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SURGICAL TECHNIQUES USED IN LINGUAL FRENOTOMIES:
LITERATURE REVIEW
Anne Caroline Ribeiro Lacerda1
Cauã Jordhan da Silva Sá2
Fernanda Freitas de Sá3
Kádja Alves Freitas Cruz4
Letícia Gama de Oliveira Muniz5
Lívia Jordania Lino Figueredo6
Louise Karinelly da Silva Fonseca7
Malvina de Souza Pereira8
Abstract: Introduction: The study aims to highlight the indications, advantages, disadvantages, and
technological advances related to the procedure. Objective: This article reviews the main surgical
techniques used in lingual frenotomy to treat ankyloglossia, also known as “tongue-tie,” which affects
oral function and can cause difculties in breastfeeding and speech. Methodology: The research was
carried out by selecting relevant scientic articles, dissertations, and theses from the National Center
1 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
2 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
3 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
4 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
5 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
6 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
7 Undergraduate in Dentistry from the Sovereign Faculty of Health of Petrolina, 56308-000,
Petrolina – PE, Brazil.
8 Master in Pediatric Dentistry from São Leopoldo Mandic– 13045-755, Campinas – SP, Brazil.
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for Biotechnology Information (PubMed), Virtual Health Library (BVS), and Scientic Electronic
Library Online (SciELO) databases, in English, Spanish, and Portuguese. Studies published between
2012 and 2024 were included. Discussion: Ankyloglossia, or “tongue-tie,” results from the incomplete
formation of the lingual frenulum, affecting speech, breathing, and breastfeeding. Early diagnosis is
crucial, with the Tongue Test being mandatory in Brazil since 2014. Treatment can be conservative
or surgical, such as frenotomy, with laser standing out for its precision and rapid recovery. Imaging
technologies help in surgical planning, increasing the safety and efcacy of the procedure. The joint
action of speech therapists, pediatricians and dentists is essential. Results: The literature review
includes articles selected based on previously dened inclusion and exclusion criteria. Searches were
performed in the PubMed, BVS and SciELO databases, covering publications in English, Spanish
and Portuguese. Conclusion: We conclude that it is essential to understand the different techniques
and their implications, choosing the most appropriate method based on the patient’s needs. With the
continuous evolution of technologies, we understand that there are few studies in the literature and it
is expected that lingual frenotomy will become increasingly effective, improving the quality of life of
individuals with ankyloglossia.
Keywords: Oral surgery, Ankyloglossia, Lingual frenulum and Early childhood.
INTRODUCTION
Ankyloglossia, also known as “tongue tie,” occurs when a band of tissue that joins the tongue
to the oor of the mouth, the lingual frenulum, is shorter or thicker than normal standards. (Silva
et al, 2022) This condition can cause breastfeeding difculties, speech problems, and oral health
complications, and early diagnosis and appropriate intervention are essential. (Leite et al, 2024)
Several surgical techniques for performing lingual frenotomy have been developed and
improved in recent years with the aim of reducing risks, minimizing postoperative discomfort, and
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maximizing functional results. In contemporary times, there are two main strategies for the total or
partial excision of this brake. (Procopio, 2017)
The goal of frenectomy, a surgical intervention that aims to completely free the tongue, is to
completely remove the lingual frenum from children from one year of age. Frenotomy, on the other
hand, has become commonly used in neonates and infants up to one year of age because it consists of
the partial removal of the lingual frenum, with only one incision and detachment, without removing
the residual portion and, generally, without bleeding, since the frenulum in infants is usually thin and
quite avascular. (Almeida et al, 2024)
The procedure is safe and benecial for the patient when performed by a qualied specialist,
and can be performed through the use of scissors and electrocautery as the most commonly used
surgical techniques. (Junqueira, 2014)
The technology has been considered an alternative to conventional techniques, presenting
several advantages such as: shorter operative work time, cauterization and sterilization of tissues,
hemostasis, less need for local anesthesia and fewer postoperative complications (pain, swelling and
infection). In addition, the need for suturing is eliminated and an even depth at the surgical site is
maintained, reducing unnecessary damage to the tongue muscle. (Kara, 2008)
Since 2014, screening of neonates to identify ankyloglossia has been mandatory in all
maternity hospitals and hospitals in the country, due to law number 13.002/2014.Thus, it was found
that the prevalence of ankyloglossia in Brazil ranges from 0.88% to 16.0%. (Martinelli, 2013)
This article aims to review the main surgical techniques used in lingual frenotomy, highlighting
their indications, advantages, disadvantages and technological advances that have contributed to the
evolution of this procedure, aiming to provide a comprehensive and updated view of surgical practices
in the correction of ankyloglossia.
