Page 49 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Abstracts
Keywords: 16s rRNA gene sequencing, adjacent tooth, history of Introduction: Ankyloglossia, also known as tongue tie is a
periodontitis, implant, supragingival microbiota condition where the lingual frenum is shorter and tighter
than usual, resulting in restricted tongue movement and
P005 may further lead to issues with feeding and/or speech.
Objective: This is an audit looking into the referral
The Effects of Head and Neck Radiotherapy towards patterns of ankyloglossia cases that were referred to
Oral Mucosal Wetness and Development of Post- the Paediatric Dental Department, Kajang Hospital,
radiation Caries Selangor. Methodology: A retrospective analysis was

Chien Wen Ni, R. G. Dharmindra performed on dental records of patients referred to the
Department of Oral and Maxillofacial Surgery, Pantai Hospital Ayer Keroh, clinic with ankyloglossia from January to December 2023.
Malacca, Malaysia Data on presenting complaints, feeding and/or speech
Introduction: Radiotherapy is a treatment modality issues, referrer details as well as post-frenotomy issues/
largely used in head and neck cancer. However, ionising successes were captured. The degree of ankyloglossia
radiation that is used may result in several undesired (when possible) was assessed using the Bristol Tongue
reactions in the oral cavity. The clinical side effects of Assessment Tool (BTAT) and Tongue-tie and Breastfed
head and neck radiotherapy include hyposalivation, Babies (TABBY). Results: A total of 38 patients were
xerostomia, radiation caries, mucositis, taste loss and referred and a definitive diagnosis was made in 81.6% of
trismus. Objective: The objective of this study is to patients. The cases ranged from ≤ 6 months (81.6%), 6 to
examine the oral mucosal wetness and development of 11 months old (5.3%), 1 to 2 years old (7.9%) and ≥2 years
post-radiation caries in the oral cavity after completion (5.3%). BTAT and TABBY was used to grade the cases from
of head and neck radiotherapy. Methodology: Basic normal tongue (18.4%), mild (39.5%), moderate (26.3%)
method used: Retrospective case series review. The 26 and severe (15.8%). Most cases were incidental findings
continuous study subjects selected at Pantai Hospital (52.6%) and 38.6% cited difficulty in breastfeeding as
Ayer Keroh, Melaka, had completed head and neck reason for referral. The majority were direct referrals from
radiotherapy (year 2012 til year 2023) and attended at the Special Care Nursery (SCN) Kajang Hospital (34.2%)
least one follow-up appointment. Clinical photographs and Primary Health Clinics from the Hulu Langat district
were taken. Each subject was informed about the study (26.3%). Chairside or bedside frenotomy procedures were
protocol, and written consent for clinical photographs completed in 28.9% of cases with 100% improvement
was obtained. Study design: The Challacombe Scale of in breastfeeding reported post procedure. Conclusion:
Clinical Oral Dryness (King’s College London), DMFT Ankyloglossia is a common finding among infants and
Chart, DMFS160. Results: Clinical Oral Dryness Score children which may lead to functional disturbances.
(CODS). Overall, patients who underwent head and neck Surgical management of ankyloglossia is indicated
radiotherapy showed distinct dryness of the mouth. 73% when there is functional as well as marked anatomical
of the selected subjects (19 patients) experience severe disruption. From our study, the majority of referrals were
dryness of mouth, while the remaining 27% (6 patients) made by medical doctors. Parents who notice a tongue-
experience moderate dryness of mouth. Dentition. 46% tie are likely to first turn to their paediatrician or medical
of the selected subjects (12 patients) eventually developed doctor for advice. As paediatric dentists are trained to
radiation caries ranging from stage 1 to stage 4 and all diagnose and manage ankyloglossia, we work closely with
patients received a total radiation dose in the range of 60-70 our medical colleagues in treating these cases.
gray. Conclusion: Radiation treatment of head and neck Keywords: Kajang, paediatric dentistry, tongue tie
tumours commonly leads to a decrease in salivary flow
rate, thereby increasing the risk of developing radiation P007
caries, which affects the quality of life. Multidisciplinary
treatment, including medical team, dental surgeons, Association between Periodontal Disease and Its
nutritionists and psychologists, is recommended in order Risk Factors among Tawau Population: A 10-Year
to minimize or prevent the radiation-induced side effects. Retrospective Study

Keywords: Challacombe scale, head and neck radiotherapy, K. C. P. Neo , Valencia Dualis 2
1
radiation caries 1 Klinik Pergigian, Tawau, Sabah, Malaysia, Unit Pakar Periodontik, Klinik
2
Pergigian, Tawau, Sabah, Malaysia
P006 Introduction: Periodontal disease is a bacterial infection of
the supporting structures of the teeth which include gums
An Audit of Ankyloglossia Cases in the Paediatric and bone. Based on recent National Oral Health Survey
Dental Department, Kajang Hospital, Selangor for Adult 2020, over 94.5% of Malaysian adults are having
Lee Su Mun, S. Bavani Soovulamah, V. Thaarani unhealthy gums. Unhealthy gums could affect a person’s
Department of Paediatric Dental, Kajang Hospital, Kajang, Selangor, Malaysia quality of life, masticatory function, and cause tooth loss.

Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024 43