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Lingual frenulum protocol with scores for infants
Roberta Lopes de Castro Martinelli1, Irene Queiroz Marchesan, Giédre Berretin-Felix
1Faculty of Odontology, University of São Paulo-Bauru, Brazil. robertalcm@gmail.com
Summary
This study presents an effective lingual frenulum protocol for infants, aiding health professionals in diagnosing alterations and their impact on breastfeeding. The refined scoring system enhances infant frenulum assessment.
Area of Science:
- Pediatrics
- Speech-Language Pathology
- Orofacial Myology
Background:
- Infant feeding difficulties can stem from anatomical variations like tongue-tie (ankyloglossia).
- Accurate assessment of the lingual frenulum is crucial for timely intervention.
- Existing protocols may lack comprehensive scoring for infant lingual frenulum evaluation.
Purpose of the Study:
- To develop and validate an efficient and effective lingual frenulum protocol with a scoring system for infants.
- To provide a standardized tool for health professionals to assess lingual frenulum anatomy and function.
- To evaluate the protocol's efficacy in identifying lingual frenulum alterations affecting breastfeeding.
Main Methods:
- An initial experimental protocol was designed and tested on 10 infants.
- The protocol was refined based on data analysis and administered to 100 infants by a speech-language pathologist specializing in orofacial myology.
- Clinical history, anatomo-functional examination, and nutritive/non-nutritive sucking evaluations were recorded and photographed for expert review.
Main Results:
- A two-part protocol was successfully developed, incorporating clinical history and a detailed clinical examination.
- The protocol demonstrated effectiveness in assessing lingual frenulum alterations.
- Expert consensus was achieved through comparative evaluation of recordings and photographs.
Conclusions:
- The newly designed lingual frenulum protocol with scores is an effective tool for infant assessment.
- This protocol aids health professionals in diagnosing lingual frenulum abnormalities and their impact on breastfeeding.
- The scoring system offers a standardized approach to lingual frenulum evaluation in infants.
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