<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-2890</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Estomatol Med Dent Cir Maxilofac]]></abbrev-journal-title>
<issn>1646-2890</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Estomatologia e Medicina Dentária]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-28902025000200078</article-id>
<article-id pub-id-type="doi">10.24873/j.rpemd.2025.04.1424</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effect of diode laser frenectomy on tongue anatomy and function - Clinical cases]]></article-title>
<article-title xml:lang="pt"><![CDATA[Efeito na anatomia e função da língua após frenectomia a laser díodo - Casos clínicos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Catarina Teixeira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Cristina Cardoso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira-Lopes]]></surname>
<given-names><![CDATA[Otília]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Fernando Pessoa Faculdade de Ciências da Saúde (FCS-UFP) ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Fernando Pessoa Instituto de Investigação Inovação e Desenvolvimento (FP-I3ID)]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>66</volume>
<numero>2</numero>
<fpage>78</fpage>
<lpage>84</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-28902025000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-28902025000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-28902025000200078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This article describes two clinical cases of pediatric patients aged 9 years who were diagnosed with alteration of the lingual frenulum and subsequently underwent diode laser frenectomy after multidisciplinary clinical evaluation. Post-surgical functional and phonetic changes were evaluated using the Marchesan Protocol for Lingual Frenulum Assessment and the Wong-Baker Pain Face Scale. The cases presented showed improvements in anatomical parameters and tongue motricity after frenectomy. However, analysis of phonetic changes revealed that immediate improvements were most evident in the less complex sounds, while more challenging phonetic changes (such as reservation, omission, and substitutions and phonemes) required further rehabilitation. This result reinforces that surgical intervention is only one component of the therapeutic process and must be complemented by an interdisciplinary approach that includes speech therapy adapted to the patient's specific needs to improve clinical and functional results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O presente artigo descreve dois casos clínicos de pacientes com 9 anos de idade, diagnosticados com alteração do freio lingual e subsequentemente submetidos a frenectomia a laser díodo após avaliação clínica multidisciplinar. Para avaliar as alterações funcionais e fonéticas pós-cirúrgicas foi utilizado o Protocolo de Marchesan para Avaliac&#807;a&#771;o do Freio Lingual juntamente com a Escala de Faces de Dor de Wong-Baker. Nos casos apresentados, verificaram-se melhorias nos parâmetros anatómicos e de motricidade lingual após a cirurgia. Contudo, a análise das alterações fonéticas demonstrou que as melhorias imediatas foram mais evidentes nos sons menos complexos, enquanto as alterações fonéticas mais desafiantes (como distorção, omissão e substituição e fonemas) exigem reabilitação adicional. Este resultado reforça que a intervenção cirúrgica é apenas um componente do processo terapêutico e deve ser complementada por uma abordagem interdisciplinar que inclua terapia da fala adaptada às necessidades específicas do paciente, para otimizar os resultados clínicos e funcionais.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Ankyloglossia]]></kwd>
<kwd lng="en"><![CDATA[Laser]]></kwd>
<kwd lng="en"><![CDATA[Lingual frenulum]]></kwd>
<kwd lng="en"><![CDATA[Speech]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="pt"><![CDATA[Anquiloglossia]]></kwd>
<kwd lng="pt"><![CDATA[Laser]]></kwd>
<kwd lng="pt"><![CDATA[Freio lingual]]></kwd>
<kwd lng="pt"><![CDATA[Fala]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia]]></kwd>
</kwd-group>
</article-meta>
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