case_images: PMC11788089_01
case_images: Preoperative clinical view showing high frenal attachment and midline diastema   3 millimeter (mm)
case_images: cureus-0017-00000076876-i01.jpg
case_images: PMC11788089_01_cureus-0017-00000076876-i01.jpg
case_images: FIG1
case_images: I molar relation. Intraoral clinical examination revealed a high labial frenum, 13.5 millimeters (mm) class II, inserted just above and between central incisors (Kotlow's classification of lip tie, 2013) (Figure 1), causing tension and restriction and a midline diastema of 2.5 mm (Figure 2).
case_images: Kotlow's classification of maxillary lip attachments
case_images: cureus-0017-00000076876-i02.jpg
case_images: PMC11788089_01_cureus-0017-00000076876-i02.jpg
case_images: FIG2
case_images: I molar relation. Intraoral clinical examination revealed a high labial frenum, 13.5 millimeters (mm) class II, inserted just above and between central incisors (Kotlow's classification of lip tie, 2013) (Figure 1), causing tension and restriction and a midline diastema of 2.5 mm (Figure 2).
case_images: Diamond shaped incision given with the diode laser
case_images: cureus-0017-00000076876-i03.jpg
case_images: PMC11788089_01_cureus-0017-00000076876-i03.jpg
case_images: FIG3
case_images: This allowed deeper incisions horizontally in a rhomboidal design (Figure 3).
case_images: Postoperative clinical follow up view at one week interval and at three months (diastema   1mm)
case_images: cureus-0017-00000076876-i04.jpg
case_images: PMC11788089_01_cureus-0017-00000076876-i04.jpg
case_images: FIG4
case_images: At three months follow-up, further closure of midline diastema to up to 1 mm can be observed after the eruption of maxillary lateral incisors (Figure 4).
case_images: PMC11788089_02
case_images: Preoperative clinical frontal view and lateral view showing restricted tongue attachment to floor of the oral cavity
case_images: cureus-0017-00000076876-i05.jpg
case_images: PMC11788089_02_cureus-0017-00000076876-i05.jpg
case_images: FIG5
case_images: Additionally, the patient exhibited signs of ankyloglossia (Coryllos grade II), characterized by an inability to place the tongue on the cingulum of the maxillary incisors and limited tongue protrusion (Figures 5, 6).
case_images: Coryllos's classification of lingual frenulum
case_images: cureus-0017-00000076876-i06.jpg
case_images: PMC11788089_02_cureus-0017-00000076876-i06.jpg
case_images: FIG6
case_images: Additionally, the patient exhibited signs of ankyloglossia (Coryllos grade II), characterized by an inability to place the tongue on the cingulum of the maxillary incisors and limited tongue protrusion (Figures 5, 6).
case_images: Postoperative clinical view immediately, at one week interval and after one month follow up visit
case_images: cureus-0017-00000076876-i07.jpg
case_images: PMC11788089_02_cureus-0017-00000076876-i07.jpg
case_images: FIG7
case_images: Subsequently, the patient was referred to a speech therapist for further speech correction (Figure 7).