The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform
Richard Welbury - One of the best experts on this subject based on the ideXlab platform.
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Torn Labial Frenum in isolation not pathognomonic of physical abuse
Evidence-Based Dentistry, 2007Co-Authors: Richard WelburyAbstract:Data source Searches were made for studies using Applied Social Sciences Index and Abstracts, Caredata (the social work and social care knowledge base), Child Data (the National Children's Bureau Database), the Cumulative Index to Nursing and Allied Health, Embase, Medline, the System for Information on Grey Literature in Europe, the TRIP database ( www.tripdatabase.com ), Sciences Citation Index, and ISI Proceedings (covers conference papers in all scientific and technical fields). Authors were contacted where necessary. Study selection All studies of children 0–18 years with intra-oral injuries because of physical child abuse, and torn Labial frena of any aetiology, in live and fatal cases were included. Review articles, expert opinion or guidelines that did not include primary evidence, studies with mixed adult and child data where the children's data could not be extracted, studies that addressed complications or management of abusive injuries, intra-oral injuries because of sexual abuse, thermal injuries or dental neglect were excluded. Data extraction and synthesis Studies were reviewed by the Welsh Child Protection Systematic Review Group. Standardised data extraction and appraisal forms were used and a qualitative synthesis undertaken. Results Nineteen out of 154 studies reviewed were included, representing 591 children. There were no comparative studies of accidental and abusive torn Labial Frenum to enable a probability of abuse to be determined. Nine studies documented abusive torn Labial frena in 27 children, of whom 22 were younger than 5 years old and 24 had been fatally abused. Only a direct blow to the face was substantiated as a mechanism of injury. Two studies noted accidentally torn Labial frena, both from intubation. Abusive intra-oral injuries were widely distributed to the lips, gums, tongue and palate and included fractures, intrusion and extraction of the dentition, bites and contusions. Conclusions Current literature does not support the diagnosis of abuse based on a torn Labial Frenum in isolation. The intra-oral hard and soft tissue should be examined in all suspected abuse cases, and a dental opinion sought where abnormalities are found.ome of the traditional and normative predictors of successful outcomes.
Cássia Cilene Dezan-garbelini - One of the best experts on this subject based on the ideXlab platform.
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Identification of oral cavity abnormalities in pre-term and full-term newborns: a cross-sectional and comparative study.
European Archives of Paediatric Dentistry, 2019Co-Authors: I. Zen, M. Soares, R. Sakuma, L. T. Inagaki, L. M. C. P. Pinto, Cássia Cilene Dezan-garbeliniAbstract:Compare maxillary Labial Frenum and lingual Frenum topography, the ridges relationship and oral inclusion cysts occurrence between pre-term (PT) and full-term newborns (FT). This cross-sectional and comparative study was conducted through the evaluation of 74 PT and 100 FT. Data were collected from medical records: mother age, gestational age, gender, height, weight, and delivery type. The variables were verified by Chi-square test and Mann–Whitney U test, at 5% significance level. Bohn’s nodules and dental lamina cysts were more frequent in FT (P = 0.000). Epstein pearls occurrence was similar between FT and PT (P = 0.243). The lower alveolar ridge in distal position to the upper one was more prevalent in both groups. Abnormal upper Labial Frenum anatomy had been observed in 10.0% of FT. Upper Labial Frenum was attached in piriform papilla in 90.5% of PTG, whereas in FT, 61.0% were attached from crest of alveolar ridge to mucogingival line. PT oral cavity presented some peculiarities when compared with FT: maxillary Labial Frenum insertion in the Piriform papilla and palatal cysts more prevalent than alveolar cysts.
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Identification of oral cavity abnormalities in pre-term and full-term newborns: a cross-sectional and comparative study
European Archives of Paediatric Dentistry, 2019Co-Authors: M. Soares, R. Sakuma, L. T. Inagaki, L. M. C. P. Pinto, Cássia Cilene Dezan-garbeliniAbstract:Purpose Compare maxillary Labial Frenum and lingual Frenum topography, the ridges relationship and oral inclusion cysts occurrence between pre-term (PT) and full-term newborns (FT). Methods This cross-sectional and comparative study was conducted through the evaluation of 74 PT and 100 FT. Data were collected from medical records: mother age, gestational age, gender, height, weight, and delivery type. The variables were verified by Chi-square test and Mann–Whitney U test, at 5% significance level. Results Bohn’s nodules and dental lamina cysts were more frequent in FT ( P = 0.000). Epstein pearls occurrence was similar between FT and PT ( P = 0.243). The lower alveolar ridge in distal position to the upper one was more prevalent in both groups. Abnormal upper Labial Frenum anatomy had been observed in 10.0% of FT. Upper Labial Frenum was attached in piriform papilla in 90.5% of PTG, whereas in FT, 61.0% were attached from crest of alveolar ridge to mucogingival line. Conclusions PT oral cavity presented some peculiarities when compared with FT: maxillary Labial Frenum insertion in the Piriform papilla and palatal cysts more prevalent than alveolar cysts.
