Clasificación
Warning signs
Procedures
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Speech therapy intervention
for users with lingual
frenulum disorders.
The lingual
frenulum is a fold
of tissue located
on the ventral
(lower) surface of
the tongue. It is
visible when the
apex is raised and
touches the
alveolar region of
the upper
incisors.
The lingual
frenulum is a fold
of tissue located
on the ventral
(lower) surface of
the tongue. It is
visible when the
apex is raised and
touches the
alveolar region of
the upper
incisors.
What is the lingual
frenulum?
It influences the
mobility and
function of the
tongue, which
directly impacts
the articulation
of speech
sounds: “t”, “d”,
“z”, “s”, “n”, “r”
and “l”.
It influences the
mobility and
function of the
tongue, which
directly impacts
the articulation
of speech
sounds: “t”, “d”,
“z”, “s”, “n”, “r”
and “l”.
An integral lingual
frenulum allows:
Condition in
which the
frenulum is
abnormally
short, restricting
tongue
movements. It
affects the
tongue's
elevation or
reaching the
palate and upper
teeth.
Ankyloglossia
Difficulty raising
the tongue Difficulty in projecting
the tongue
Tongue with a slit
Failure in the articulation
of alveolar phonemes
Early signs of ankyloglossia
before language development
include breastfeeding difficulties,
such as nipple pain when sucking.
Socially, the child may face
challenges in self-esteem and
interaction.
Type 1 above
Type 2 above
Type 3 later
Type 4 later
Speech therapy approach
The Diagnosis depends on the
position, size and function of the
sublingual frenulum. It is confirmed
by the Hazelbaker scale, which
evaluates the appearance and
functionality of the tongue in 7
items.
Following ankyloglossia surgery, it is
essential to continue with speech
and orofacial motor therapy to
rehabilitate the Stomatognathic
System, and correct the articulation
processes. In the postoperative
evaluation, you should use the
protocols again, ensuring a complete
functional recovery.
Speech therapy intervention Recommendations
According to author Zaghi et al., 2019
Awareness of oral posture and
tongue functions.
Strengthening and toning the
muscles of the tongue and
orofacial complex.
Rehabilitation of compensation
patterns that affect
postoperative recovery. Example,
improper postures.
Promoting nasal breathing.
Achieving ideal oral posture at
rest
Referencias
Bonilla, I. (2017). Manejo de anquiloglosia]. Servicio de pediatría.
Zambrana Toledo, N., & Brandão de Avila, C. R. (2021). Trastornos persistentes de los sonidos del habla en ninos con y sin alteraciones del lenguaje:características fonológicas y desempeno motor oral. LOGOPEDIA, FONIATRÍA y AUDIOLOGÍA.
Castro-Rodríguez, Y., & Grados-Pomarino, S. (2016). Relación entre frenillos labiales y periodonto en una población peruana. Elsevier.
Garcia , J. (s.f.). FRENILLO LINGUAL ALTERADO.
Inostroza-Allende, F., Caviedes Ulloa, C., González Jara, M., & Palomares-Aguilera, M. (2021). Intervención logopédica posoperatoria del frenillo lingual en niños, adolescentes y adultos. Revista de Investigación en Logopedia: EDICIONES
COMPLUTENSE.
Orte-González, E. M., Alba-Giménez, L., & Serrano-Alvar, B. (2017). La anquiloglosia y las dificultades que presenta en el amamantamiento. MATRONAS PROFESIÓN.
Viñals Iglesiasa , H., & Chimenos Küstnerb, E. (s.f.). Patología y seudopatología lingual.
Luisa Maria Cardoso Rodriguez
Seventh semester of speech therapy
Myofunctional evaluation and
intervention
Neiva
02/19/2025
