{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:19:30Z","timestamp":1773047970343,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess the impact of tongue\u2010tie (ankyloglossia) and lip\u2010tie release on functional outcomes in pediatric patients with cerebral palsy (CP) and explore the role of oral restrictions in hindering therapy progress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four female patients with CP, aged 10 months, 3 years, 6 years, and 7 years, underwent tongue\u2010tie release with concomitant lip\u2010tie and\/or buccal\u2010tie release. Pre\u2010 and postprocedure assessments focused on parental reports of quality of life improvements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All four patients demonstrated significant functional improvements following the release procedures. Reported improvements included better speech clarity, more effective swallowing, improved breathing, increased postural balance, reduced fascial tension, alleviation of gastrointestinal symptoms, and improved sleep patterns. These changes were observed consistently across all patients, suggesting a positive correlation between the release of oral restrictions and functional gains in children with CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Undiagnosed oral restrictions may impair mobility and development in children with CP. Addressing these restrictions may improve speech, swallowing, and other critical functions. Proper assessment of oral restrictions in children with CP or other comorbidities is essential to optimize therapeutic outcomes and enhance quality of life. This case series highlights the importance of considering oral restrictions in children with special healthcare needs and the ongoing need for further research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70046","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T06:14:14Z","timestamp":1746512054000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cerebral Palsy and Ankyloglossia: Improved Sleep, Speech, Swallowing, and Breathing After Tongue\u2010Tie Release: A Case Series"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7468-0040","authenticated-orcid":false,"given":"Richard","family":"Baxter","sequence":"first","affiliation":[{"name":"Alabama Tongue\u2010Tie Center  Pelham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6264-8973","authenticated-orcid":false,"given":"Robyn","family":"Merkel\u2010Walsh","sequence":"additional","affiliation":[{"name":"Diamond Myo  Ridgefield New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2020.01.01"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ymgme.2021.11.001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.21.06802-7"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2013.224"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14316"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/17518423.2012.747009"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2017.1290734"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894211026741"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/2622310"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-021-10329-w"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.47391\/JPMA.22-023"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1982-0216201820410918"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00604.x"},{"issue":"3","key":"e_1_2_9_15_1","first-page":"e1","article-title":"Tongue Restriction Questionnaire: A New Screening Tool to Identify Tongue\u2010Tied Patients","volume":"42","author":"Baxter R.","year":"2021","journal-title":"Compendium of Continuing Education in Dentistry"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-024-00938-y"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.14740\/ijcp295w"},{"key":"e_1_2_9_18_1","article-title":"Ankyloglossia: To Clip or Not to Clip? 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