Abstract

Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

Highlights

  • Childhood comprises the period from birth to the child’s six years of age[1]

  • The results showed a significant association between position of lips and tongue at rest (p

  • This study is not intended to determine prevalence, 19% of the sample was diagnosed with ankyloglossia, being within the range found in the literature, which indicates a variation in the prevalence of ankyloglossia between 4.8%(24) and 37%(25)

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Summary

Introduction

Childhood comprises the period from birth to the child’s six years of age[1]. These years are marked by intense development processes that will be the foundation for the establishment of the future competences and skills of the adult. The harmonic relationship of the orofacial components provides adequate performance of breathing, sucking, chewing, swallowing and speaking functions, in addition to the correct posture of the jaw, tongue and lips[7]. In the first six months, the predominantly nasal breathing pattern allows the organization of the oral posture with the proper support of the tongue on the palate and passive lip sealing, being essential for the myofunctional growth and balance[2]

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