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The Effectiveness of Lingual Frenectomy and Myofunctional Therapy for Children: A Randomized Controlled Clinical Trial

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Purpose: To evaluate the effectiveness of lingual frenectomy, as a standalone treatment or in association with myofunctional therapy, on the general and functional aspects of six- to 12-year-old children with anomalies in the lingual frenulum.
Methods: This randomized controlled clinical trial involved 40 children diagnosed with altered lingual frenulum. Children who received a frenectomy were evaluated 15 and 30 days after the procedure. After 15 days, the children were randomized into two groups: a group that received isotonic tongue exercises (Study Group [SG]) and a group that did not receive isotonic tongue exercises (Control Group [CG]). The outcome evaluator was blinded to group assignment. Statistical tests were used to compare between and within groups (P <0.05).
Results: There were 20 children in each group. SG children improved significantly when compared to CG subjects regarding tongue mobility (P =0.016), maximum mouth opening (MMO; P =0.024), and MMO with the tip of the tongue touching the incisive papilla (P =0.026).
Conclusion: Frenectomy associated with myofunctional therapy benefitted tongue mobility.

Keywords: ANKYLOGLOSSIA; CLINICAL TRIAL; FRENECTOMY; LINGUAL FRENULUM; MYOFUNCTIONAL THERAPY; TONGUE-TIE

Document Type: Research Article

Affiliations: 1: Dr. Carminatti is a graduate student, Department of Pediatric Dentistry, the School of Dentistry 2: Dr. Nicoloso is an adjunct professor, CESUCA University Center, Cachoeirinha, Rio Grande do Sul, Brazil 3: Dr. Miranda is a graduate student, Department of Child and Adolescent Health, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre 4: Dr. Gomes is an associate professor, Department of Surgery and Orthopedics, the School of Dentistry 5: Dr. de Araujo is an associate professor, Department of Pediatric Dentistry, the School of Dentistry

Publication date: January 1, 2022

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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