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Sopra i 60% = frenulo normale

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CEFAC – SAÚDE E EDUCAÇÃO<br />

5 - Come essere sicuri che il <strong>frenulo</strong> linguale è alterato?<br />

Usare un protocollo di valutazione del <strong>frenulo</strong> linguale che possa valutare:<br />

la prassi e la localizzazione della lingua nella cavità orale; il tono della lingua e<br />

della muscolatura sopraioidea; le misure del <strong>frenulo</strong> linguale; il punto di<br />

inserzione, tanto sul pavimento della bocca come sulla faccia inferiore della<br />

lingua; classificare il <strong>frenulo</strong> linguale e il suo aspetto e valutare le alterazioni<br />

esistenti nel parlare<br />

Evaluation Protocol of the Tongue Frenulum<br />

Protocol elaborated by Irene Marchesan 2002<br />

Patient’s name: ___________________________________________________________<br />

Date of birth: ___________________ Age: _____________________________________<br />

Date of Exam: ____________________________________________________________<br />

I – Praxis<br />

Tongue<br />

Outside and inside<br />

Yes No Approximated<br />

Up<br />

touching the lip<br />

behind the teeth<br />

Down touching the lip<br />

To the lip commissural<br />

to the right<br />

to the left<br />

Inside the cheeks<br />

to the right<br />

to the left<br />

To click the tip at the papilla<br />

To vibrate the tip<br />

Suction<br />

When elevate the tongue does the floor of the mouth come together?<br />

When protruded does the tip become rectangular or squared?<br />

When protruded does the tip have a heart shape?<br />

II – Positioning of the tongue in resting<br />

Place Yes No<br />

At the floor of the mouth<br />

Between the teeth<br />

With the laterals showing up<br />

Do not see<br />

Tongue<br />

Floor of the mouth<br />

III – Tonus (clinical evaluation)<br />

Normal Decreased Increased<br />

IV – Measurements (taken with a slide caliper)<br />

Measure at the incisal edges of the upper and lower central incisors<br />

Measurements in Millimeters<br />

Maximum opening of the mouth<br />

Maximum opening of the mouth with the tongue in the papilla<br />

Relation between these measurements in percentage %<br />

IRENE MARCHESAN irene@cefac.br<br />

CEFAC - Rua Cayowaá, 664 São Paulo – SP Brasil CEP 05018-000<br />

Fone: 55-11-38680818 www.cefac.br<br />

5

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