Frenectomia lingual em adultos pela técnica convencional: relato de 2 casos clínicos

Abstract

Ankyloglossia is a congenital oral anomaly that may be asymptomatic or cause movements restriction, difficulties for the patient in pronunciation of some phonemes, pain and discomfort in swallowing, periodontal problems and difficulties for babies in breastfeeding, since the suction is associated with adequate tongue mobility. The treatment of this condition can be surgical, when frenectomy is performed, or conservative, when treatment with a speech therapist is performed. This study aims to report two cases of lingual frenectomy in adult patients using the conventional technique. The first patient, a 30-year-old female, searched for treatment at UFC – Sobral campus, complaining of “tongue tied”. The second patient, a 20-year-old male, searched for treatment complaining tongue pain. Both patients reported swallowing and speech difficulties, in addition to having movement restrictions. After performing a clinical examination in these patients, the diagnosis of ankyloglossia was given, with subsequent lingual frenectomy in both cases, without further complications. After 7 days, the sutures were removed, and good healing and improved tongue movements were observed. The literature demonstrates that more studies need to be carried out to evaluate the complications of this surgery. Despite this, it is known that the intervention provides a good prognosis for the patient without major complications. Therefore, a good anamnesis and a good clinical examination can help the dentist in diagnosing this condition and choosing the correct approach.