SynthesisInternational journal of paediatric dentistry2026
Lingual Frenotomy in Breastfeeding Infants: An Umbrella Review.
Synthesis in International journal of paediatric dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Lingual frenotomy for breastfeeding difficulties: indications, surgical techniques and multidisciplinary care in infants and young children.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Review
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Authors and funding
5 authors.
Funding
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Abstract
backgroundClinical 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.
aimTo synthesize the available knowledge with a critical evaluation of SRs on LF in infants up to 1 year of age on breastfeeding-related outcomes.
designAn 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).
resultsWe 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.
conclusionThe 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.
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