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METHODOLOGY
Regarding the systematization of this integrative literature review, the most relevant scientic
articles, dissertations, and theses on the subject were initially selected from the following databases:
National Center for Biotechnology Information, U.S. National Library of Medicine (Pubmed),
Virtual Health Library (VHL) and Scientic Electronic Library Online (Scielo), in English, Spanish
and Portuguese. For the inclusion criteria, studies from the period between 2012 and 2024 were used,
with some other studies established in the literature that were related to the theme guided. The
descriptors in Health Sciences (DeSC): “Oral Surgery”, “Ankyloglossia”, “Lingual Frenulum” and
“Early Childhood”. Monographs, articles not accessible online, articles outside the period presupposed
by the inclusion criterion, and indexed in other databases were excluded.
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Source: developed by the authors.
FINDINGS
For the literature review, 25 articles were selected according to the previously established
inclusion and exclusion criteria. The searches were carried out through the following databases:
National Center for Biotechnology Information, U.S. National Library of Medicine (Pubmed),
Virtual Health Library (VHL) and Scientic Electronic Library Online (Scielo), in English, Spanish
and Portuguese. Image 2 details the descriptions of each of these articles.
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Title Authors and year Goal Methodology/ Key ndings
TREATMENT OF
ANKYLOGLOSSIA:
LITERATURE REVIEW
| Ibero-American
Journal of Humanities,
Sciences and Education.
periodicorease.pro.br, 18
Oct. 2022.
Silva, E. L. A. da ., Silva, J.
R. B. da ., & Marechal, B. B.
. (2022)
The objective of this study is to present
a literature review on ankyloglossia,
its diagnosis and treatment.
The most common surgical techniques for removing
the lingual frenulum are frenotomy, frenectomy,
frenuloplasty, and laser surgery.
INDICATIONS
FOR LINGUAL
FRENECTOMY
SURGERY - A
LITERATURE REVIEW
INDICATIONS
FOR LINGUAL
FRENECTOMY
SURGERY - A
L I T E R A T U R E
REVIEW.
Letícia, C., Leite,
A., Monteiro, G., de
Albuquerque, T., Oliveira,
E., Matos Lima, S., de Lima
Silva, G., Cavalcanti, V.,
Santos, Antônio Evangelista
da Silva, L., Pedroza da
Canceição, M., Luiza, A.,
Girão, P., Silva de Assunção,
T., de Farias Barbosa, E., &
de Literatura, R. (2024).
To report a case of Lingual
Frenectomy as a treatment option for
ankyloglossia. Some studies indicate
a predilection for males.
If treated early, ankyloglossia will not imply early
weaning or speech alteration when related to tongue
tie. Among the frenectomy techniques currently
used, the conventional one performed with scissors or
scalpel blade, is still the most used, followed by the one
performed with an electric scalpel, and nally the laser
frenectomy technique, which, although very facilitating
and promising, still suffers a high degree of rejection by
professionals due to its high cost for acquisition and the
need for more thorough training.
Lingual frenotomy in
infants.
PROCOPIO, I. M. S.;
COSTA, V. P. P.; LIA, E. N.
(2017)
The objective of this study was to
review the literature on anomalous
lingual frenulum in infants, relating
diagnosis and treatment.
They have not identied a gold standard method for
diagnosing ankyloglossia in infants, although the
diagnosis is relatively simple.
Ankyloglossia in
pediatric patients.
MARIA DE ALMEIDA,
M.; CALAPEZ, P.
Literature review on the diagnostic
criteria and classications of
ankyloglossia, its impact on pediatric
patients and to evaluate the indication
for surgical or conservative treatment,
taking into account its efcacy,
ideal age of execution, risks and
complications.
The main focus is research on ankyloglossia in newborns
and children. The text addresses the prevalence,
diagnosis, and classications of the condition, in addition
to exploring its impacts on breastfeeding, speech,
chewing, and lingual motricity. In addition to evaluating
surgical treatments (frenotomy and frenectomy) and
conservative treatments.
