Tongue is a dynamic organ that influences breathing, speech, breastfeeding and swallowing, therefore playing a critical role in facial development. Changes in the lingual frenum may have special clinical significance, contributing to the disfunction of orofacial muscles, possibly causing speech and swallowing impediments, undergrowth of the maxillofacial skeleton, periodontal tissue maturation malfunctions and dental malocclusion, up to even predisposing to respiratory disorders during sleep.

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... fferentiation of anatomical variations in frenal changes and the potential impact of limitations of tongue mobility, from mild to moderate or severe, may be difficult. Various methods have been described for assessing the level of ankyloglossia. Diagnosis and surgical treatment registered an upward trend over the past decades, even in the absence of clear diagnostic criteria and specific treatment guidelines.