{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:37:41Z","timestamp":1790811461789,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T00:00:00Z","timestamp":1526428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although there is a lack of strong evidence for the association between ankyloglossia in newborns and impaired breastfeeding, screening for ankyloglossia using the Neonatal Tongue Screening Test (NTST) is mandated by law in Brazilian maternities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the reliability and validity of the NTST.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>cohort study; baseline sample comprised 268 mother\u2010newborn dyads. At follow\u2010up, 169 mothers were contacted by telephone. Interviews with the mothers for data collection were performed up to 48 h and at 1\u20133 months after childbirth. Trained and calibrated personnel performed the oral examinations of the newborns. Thirty newborns were examined for inter\u2010reproducibility assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 268 newborns included, 212 had a lingual frenulum that could be visually inspected and their NTST scores ranged from zero to nine (mean = 2.0, \u00b12.0). Interexaminer reproducibility was acceptable (Intraclass correlation coefficient = 0.77). Internal consistency of the NTST was poor (Cronbach's alpha = 0.28). Construct validity was investigated through the association between NTST scores and difficulties in breastfeeding at baseline and follow\u2010up, and infants\u2019 weight gain at follow\u2010up (mean age 32 \u00b1 6.7 days). No statistically significant associations were found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>NTST is neither reliable nor valid for detecting ankyloglossia that may interfere with breastfeeding in newborns.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.12369","type":"journal-article","created":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T10:56:04Z","timestamp":1526468164000},"page":"380-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Is the Neonatal Tongue Screening Test a valid and reliable tool for detecting ankyloglossia in newborns?"],"prefix":"10.1111","volume":"28","author":[{"given":"Clarissa de Almeida","family":"Brand\u00e3o","sequence":"first","affiliation":[{"name":"Department of Community and Preventive Dentistry Faculty of Dentistry Rio de Janeiro State University \u2010 UERJ Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirian de Waele Souchois","family":"de Marsillac","sequence":"additional","affiliation":[{"name":"Department of Community and Preventive Dentistry Faculty of Dentistry Rio de Janeiro State University \u2010 UERJ Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Barja\u2010Fidalgo","sequence":"additional","affiliation":[{"name":"Department of Community and Preventive Dentistry Faculty of Dentistry Rio de Janeiro State University \u2010 UERJ Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0798-2479","authenticated-orcid":false,"given":"Branca Heloisa","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Community and Preventive Dentistry Faculty of Dentistry Rio de Janeiro State University \u2010 UERJ Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_2_9_3_1","first-page":"274","volume-title":"Baby Friendly Hospital Initiative: Revised, Updated and Expanded for Integral Care. 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