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Surgical techniques
for the treatment of
ankyloglossia in children:
a case series. J Appl Oral
Sci.
Junqueira MA, Cunha NN,
Costa e Silva LL, Araújo
LB, Moretti AB, Couto
Filho CE, Sakai VT. (2014).
To describe a series of clinical cases of
ankyloglossia, which were addressed
by various techniques. In addition,
information on the indications,
contraindications, advantages and
disadvantages of the techniques was
presented.
This paper reports a series of clinical cases of
ankyloglossia in children, which were approached by
different techniques: frenotomy and frenectomy with
the use of hemostatic forceps, two hemostatic forceps, a
directing groove or laser. Information on the indications,
contraindications, advantages and disadvantages of the
techniques was also presented.
Evaluation of patient
perceptions of
frenectomy: a comparison
between the Nd:YAG
laser and conventional
techniques. Photomed
Laser Surg. 2008; 26
(2):147–152
Kara C. (2008). The aim of the randomized controlled
clinical trial described here was
to determine the anxiety levels of
patients before frenectomy using the
Nd:YAG laser and the conventional
technique, and to compare the effects
of these two methods on the degree of
postoperative pain, discomfort, and
functional complications (feeding and
speech).
To present a proposal for a protocol for the evaluation of
the frenulum of the tongue in infants with scores.
Protocol for infants:
relationship between
anatomic and functional
aspects. Rev. CEFAC.
2013; 15(3):599-610
Roberta Lopes de Castro
Martinelli, Irene Queiroz
Marchesan, Giédre Berretin-
Felix (2013)
To verify which characteristics of the
frenulum of the tongue inuence the
sucking and swallowing functions in
full-term babies, in order to propose
adjustments to the protocol proposed
by Martinelli et al (2012).
This is a cross-sectional study.
A total of 100 subjects participated, 44 females and 56
males, born in the only maternity hospital in a city in
the interior of São Paulo, between September 2011 and
April 2012.
Protocol for the evaluation
of the frenulum of the
tongue in infants.
MARTINELLI, R. L.
C.; MARCHESAN, I.
Q.; RODRIGUES, A. C.;
FELIX, G. B. (2012).
A review of the literature was
carried out, and then a PROTOCOL
FOR THE EVALUATION OF THE
FRENULUM OF THE TONGUE IN
INFANTS was prepared, approved
by the Research Ethics Committee
of the Bauru School of Dentistry of
the University of São Paulo, under
numbe r 113/2011.
It presents a proposal for a protocol for the evaluation of
the frenulum of the tongue in babies with scores.
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Tongue tie and frenotomy
in the breastfeeding
newborn. NeoReviews.
2010; 11(9):513-9.
Isabella Knox (2010) To make the reader identify
ankyloglossia, understand the
pathophysiological mechanisms of the
signs and symptoms and know how to
correctly refer a breastfeeding baby
for frenotomy
It presents the relationship between ankyloglossia in
infants and breastfeeding.
Validation of the tongue
frenulum assessment
protocol in infants.
Doctoral Thesis.
University of São Paulo,
São Paulo, 2016.
Roberta Lopes de Castro
Martinelli (2016)
This study aimed to validate the
protocol for the evaluation of the
frenulum of the tongue in babies.
The protocol was applied to 100 healthy babies, born
at term, at 30 days of life, exclusively breastfed. The
validation process consisted of the analysis carried out
by three examiners.
Position of lips and tongue
in rest in newborns
with and without
ankyloglossia. CoDAS.
2021
Campaign SMA, Martinelli
C RL, Palhares DB. (2021)
Check the resting position of lips and
tongue in newborns with and without
ankyloglossia.
This was a cross-sectional study conducted with 130
newborns at a University Hospital. In babies without
ankyloglossia they tend to keep their lips closed and
their tongue elevated at rest. Babies with ankyloglossia,
on the other hand, tend to keep their lips parted and their
tongue in a low position in the oral cavity.
Tongue tie can impair
breastfeeding and
breathing. Hospital Sírio
Libanês. 2016.
MARTINS, G. S. Q (2016). To characterize and compare speech
disorders related to lingual frenulum
alterations in schoolchildren, of the
8; 6 years old at 10; 11 years between
control and research groups.
