Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion

Version 1 : Received: 27 October 2023 / Approved: 30 October 2023 / Online: 31 October 2023 (07:59:09 CET)

A peer-reviewed article of this Preprint also exists.

Dydyk, A.; Milona, M.; Janiszewska-Olszowska, J.; Wyganowska, M.; Grocholewicz, K. Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion. J. Clin. Med. 2023, 12, 7415. Dydyk, A.; Milona, M.; Janiszewska-Olszowska, J.; Wyganowska, M.; Grocholewicz, K. Influence of Shortened Tongue Frenulum on Tongue Mobility, Speech and Occlusion. J. Clin. Med. 2023, 12, 7415.

Abstract

(1) The incidence of ankyloglossia ranges from 0.02 to 10.7%. The literature describes the effect of ankyloglossia on selected dysfunctions of the stomatognathic system, however no studies could be found reporting the influence of ankyloglossia on the occurrence of several disorders in a group of subjects. The aim of the present study was to assess the effect of lingual frenulum on swallowing, speech, occlusion, and periodontal status; (2) Methods: The subjects were 172 patients, 86 with ankyloglossia (study group) and 86 with normal tongue frenulum (control group). In all subjects, the length of tongue frenulum, the type of swallowing, tongue mobility, occlusion, periodontal status and speech abnormalities were assessed; (3) Results: All subjects from the control group and all those with mild ankyloglossia showed normal tongue mobility. A limited tongue mobility was found in 29.4% subject with moderate and in 70.6% subjects with severe ankyloglossia. Rhotacism was observed in 21.3% subjects with normal frenulum, in 2.1% with mild, 38.3% with moderate, and 38.3% with severe ankyloglossia. Malocclusion or crowding was diagnosed in subjects with mild, moderate and severe ankyloglossia in 7.4%, 33.9% and 20.7% subjects (total 62%), respectively, whereas in the control group - in 21.6% subjects. No abnormalities in the periodontium in the area of the lingual surfaces of the crowns of the lower central incisors were found in any of the examined persons. Among patients with infantile type of swallowing 24.4% had a normal length of the tongue frenulum, 11.1% - mild, 28.9% - moderate, and 35.6 - severe ankyloglossia. Among patients presenting a mature type of swallowing 58.7% had a normal length of the frenulum; (4) Conclusions: 1.A shortened tongue frenulum correlates with “infantile swallowing pattern”. 2. Moderate or severe ankyloglossia significantly limits tongue mobility. 3. Short tongue frenulum is related to speech disorders.

Keywords

tongue frenulum; ankyloglossia; swallowing; tongue mobility; speech; occlusion

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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