Asian Journal of Dental Sciences

Background: An essential anatomical component that may affect gingival health, dental hygiene, and the development of dentition is the mandibular lingual frenum. Gingival recession and plaque retention may be predisposed by differences in frenal attachment. The incidence of mandibular lingual frenal attachment types in preschoolers, however, has not been well documented.

Aim: Using the Coryllos classification, ascertain the prevalence of mandibular lingual frenal attachment types in children under the age of six and assess how they relate to age and gender.

Materials and Methods: One hundred children with complete primary teeth, aged three to six years, participated in a cross-sectional study in a single institution. Clinical evaluation and Coryllos classification (Types 1–4) were used to classify mandibular lingual frenal attachment. In order to analyze the data, descriptive statistics were used. The Chi-square test was used to evaluate the relationship between demographic type, gender, and age group. P-values less than 0.05 were regarded as statistically significant.

Results: Of the 100 children who were assessed, 60% were females, while 40% were males. The commonest type of frenal attachment was Coryllos Type 3, accounting for 75%, while Type 2 was 14%, Type 4 was 10%, and Type 1 was 1%. There was no statistically significant relationship between gender (p = 0.54) and age (p = 0.12) groups and the type of frenal attachment.

Conclusion: The commonest type of mandibular lingual frenum was Coryllos Type 3. There was no relationship with age and gender. Early detection of variations is important for preventive pediatric dental care.