Pompéia Livia Eisler, Ilinsky Roberta Simoni, Ortolani Cristina Lúcia Feijó, Faltin Kurt
Universidade Paulista (UNIP), São Paulo, SP, Brasil.
Rev Paul Pediatr. 2017 Apr-Jun;35(2):216-221. doi: 10.1590/1984-0462/;2017;35;2;00016.
To critically examine the existing Brazilian and International scientific literature regarding the influence of short lingual frenulum over growth and development of the stomatognathic system, as well as how it impacts the achievement of the shape-function balance.
An electronic literature search was conducted in databases, including MEDLINE/PubMed, Google Scholar, LILACS, SciELO, and ScienceDirect, using the key words "lingual frenum" and "development", as well as their equivalents in Brazilian Portuguese. The literature search yielded 51 papers published between January 1997 and the present date; 14 articles of clinical trials were selected for meeting the inclusion criteria and were read in full.
The integrated literature review supported the proposition that some malocclusions are closely related to the presence of ankyloglossia and, although very few clinical trials on this topic have been published so far, there is a consensus among authors concerning the negative effects of functional imbalances over the stomatognathic system's proper growth and development. Half of the studies found state that surgical interventions for releasing the lingual frenum are both safe and effective, concerning improvement in breastfeeding scores. Moreover, 4 out of the 14 studies included in this integrated review, report a negative influence of ankyloglossia over the orofacial muscular system.
There is a consensus among the authors concerning the negative effects of lingual frenulum's anatomic and functional alterations over craniofacial growth and development. The opinion about the early surgical intervention, however, is not unanimous.
批判性地审视巴西和国际上现有的科学文献，探讨舌系带过短对口颌系统生长发育的影响，以及它如何影响形态 - 功能平衡的实现。
在多个数据库中进行电子文献检索，包括MEDLINE/PubMed、谷歌学术、LILACS、SciELO和ScienceDirect，使用关键词“舌系带”和“发育”，以及它们在巴西葡萄牙语中的等效词。文献检索共得到1997年1月至当前日期发表的51篇论文；筛选出14篇符合纳入标准的临床试验文章并进行全文阅读。
综合文献综述支持了一些错颌畸形与舌系带过短密切相关的观点，尽管到目前为止关于这个主题的临床试验发表得很少，但作者们对于功能失衡对口颌系统正常生长发育的负面影响已达成共识。一半的研究表明，松解舌系带的手术干预对于提高母乳喂养评分是安全有效的。此外，在这篇综合综述纳入的14项研究中，有4项报告了舌系带过短对面部肌肉系统的负面影响。
作者们对于舌系带的解剖和功能改变对颅面生长发育的负面影响已达成共识。然而，对于早期手术干预的观点并不一致。