Adwait Kulkarni - One of the best experts on this subject based on the ideXlab platform.
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Acute Speech Impediment due to Abnormal Labial Frenum in a 5 Year Old Girl: A Case Report
Wolters Kluwer Medknow Publications, 2012Co-Authors: Prasad Jathar, Amey Panse, Deepak Metha, Adwait KulkarniAbstract:Healthy teeth & gingival tissues are important for esthetic appearance & good functional ability of a person′s face. Abnormal frenal attachment may lead to oro-facial problems. Abnormal lingual Frenum (tongue-tie) which is commonly seen is a known cause for speech & masticatory impairment. This case report discusses a rare case of abnormal Labial Frenum which affected speech and mastication of a young child
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Acute Speech Impediment due to Abnormal Labial Frenum in a 5 Year Old Girl: A Case Report
Journal of Dental and Allied Sciences, 2012Co-Authors: Prasad Jathar, Amey Panse, Deepak Metha, Adwait KulkarniAbstract:Healthy teeth & gingival tissues are important for esthetic appearance & good functional ability of a person's face. Abnormal frenal attachment may lead to oro-facial problems. Abnormal lingual Frenum (tongue-tie) which is commonly seen is a known cause for speech & masticatory impairment. This case report discusses a rare case of abnormal Labial Frenum which affected speech and mastication of a young child. 1 to provide stability to the upper lip. Abnormal Labial Frenum may lead to many problems such as dental decay on the upper front teeth, gaps (diastema) between the two teeth, orthodontic or periodontal problems later in the child's oral development, poor lip mobility or function, especially during smiling and speaking; certain sounds, like 's' cannot be 2 pronounced properly. In addition, a number of systemic conditions are associated with an abnormal Frenum. Two potentially fatal conditions associated with a hyperplastic Frenum are hypoplastic left heart syndrome and Ellis-Van 3-5 Creveld syndrome. In contrast, hypoplastic or absent frena may be manifestations of infantile hypertrophic pyloric 6,7 stenosis, and Saldino-Noonan syndrome (a fatal chondrodystrophy associated with multiple osseous and 8 visceral abnormalities). Benign associations include orodigitofacial dystosis-in which hypertrophied Labial, lingual, and lateral frenula produce clefts of the upper lip-and 9 various other oral mucosal abnormalities. However, hyperplastic frena are often isolated anomalies and may be familial. In this particular case child was having difficulty in mastication & speech. Case report Similar presence of thick Labial Frenum was not seen in either of the parent or the sibling or any of the close relatives. There was no history of increase in size of the Frenum. The patient had dull moderate pain. Pain was felt between the upper lip and anterior teeth (Labial mucosa) during eating, blowing and during pronunciation of certain letters like 'p', 'f", 's' etc. Patient had a discoloured left upper central incisor (history of trauma was present). Pulpectomy was done for the same around one year back. The tooth was asymptomatic. After routine blood investigations, which were normal; surgery was performed under local anesthesia (Fig. 3) using surgical blade no 11. The surgical procedure was done in which the Frenum was resected and the residual Labial soft tissues were closed primarily using non absorbable 3-0 black breaded silk sutures, whereas the wound on the Labial gingival was left open for secondary healing (Fig. 4). Post operatively the patient was prescribed a course of antibiotics and analgesics. After seven days the sutures were removed. Adequate wound healing was seen (Fig. 5). Follow up for the patient was done at 15th day, one month, three months and six months interval post surgery. Outcome of the surgery was satisfactory with remarkable improvement in speech and mastication.
Rishi Emmatty - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of variations in morphology and attachment of maxillary Labial Frenum in various skeletal patterns - A cross-sectional study.
