A Prospective Randomized Control Trial of Lingual Frenuloplasty with Myofunctional Therapy in Patients with Maxillofacial Deformity in a Polish Cohort
Abstract
:1. Introduction
Global Analysis
2. Materials and Methods
2.1. Statistical Methodology
2.2. Diagnostic Process
2.3. Myofunctional Preparation Protocol before Frenuloplasty
- Touching the alveolar ridge with the tip of the tongue, close to the incisive papilla, and moving the tongue downwards to the gum ridge without extra jaw movements (to train jaw grading and dissociation).
- Touching four spots (the cross) on the lower and upper lips with the mouth slightly open: the middle of the upper lip, the corner of the right lip, the middle of the lower lip and the left corner, finishing with lingual palatal suction if it was possible at this time (to enhance jaw dissociation and the patients’ proprioception).
- Producing clicking tongue sounds (to enhance the ability to perform lingual palatal suction).
- The cross with the mouth widely open (to stabilise the tongue from jaw dissociation).
- The brush painting movement: the tip of the tongue moves from the front of the upper alveolar ridge to the back with one plane movement without the jaw closing, coming back and protruding the tongue between open jaws. Then, patients were asked to flex the tip of the tongue and place the tongue on the alveolar ridge (to enhance a more proprioceptive outcome).
- Lingual palatal suction starts at 15 s and lasts up to 120 s, with the jaws wide open and with delicate nasal breathing (this was extremely important for the surgical procedure itself).
2.4. The Frenuloplasty Procedure
2.5. The Aftercare Protocol
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Inclusion Criteria | Exclusion Criteria |
---|---|
Tongue-tied according to TRMR classification | Previous frenotomy or frenuloplasty |
Any incorrect stomatognathic function | Previous myofunctional therapy |
Class II and III malocclusions | Lack of Class II and III maloclussion |
Age 7 to 50 years old | Age below seven years old |
Type of surgical treatment: frenuloplasty | Lack of stomatognathic function disruption |
Consent for Speech and myofunctional therapy | Surgical treatment of cleft or malocclusion |
No previous surgical treatment of the lingual frenulum | Genetic syndromes |
Generally healthy |
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Lichnowska, A.; Gnatek, A.; Tyszkiewicz, S.; Kozakiewicz, M.; Zaghi, S. A Prospective Randomized Control Trial of Lingual Frenuloplasty with Myofunctional Therapy in Patients with Maxillofacial Deformity in a Polish Cohort. J. Clin. Med. 2024, 13, 5354. https://doi.org/10.3390/jcm13185354
Lichnowska A, Gnatek A, Tyszkiewicz S, Kozakiewicz M, Zaghi S. A Prospective Randomized Control Trial of Lingual Frenuloplasty with Myofunctional Therapy in Patients with Maxillofacial Deformity in a Polish Cohort. Journal of Clinical Medicine. 2024; 13(18):5354. https://doi.org/10.3390/jcm13185354
Chicago/Turabian StyleLichnowska, Anna, Adrian Gnatek, Szymon Tyszkiewicz, Marcin Kozakiewicz, and Soroush Zaghi. 2024. "A Prospective Randomized Control Trial of Lingual Frenuloplasty with Myofunctional Therapy in Patients with Maxillofacial Deformity in a Polish Cohort" Journal of Clinical Medicine 13, no. 18: 5354. https://doi.org/10.3390/jcm13185354