The Effect of (Tongue-Tie: Ankyloglossia) on Dentition and Occlusion: A Review

This review discusses definitions, complications, etiologies, diagnoses, and management of ankyloglossia. Ankyloglossia is defined as a developmental anomaly of the tongue, which occurs when the lingual frenulum attachment is too tight to the tongue. Several protocols exist for the diagnosis of this condition, including that proposed by Hazelbaker, who assessed tongue movements (seven different movements) and five appearance characteristics (Hazelbaker Assessment Tool for Lingual Frenulum Function), as well as Kotlow's classification method, which categorizes the severity of ankyloglossia through the attachment of the lingual frenulum to the tongue. In addition, scenarios suggested for case management are related to the severity of the condition, which begin with a ``wait and see'' approach as a first-line treatment for management and subsequent surgical intervention scenarios.