[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-468146-105":59,"doc-detail-468146-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","lingual-frenotomy-in-breastfeeding-infants-an-umbrella-review","Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review","","This umbrella review synthesizes existing systematic reviews on lingual frenotomy (LF) for ankyloglossia in breastfeeding infants up to 1 year. It evaluates outcomes tied to breastfeeding, including maternal self-efficacy and nipple pain, as well as infant weight gain. Searches across seven electronic databases and gray literature identified 272 studies, with 15 systematic reviews included and assessed using AMSTAR 2.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/lingual-frenotomy-in-breastfeeding-infants-an-umbrella-review/468146/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/lingual-frenotomy-in-breastfeeding-infants-an-umbrella-review/468146.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What question does the umbrella review address about lingual frenotomy?","Question",{"text":113,"@type":114},"It synthesizes and critically evaluates systematic reviews on LF in infants up to 1 year, focusing on breastfeeding-related outcomes such as maternal self-efficacy and nipple pain, plus infant weight gain.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How many systematic reviews were included, and what was the confidence level?",{"text":118,"@type":114},"Fifteen systematic reviews were included. Confidence was rated critically low for 14 (93.3%) and moderate for 1 (6.7%).",{"name":120,"@type":111,"acceptedAnswer":121},"What overall conclusion is drawn about the effectiveness of LF?",{"text":122,"@type":114},"Evidence on LF efficacy for breastfeeding outcomes remains inconclusive, with weak evidence of benefit for breast pain. Overdiagnosis of ankyloglossia may lead to overtreatment without high-quality supporting evidence.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},468146,1791119117,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","International Journal of Paediatric Dentistry  \nSYSTEMATIC REVIEW  OPEN ACCESS   \nLingual Frenotomy in Breastfeeding Infants: An Umbrella Review  \nBruno Valério da Silva1  | Amanda Vieira Barollo1  | Normanda da Nóbrega Lima Sá2  | Luciana Butini Oliveira2  | Luciana Faria Sanglard1   \n1Federal University of Espírito Santo, Vitória, Brazil | 2Faculdade São Leopoldo Mandic, Campinas, Brazil Correspondence: Luciana Faria Sanglard ([luciana.sanglard@ufes.br](luciana.sanglard@ufes.br); [lusanglard@gmail.com](lusanglard@gmail.com))  \nReceived: 11 November 2024 | Revised: 19 August 2025 | Accepted: 25 August 2025  \nFunding: The authors received no specific funding for this work.  \nKeywords: ankyloglossia | infant | lingual frenotomy  \nABSTRACT  \nBackground: Clinical diagnosis of ankyloglossia and its therapeutic management through lingual frenotomy (LF) have increased in several countries. However, systematic reviews (SRs) and experts opinions show conflicting results on this topic. Aim: To synthesize the available knowledge with a critical evaluation of SRs on LF in infants up to 1 year of age on breastfeedingrelated outcomes.  \nDesign: An umbrella review was carried out. Searches were conducted (seven electronic databases, gray literature) . SRs of clinical trials involving infants up to 1 year of age undergoing LF to treat maternal self-efficacy related to breastfeeding, nipple pain, and/or weight gain were included. The articles were critically analyzed (AMSTAR 2) .  \nResults: We identified 272 studies; 15 SRs were included. Confidence was classified as critically low (n = 14; 93.3%) and moderate (n = 1; 6.7%). Fourteen SRs had more than two critical aspects, indicating that the studies were not conducted properly. Conclusion: The evidence on the efficacy of LF in infants remains inconclusive in relation to breastfeeding outcomes, especially maternal self-efficacy related to breastfeeding and weight gain. Evidence of benefit for the treatment of breast pain is weak. Overdiagnosis of ankyloglossia may lead to overtreatment of the condition, without high-quality evidence to support the benefits of this procedure.  \n1 | Introduction  \nAnkyloglossia causes restricted tongue movement due to shortening, thickening, or tightening of the lingual frenulum [1, 2] . Breastfeeding, swallowing, and speech can be affected by functional problems caused by these alterations. However, the impact of this association is still unknown [1–3] .  \nData on the prevalence of ankyloglossia vary widely because many different diagnostic tools have been used: Coryllos: 20%; Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) associated with Coryllos: 18%; Kotlow: 9%; Bristol  \nTongue Assessment Tool (BTAT): 11%; Neonatal Tongue Screening Test: 9%; non-specific tools: 2%; or age range—breastfeeding infants: 7%; children: 1%; and adolescents: 2%  \n[1] . In the United States, between 1997 and 2013, diagnosis of ankyloglossia and completion of lingual frenotomy (LF) increased by 834% and 866%, respectively. The majority of patients were less than 1 year old (98.8%) . Frenotomy/frenulotomy is a simple cut or incision of the frenulum used to treat ankyloglossia [4] . This scenario has caused concern among medical and dental associations and demonstrates the need for a careful, multidisciplinary approach to diagnosis and treatment [5] .  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2025 The Author(s). International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.  \n90 International Journal of Paediatric Dentistry, 2026; 36:90–104  \n[https://doi.org/10.1111/ipd.70031](https://doi.org/10.1111/ipd.70031)  \nSummary  \n• Why this paper is important to pediatric dentists  \n○ This study provides a critical review of the evidence for the efficacy of LF on breastfeedi","cbCaieDY7S48qO9Y","https://ap.wps.com/l/cbCaieDY7S48qO9Y","pdf",1084670,15,"English","# Introduction\n# Materials and Methods\n## Research Question\n## Search Strategy and Study Selection\n## Quality Assessment\n# Results\n# Discussion\n# Conclusion","[{\"question\":\"What question does the umbrella review address about lingual frenotomy?\",\"answer\":\"It synthesizes and critically evaluates systematic reviews on LF in infants up to 1 year, focusing on breastfeeding-related outcomes such as maternal self-efficacy and nipple pain, plus infant weight gain.\"},{\"question\":\"How many systematic reviews were included, and what was the confidence level?\",\"answer\":\"Fifteen systematic reviews were included. Confidence was rated critically low for 14 (93.3%) and moderate for 1 (6.7%).\"},{\"question\":\"What overall conclusion is drawn about the effectiveness of LF?\",\"answer\":\"Evidence on LF efficacy for breastfeeding outcomes remains inconclusive, with weak evidence of benefit for breast pain. Overdiagnosis of ankyloglossia may lead to overtreatment without high-quality supporting evidence.\"}]","Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review | PDF",1790773812,38]