A total of 52 school-age children (8; 6 years to 10;
11 years of age), of both genders, with and without
ankyloglossia. It is not possible to determine whether the
phonetic alterations are the same for the different lingual
frenulum alterations.
WANG et al., 2021
Lingual frenulum
and its relationship
with breastfeeding:
understanding of a health
team. Communication
Disorders. 2019 Mar 29;
31(1):77–86.
Karkow IK, Pankiw PM,
Godoi VC de, Costa CDC,
Fujinaga CI (2019)
To verify the understanding of
health professionals regarding the
relationship between the lingual
frenulum and breastfeeding.
This is a descriptive study, of a qualitative nature. Data
collection was carried out in one Hospital and two
Childcare Services. In view of the statements of the
participating professionals, it was observed that there is
no consensus on the understanding of the relationship
between breastfeeding and the lingual frenulum.
Ankyloglossia: case
report. RSBO. 2011;
8(1):102-7.
Melo NSFO, Lima AAS,
Fernandes A, Silva, RPGVC.
(2011)
To describe a case of ankyloglossia in
a 2-year-old female child.
The study highlights the importance of early diagnosis of
ankyloglossia, especially in infants, to prevent problems
related to breastfeeding and speech development.
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Frenotomy for tongue-
tie in newborn infants.
Cochrane database of
systematic reviews. [s.l.];
2017. p.1-35.
O’Shea J, Foster JP,
O’Donnell CPF, Breathnach
D, Jacobs SE, Todd DA et al.
(2017)
To determine whether frenotomy is
safe and effective in improving oral
feeding ability among infants less
than three months of age with tongue
tie.
The researchers did not report serious complications,
however, the total number of babies studied was small,
thus limiting the certainty of this nding.
Benets of frenotomy
in the treatment of
ankyloglossia: a clinical
case report. Rev Odontol
Integr Cent-West. 2022;
2(1):76 -81.
Silva JF, Santos MA, Souza
LS. (2022)
To analyze what are the main benets
of frenectomy surgery in the lives of
dental patients.
Frenectomy consists of the removal of an anatomical
structure of the oral cavity, called lingual and labial
frenulum, which can grow abnormally, causing several
obstacles in the patient’s life.
L I N G U A L
F R E N E C T O M Y :
CASE REPORT.
UNIFUNEC HEALTH
AND BIOLOGICAL
SCIENCES, v. 3, n. 5,
OLIVEIRA, D. A. M.
DE; SANCHES, I. P. R.;
ANTONIO, R. C. 2 dez.
(2019)
It presents a case report of
ankyloglossia with lingual frenectomy
treatment of a child patient.
It demonstrates how effective early diagnosis and
surgical treatment are in these cases.
COMPARATIVE
ANALYSIS BETWEEN
TWO SURGICAL
T E C H N I Q U E S
OF LINGUAL
FRENOTOMY
Christian de Prado, Rodrigo
Demétrio, Ana Carolina
A. Nuernberg, Gabriela da
Costa.
The study was necessary to dene
the safest surgical technique,
showing that there were fewer cases
of complications in children under 6
months of age with the pathology in
question.
An analytical experimental study of the randomized
clinical trial type was carried out in high-complexity
hospitals in the Extreme South of Santa Catarina in the
years 2018 and 2019, which included 48 infants under
the age of six months diagnosed with ankyloglossia and
fed orally, operated by resection with surgical scissors or
by resection with electrocautery, and followed up in the
immediate postoperative period, at one week and one
month after the procedure
Tonsillectomy in
adults: predictive
factors of postoperative
complications.
Peça, R., Correia, M., Rosa,
C., Correia-Rodrigues, P., &
Luís, L. (2024)
Analysis of surgical indications
and predictors of postoperative
complications of tonsillectomy in
adults.
Clinical les were consulted to obtain demographic and
clinical data and dened outcomes: post-tonsillectomy
hemorrhage; revision of hemostasis in the operating
room; resorting to the emergency service (ED) due to
lack of pain control.
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Safety of tonsillectomy in
adults: a population-level
analysis of 5968 patients.
Chen MM , Roman SA ,
Sosa JA , Judson BL. JAMA
Otolaryngol Head Neck
Surg (2014); 140(3):197–202.
To characterize the mortality,
complications and reoperation rate in
tonsillectomy in adults.
Outcomes of interest included mortality, complications,
and reoperations in the 30-day postoperative period.