Journal of Indian Society of Periodontology, 2018Co-Authors: Elayadath Rajagopalan Rajani, Palakunnu Padmaprabha Biswas, Rishi EmmattyAbstract:Background: Maxillary Labial Frenum is a dynamic structure with a diverse morphology. Although an abnormal Labial Frenum is associated with syndromic and nonsyndromic conditions, it is often been neglected during the routine intraoral examination. The significance of various types of Frenum (normal to abnormal), based on the attachment site and morphology in different skeletal patterns, has not been studied yet. Materials and Methods: A cross-sectional study was conducted in a clinical setting on 150 participants (50 each in Class I, Class II, and Class III skeletal pattern) within the age group of 13–30 years. Frenum was examined by direct visual method and intraoral photographs were taken for all the participants. Results: Chi-square and Fisher's exact tests were used. No gender-wise differences were found among the various Frenum typologies. Mucosal type was the most prevalent in Class I and II and gingival type in Class III. Simple Frenum was the common type in all the three groups. However, abnormal Frenum categories based on its location and morphology were more in class III and found to be statistically significant. Papillary and papillary penetrating types are significantly associated with skeletal class III pattern and midline diastema (P
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Prevalence of variations in morphology and attachment of maxillary Labial Frenum in various skeletal patterns - A cross-sectional study
Wolters Kluwer Medknow Publications, 2018Co-Authors: Elayadath Rajagopalan Rajani, Palakunnu Padmaprabha Biswas, Rishi EmmattyAbstract:Background: Maxillary Labial Frenum is a dynamic structure with a diverse morphology. Although an abnormal Labial Frenum is associated with syndromic and nonsyndromic conditions, it is often been neglected during the routine intraoral examination. The significance of various types of Frenum (normal to abnormal), based on the attachment site and morphology in different skeletal patterns, has not been studied yet. Materials and Methods: A cross-sectional study was conducted in a clinical setting on 150 participants (50 each in Class I, Class II, and Class III skeletal pattern) within the age group of 13–30 years. Frenum was examined by direct visual method and intraoral photographs were taken for all the participants. Results: Chi-square and Fisher's exact tests were used. No gender-wise differences were found among the various Frenum typologies. Mucosal type was the most prevalent in Class I and II and gingival type in Class III. Simple Frenum was the common type in all the three groups. However, abnormal Frenum categories based on its location and morphology were more in class III and found to be statistically significant. Papillary and papillary penetrating types are significantly associated with skeletal class III pattern and midline diastema (P < 0.05). Conclusion: The prevalence of papillary and papillary penetrating types of Frenum are significantly more in Class III skeletal pattern. A Labial Frenum that is attached close to the gingival margin could be an etiological factor in midline diastema, mucogingival problems, and affect the growth of the alveolar process. Hence, an early diagnosis of abnormal Frenum prevents the emergence of periodontal as well as orthodontic problems
M. Soares - One of the best experts on this subject based on the ideXlab platform.
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Identification of oral cavity abnormalities in pre-term and full-term newborns: a cross-sectional and comparative study.
European Archives of Paediatric Dentistry, 2019Co-Authors: I. Zen, M. Soares, R. Sakuma, L. T. Inagaki, L. M. C. P. Pinto, Cássia Cilene Dezan-garbeliniAbstract:Compare maxillary Labial Frenum and lingual Frenum topography, the ridges relationship and oral inclusion cysts occurrence between pre-term (PT) and full-term newborns (FT). This cross-sectional and comparative study was conducted through the evaluation of 74 PT and 100 FT. Data were collected from medical records: mother age, gestational age, gender, height, weight, and delivery type. The variables were verified by Chi-square test and Mann–Whitney U test, at 5% significance level. Bohn’s nodules and dental lamina cysts were more frequent in FT (P = 0.000). Epstein pearls occurrence was similar between FT and PT (P = 0.243). The lower alveolar ridge in distal position to the upper one was more prevalent in both groups. Abnormal upper Labial Frenum anatomy had been observed in 10.0% of FT. Upper Labial Frenum was attached in piriform papilla in 90.5% of PTG, whereas in FT, 61.0% were attached from crest of alveolar ridge to mucogingival line. PT oral cavity presented some peculiarities when compared with FT: maxillary Labial Frenum insertion in the Piriform papilla and palatal cysts more prevalent than alveolar cysts.
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Identification of oral cavity abnormalities in pre-term and full-term newborns: a cross-sectional and comparative study
European Archives of Paediatric Dentistry, 2019Co-Authors: M. Soares, R. Sakuma, L. T. Inagaki, L. M. C. P. Pinto, Cássia Cilene Dezan-garbeliniAbstract:Purpose Compare maxillary Labial Frenum and lingual Frenum topography, the ridges relationship and oral inclusion cysts occurrence between pre-term (PT) and full-term newborns (FT). Methods This cross-sectional and comparative study was conducted through the evaluation of 74 PT and 100 FT. Data were collected from medical records: mother age, gestational age, gender, height, weight, and delivery type. The variables were verified by Chi-square test and Mann–Whitney U test, at 5% significance level. Results Bohn’s nodules and dental lamina cysts were more frequent in FT ( P = 0.000). Epstein pearls occurrence was similar between FT and PT ( P = 0.243). The lower alveolar ridge in distal position to the upper one was more prevalent in both groups. Abnormal upper Labial Frenum anatomy had been observed in 10.0% of FT. Upper Labial Frenum was attached in piriform papilla in 90.5% of PTG, whereas in FT, 61.0% were attached from crest of alveolar ridge to mucogingival line. Conclusions PT oral cavity presented some peculiarities when compared with FT: maxillary Labial Frenum insertion in the Piriform papilla and palatal cysts more prevalent than alveolar cysts.
