{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T14:11:06Z","timestamp":1784815866537,"version":"3.55.0"},"reference-count":87,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The number of surgical interventions in infants to resolve ankyloglossia (tongue-tie) has been increasing. However, there seems to be no consensus on the criteria used to indicate frenotomy or frenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To identify the assessment tools and criteria used to support surgical decision-making in cases of ankyloglossia in infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A scoping review was conducted. Studies were retrieved from six electronic databases: PubMed, Embase, Central, LILACS, Scopus, and ProQuest. The articles were assessed in two stages: (1) title\/abstract screening and (2) full-text analysis. Clinical trials and observational studies involving infants less than 23\u2009months of age with tongue-tie and submitted to frenotomy or frenectomy were included. Data on the assessment tools and criteria used to diagnose ankyloglossia and indicate surgery were extracted from the studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 606 documents were identified and 53 were included. Surgical decision-making was based on assessment tools, such as the Coryllos classification (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200917), Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200912), Bristol Tongue Assessment Tool (BTAT;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093), and Lingual Frenulum Evaluation Protocol for Infants\/Tongue-Tie Test (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094). Other studies adopted a combination of clinical criteria and complaints related to breastfeeding.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings show that heterogeneity in the choice of assessment tool differences in cut-off points, and in the interpretation of anatomical, functional, and breastfeeding-related findings used to justify surgery. This underscores the need for standardized, evidence-based criteria to guide when frenotomy should be recommended in infants with ankyloglossia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261460203","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:35:52Z","timestamp":1784630152000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tools and Criteria Used to Indicate Frenotomy\/Frenectomy in Infants With Ankyloglossia: A Scoping Review"],"prefix":"10.1177","author":[{"given":"Mikaella Gomes","family":"Valadares","sequence":"first","affiliation":[{"name":"graduated in Dentistry (DDS), School of Dentistry, Federal University of Goi\u00e1s, Goi\u00e2nia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamilla Mahy Silva","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"graduated in Dentistry (DDS), School of Dentistry, Federal University of Goi\u00e1s, Goi\u00e2nia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabela Melo","family":"Martins","sequence":"additional","affiliation":[{"name":"Master in Dentistry (MSc), School of Dentistry, Federal University of Goi\u00e1s, Goi\u00e2nia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana Passos","family":"De Luca","sequence":"additional","affiliation":[{"name":"PhD in Dentistry, University of South Santa Catarina, Palho\u00e7a, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0528-1425","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Corr\u00eaa-Faria","sequence":"additional","affiliation":[{"name":"PhD in Dentistry, School of Dentistry, Federal University of Goi\u00e1s, Goi\u00e2nia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Akova F. 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