Statistical analysis included χ 2 test, t-test, and
multivariate logistic regression.
Laser lingual frenotomy
in newborns with
ankyloglossia: a
prospective cohort study
Dell’Olio, F., Baldassare,
M.E., Russo,F.G.,
Schettini,F., Siciliani,R.A.,
Mezzapesa,P.P.,Tempesta,A.
Laforgia,N., Favia,G.,
Limongelli,L.
The authors conducted a prospective observational
cohort study. Newborns with ankyloglossia (classied
using the Coryllos and Hazelbaker criteria) with or
without difcult breastfeeding (according to the Infant
Breastfeeding Assessment Tool) underwent diode laser
frenotomy. The authors analyzed as main outcomes the
intensity of perioperative pain measured by the CRIES
scale, the occurrence of complications and quality of
healing, the quality of breastfeeding, postoperative
weight gain of the newborn, maternal nipple pain, and
the presence of lesions as secondary outcomes.
Ankyloglossia and
frenectomy: a literature
review
Azevedo,A.V., Marinho,J.L.,
Barreto,R.C.
The objective of this study is to present
a literature review on ankyloglossia,
its main characteristics and the main
surgical techniques indicated for
frenectomy or frenotomy.
The tongue is a muscle with important oral functions
and when it suffers congenital changes, a surgical
intervention is indicated along with the monitoring of a
speech therapist.
Sucking evaluation
by ultrasonography in
breastfeeding women: a
scoping review protocol
Melo,A.F.F.A.,
Martinelli,R.L.C.,Lima, A.
P. A. F., de Almeida,A.N.S.,
de Andrade, R.A., Da Silva,
H.J
To identify studies related to the
sonographic evaluation of sucking
function in infants.
The search strategy will be performed in the electronic
databases MEDLINE (via PubMed), EMBASE, Web of
Science and Scopus and the studies will be selected based
on the inclusion and exclusion criteria established by
two trained professionals, independently. The protocol
for the analysis of the articles will consider the year of
the study, study design, number of babies evaluated,
age, methodology for evaluating sucking, methodology
for acquiring sonographic images of sucking and
methodology for ultrasonographic analysis of suction.
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Lingual frenotomy in
newborns, from diagnosis
to surgery: case report
De Almeida, K.R., Leal,
T.P., Kubo, H., Castro,T.E.S
The objective of this study was to
describe a clinical case report of
diagnosis and frenotomy in a newborn
with breastfeeding difculties and
followed up for 6 months. Newborn,
vaginal delivery, 5 days of life without
health changes, presenting difculty
in breastfeeding
Improvement in the protocol scores was observed in the
immediate applications and after 24 hours. The newborn
was followed up for six months monthly, through data
collection on the vaccination card and questions directed
to the mother.
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DISCUSSION
The tongue is a specialized organ located in the oral cavity, which plays a crucial/essential
role in the functions of sucking, swallowing, chewing and speaking. (Martinelli, 2012). While the
lingual frenulum consists of a reduced membranous fold located on the oor of the oral cavity and is
formed through the process of apoptosis, around the seventh gestational week, in the ventral formation
phase of the tongue, where its anterior two-thirds are divided from the lingual oor. Therefore, when
this process is not completed during the embryonic stage, it can result in total or partial ankyloglossia,
also known as “tongue tie”, restricting tongue movements. (Knox et al, 2010)
The correct interrelationship of the lips, tongue and jaw is essential not only for speech,
but also for proper breathing, chewing and swallowing. The baby’s ideal breathing is considered
exclusively nasal, which occurs when there is lip sealing during sleep or at rest. When this sealing
does not happen, the tongue does not position itself on the palate to allow air to pass through, and the
jaw is not in the ideal position, resulting in mouth breathing. (Martinelli et al, 2021)
While for the motor function of language to occur properly, it is essential that there is an
anatomical and functional balance of the stomatognathic system, since speech is an action that can be
performed through this system, thus allowing the phonoarticulatory organs to perform the necessary
movements. Since the lingual frenulum is one of the fundamental factors for speech production,
then when there is an alteration in it, normal speech articulation can be impaired, causing changes in
diction. (Martin, 2016)
As for swallowing and sucking, especially in newborns, there is difculty in breastfeeding
due to the restriction of tongue movements, which can impair nutrition and even early weaning of
the newborn. Undoubtedly, breastfeeding reduces the risks of common childhood diseases, such as
allergies, infections, diabetes, obesity and cognitive development problems. (Karkow et al, 2019)
Therefore, it is crucial to emphasize the importance of an early diagnosis and that the
intervention should be carried out by qualied and skilled professionals, following the appropriate
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diagnostic protocols, in addition to following the treatments recommended by the literature. (Melo
et al, 2011) And, as a result of this need, on June 20, 2014, in Brazil, Law 13.002 was approved,
which establishes the obligation to perform the Tongue Test in all maternity hospitals, with the
objective of evaluating the lingual frenulum, thus preventing possible future consequences caused by
ankyloglossia. (O’Shea et al, 2017)
It is signicant to emphasize the importance of interdisciplinarity, with emphasis on the
partnership between Speech-Language Pathology and Audiology, Pediatrics and Dentistry. After the
diagnosis of ankyloglossia, there are two types of treatment: conservative and surgical. Generally,
these methods are combined to achieve better results, the strategies range from speech therapy
for the lengthening of the frenulum to surgical interventions, such as frenotomy with scissors or
electrocautery. (Oliveira et al, 2019) Performing frenotomy can contribute to improving breastfeeding,
tongue movement and maternal comfort.
