Aim: When ankyloglossia is relatively severe and generates mechanical limitations and functional challenges, surgical reduction of the frenum is indicated.

Materials and methods: Laser technique is an innovative, safe and effective therapy for frenectomy in both children and adolescents. Erbium:YAG laser (2940nm) can be useful for paediatric dentist: 1.5W at 20pps is a commonly used average power to easily, safely and quickly cut the frenum.

Results: Usually after laser frenectomy, the postoperative symptoms and relapse are absent.

Conclusion: Early intervention is advisable to reduce the onset of alterations correlated to the ankyloglossia. A multidisciplinary approach to the problem is advisable, in collaboration with orthodontist, physiotherapist and speech therapist, to better resolve the problem.

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G. Olivi, A. Signore, M. Olivi, M.D. Genovese

This article originally appeared in European Journal of Paediatric Dentistry