Avaliação do ganho de peso em pacientes de 0 a 6 meses idade que realizaram ou não a frenotomia lingual

Abstract

OBJECTIVE: the purpose of this study, conducted at the Dental Hospital of the Faculty of Dentistry of the Federal University of Uberlandia-MG/Brazil, was to evaluate the lingual frenulum of babies and its relationship with body weight gain with or without performing the lingual frenectomy. METHODS: this study included 31 infants, with mean age of 58 days (±45 days), with difficulties in breastfeeding, who were evaluated for ankyloglossia through the application of protocols by two calibrated examiners. The body weigh variable was evaluated according to the daily weight gain (grams/day) of infants who were exclusively breastfeeding (AME in Portuguese) and those who were breastfeeding but also receiving supplementing formula (AMC in Portuguese). This variable was calculated using the birth weight and the baby’s weight at the time of the first consultation and then, using the baby’s weight at the time of the first and the second consultation, by means of sequential weighing. RESULTS: the sample consisted of 19 (61.29%) male infants and 12 (38.31%) female infants. AME was predominant in females, with 10 babies (83.33%), and AMC was predominant in males, with 10 babies (52.63%). In this group of infants, there was a greater need to perform the frenectomy in 11 babies (57.89%). In assessing weight gain between birth weight and the first consultation and then between the first and the second consultation in patients who had or not the frenectomy, no statistically significant differences were found: w=0,7518 and w= 0,4768, respectively. Regarding the infants who had the frenectomy and the ones who did not undergo the same procedure, it was observed that their body weight gain was within the expected range, 38,30g (±15,78g) and 33,30g (±21,96g), respectively. Regarding the measures of the values of the weights collected at birth, in the first and second visits, a statistically significant difference was verified between all variables analyzed, with the weight of the second consultation always higher. CONCLUSION: in this study there was no weight gain difference between babies who had the frenectomy and those who did not undergo the same procedure.