Frenotomy can be performed with scissors or electrocautery, although generally safe, it may
present some complications, as identied in the literature. Among the most common complications
are infections and hemorrhages. Rare complications include lingual muscle injury, duct damage,
submandibular lesions, and frenulum regrowth, which may require new intervention. According to a
study conducted by Peça et al (2024), the rate of reoperation in the 30 days after surgery varies, being
3.2% in some studies for frenotomies in adults. (Chen, 2014) However, to date, there are no scientic
studies comparing the complications associated with the reported techniques.
The technological advances of lingual frenotomies have innovated the procedure, bringing
efciency and safety. One of the most signicant innovations is the use of laser, which makes it
possible to perform frenotomy in a minimally aggressive way. This technique reduces bleeding during
surgery and speeds up healing, resulting in less pain for the patient and a faster recovery (Dell’Olio et
al, 2022). In addition, the laser’s precision minimizes damage to adjacent tissues, increasing the safety
of the procedure (Azevedo et al, 2020)
Another important advance is the use of imaging technologies, such as ultrasonography and
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computed tomography, which offer a detailed visualization of the region before surgery. This allows
for a more accurate assessment of the patient’s condition and a more personalized approach during
the procedure. (Melo et al, 2023) These advances not only improve the quality of care, but also ensure
comfort and safety for patients undergoing these interventions.
FINAL CONSIDERATIONS
Lingual frenotomy is a crucial surgery to correct ankyloglossia, which can affect patients’
oral function and quality of life. While classical frenotomy remains widely used, newer methods such
as electrocautery frenotomy offer benets including less bleeding and faster recovery.
Technological advances have boosted surgical practice, with minimally invasive techniques
and modern equipment that provide more effective and personalized care. These developments not
only improve clinical outcomes but also make the patient experience more comfortable.
Thus, it is essential to understand the different techniques and their implications, choosing the
most appropriate method based on the patient’s needs. With the continuous evolution of technologies,
there are still few studies in the literature and it is expected that lingual frenotomy will become
increasingly effective, improving the quality of life of individuals with ankyloglossia.
REFERENCES
TRATAMENTO DA ANQUILOGLOSSIA: REVISÃO DE LITERATURA | Revista Ibero-
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Letícia, C., Leite, A., Monteiro, G., De Albuquerque, T., Oliveira, E., Matos Lima, S., De Lima Silva,
G., Cavalcanti, V., Santos, Antônio Evangelista Da Silva, L., Pedroza Da Canceição, M., Luiza, A.,
Girão, P., Silva De Assunção, T., De Farias Barbosa, E., & De Literatura, R. (2024). INDICAÇÕES DA
CIRURGIA DE FRENECTOMIA LINGUAL -UMA REVISÃO DE LITERATURA INDICAÇÕES
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Brazilian Journal of Implantology and Health Sciences, 6(1), 695–712. https://doi.org/10.36557/2674-
8169.2023v6n1p695-712.
PROCOPIO, I. M. S.; COSTA, V. P. P.; LIA, E. N. Frenotomia lingual em lactentes. Revista da
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