valério da Silva, Amanda Vieira Barollo, Normanda da Nóbrega Lima Sá, Luciana Butini Oliveira, Luciana Faria Sanglard\",\"doi\":\"10.1111/ipd.70031\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>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.</p><p><strong>Design: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":14268,\"journal\":{\"name\":\"International journal of paediatric dentistry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of paediatric dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ipd.70031\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of paediatric dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ipd.70031","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review.
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.
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.
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