{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T15:48:50Z","timestamp":1788536930624,"version":"build-2803163510"},"reference-count":34,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordination for the Advancement of Higher Education Personnel","doi-asserted-by":"publisher","award":["88887.494956\/2020-00"],"award-info":[{"award-number":["88887.494956\/2020-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of the study was to evaluate the release of the lingual frenulum through frenectomy in newborns zero to 90 days of age who breastfed and had diagnosis of ankyloglossia with an indication for surgery, comparing two methods: electrocautery and a high-power diode laser. Fifty-seven patients were randomly allocated to two groups (23 submitted to electrocautery and 34 submitted to a high power diode laser). Tongue movements were evaluated based on a clinical assessment and using the Bristol Tongue Assessment Tool (BTAT) before and 15 days after the surgical procedures. The visual analog scale was administered to the mothers on the same occasions for the measurement of pain during breastfeeding. Both groups had an increased BTAT score (favorable outcome) at the post-surgical evaluation, but the anterior third of the tongue was not always free to enable the movements necessary for lingual functions. It is fundamental for surgeons to have skill and in-depth knowledge of the equipment used to avoid accidents and complications in the region of important structures. Both techniques employed in this study were safe and effective, causing little bleeding and few postoperative complications. The group submitted to a high-power diode laser exhibited less post-surgical bleeding compared to the group submitted to electrocautery and no inflammation at the edges of the surgical cut.<\/jats:p>","DOI":"10.3390\/jcm11133783","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T01:38:48Z","timestamp":1656553128000},"page":"3783","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial"],"prefix":"10.3390","volume":"11","author":[{"given":"Adriana","family":"Mazzoni","sequence":"first","affiliation":[{"name":"Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4351-8048","authenticated-orcid":false,"given":"Ricardo Scarparo","family":"Navarro","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Bioengineering, Scientific and Technological Institute, Brazil University (UB), S\u00e3o Paulo 08230-030, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristianne Porta Santos","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Agnelli","family":"Mesquita-Ferrari","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3476-9064","authenticated-orcid":false,"given":"Anna Carolina Ratto Tempestini","family":"Horliana","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamiris","family":"Silva","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine Marc\u00edlio","family":"Santos","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Environment, Metropolitan University of Santos (UNIMES), Santos 11045-002, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6846-6574","authenticated-orcid":false,"given":"Ana Paula Taboada","family":"Sobral","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Environment, Metropolitan University of Santos (UNIMES), Santos 11045-002, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8634-743X","authenticated-orcid":false,"given":"Aldo Brugnera","family":"J\u00fanior","sequence":"additional","affiliation":[{"name":"National Institute of Science and Technology, INCT \u201cBasic Optics Applied to Life Sciences\u201d, UFSCar, USP, S\u00e3o Carlos 13565-905, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0321-9764","authenticated-orcid":false,"given":"Samir","family":"Nammour","sequence":"additional","affiliation":[{"name":"Laser Application in Dental Medicine, Department of Dental Sciences, Faculty of Medicine, University of Liege, 4000 Liege, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7774-4345","authenticated-orcid":false,"given":"Lara Jansinski","family":"Motta","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra Kalil","family":"Bussadori","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"},{"name":"Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), S\u00e3o Paulo 01525-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1590\/1678-775720130629","article-title":"Surgical techniques for the treatment of ankyloglossia in children: A case series","volume":"22","author":"Junqueira","year":"2014","journal-title":"J. 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