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舌系带切开术和肌功能疗法对儿童的有效性:一项随机对照临床试验。

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

机构信息

Dr. Carminatti is a graduate student, Department of Pediatric Dentistry, the School of Dentistry.

Dr. Nicoloso is an adjunct professor, CESUCA University Center, Cachoeirinha, Rio Grande do Sul, Brazil.

出版信息

J Dent Child (Chic). 2022 Jan 15;89(1):3-10.

PMID:35337393
Abstract

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.
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 ( <0.05).
There were 20 children in each group. SG children improved significantly when compared to CG subjects regarding tongue mobility ( =0.016), maximum mouth opening (MMO; =0.024), and MMO with the tip of the tongue touching the incisive papilla ( =0.026).
Frenectomy associated with myofunctional therapy benefitted tongue mobility.

摘要

评价舌系带切开术(作为单一治疗方法或与肌功能疗法联合使用)对伴有舌系带异常的 6-12 岁儿童的一般功能和特殊功能方面的影响。
本随机对照临床试验纳入了 40 例被诊断为舌系带异常的儿童。行舌系带切开术的患儿在术后 15 天和 30 天进行评估。术后 15 天,患儿被随机分为两组:接受等张舌运动训练的(研究组 [SG])和未接受等张舌运动训练的(对照组 [CG])。结果评估者对分组情况不知情。采用组间和组内比较的统计学检验( <0.05)。
每组各 20 例患儿。与 CG 组相比,SG 组的舌活动度( =0.016)、最大张口度(MMO; =0.024)和舌尖触及切牙乳头时的 MMO( =0.026)显著改善。
舌系带切开术联合肌功能疗法有益于舌活动度的改善。

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Effectiveness of orofacial myofunctional therapy in improving orofacial function and oral habits: a scoping review.口面部肌功能治疗对改善口面部功能和口腔习惯的有效性:一项范围综述。
Can J Dent Hyg. 2025 Feb 1;59(1):59-72. eCollection 2025 Feb.
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Beyond surgery: Pre- and post-operative care in children with ankyloglossia.
手术之外:舌系带过短儿童的术前和术后护理
Int J Paediatr Dent. 2025 Mar;35(2):318-338. doi: 10.1111/ipd.13235. Epub 2024 Jul 9.
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Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review.舌系带过紧的肌功能治疗疗效:系统评价。
Int J Environ Res Public Health. 2022 Sep 28;19(19):12347. doi: 10.3390/ijerph191912347.