title: Interventions in the Alteration on Lingual Frenum: Systematic Review.
abstract: BACKGROUND
  Altered lingual frenum modifies the normal tongue mobility, which may influence the stomatognathic functions, resulting in anatomical, physiological and social damage to the subject. It is necessary that health professionals are aware of the process of evaluation, diagnostics and treatment used today, guiding their intervention.
  
  
  OBJECTIVE
  To perform a systematic review of what are the treatment methods used in cases of lingual frenum alteration.
  
  
  RESULTS
  The literature searches were conducted in MEDLINE, LILACS, SciELO, Cochrane and IBECS, delimited by language (Portuguese, English, Spanish), date of publication (January 2000 to January 2014) and studies performed in humans. The selection order used to verify the eligibility of the studies were related to: full text availability; review the abstract; text analysis; final selection. Of the total 443 publications, 26 remained for analysis. The surgical approach was used in all studies, regardless of the study population (infants, children and adults), with a range of tools and techniques employed; speech therapy was recommended in the post surgical in 4 studies. Only 4 studies, all with infants, showed scientific evidence.
  
  
  CONCLUSIONS
  Surgical intervention is effective for the remission of the limitations caused by the alteration on lingual frenum, but there is a deficit of studies with higher methodological quality. The benefits of speech therapy in the post surgical period are described from improvement in the language of mobility aspects and speech articulation.
authors.affiliation: Curso de Fonoaudiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Priscilla Poliseni
authors.initials: PP
authors.lastname: Miranda
authors.affiliation: Curso de Fonoaudiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Carolina Louise
authors.initials: CL
authors.lastname: Cardoso
authors.affiliation: Department of Surgery and Orthopedics, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: Erissandra
authors.initials: E
authors.lastname: Gomes
keywords: lingual frenum; operative; speech therapy; surgical procedures; therapeutics