LINGUAL FRENULUM
WOUND HEALING ASSESSMENT SCALE
Authors: Soroush Zaghi, Leyli Norouz-Knutsen, Chad Knutsen, Lesley Kupiec, Loria Nahatis, Richard Baxter
1-3 mm 3-5 mm >5 mm
THIN (SCORE: 2) MILD/MODERATE (SCORE: 1) THICK (SCORE: 0)
Represents minimal tissue disruption, closely resembling Indicates moderate tissue involvement, warranting closer Indicating a larger wound size with extensive tissue involvement.
normal healing patterns. observation. suggesting a moderate-sized wound. This thickness suggests a potential for complicated healing processes.
WELL INTEGRATED / MATCHING INTEGRATING / MILD TO MODERATE DISTINCT COLOR DISCREPANCY
Not noticeable / slight color discrepancy between the wound Mild to moderate color discrepancy with some signs of Wound appears distinctly white or discolored, contrasts
and surrounding tissue, signifying excellent tissue integration. visible integration. sharply with surrounding tissue
SMOOTH / WELL INTEGRATED SLIGHTLY RAISED NOTICEABLY ROUGH / IRREGULAR
Texture is flat and smooth, closely, seamlessly Slightly Raised / Irregular, but beginning to blend Noticeably raised, rough, with irregular contours,
resembling surrounding tissue. with adjacent tissue. noticeably different from the surrounding tissue
WOUND TIGHTNESS + CONTRACTION
TRMR-TIP*
FLEXIBLE / GOOD MILD TO MODERATE TENSION TIGHT / CONTRACTED
The wound is smooth and flexible, similar to adjacent Mild to moderate tension observed, indicating ongoing Palpable tension, thicker scar tissue present, tissue feels and
tissue, indicating a relaxed and well-healed tissue. healing but reduced flexibility.with some wound constriction. appears tight, significantly less flexible than surrounding tissue.
NORMAL MOBILITY RESTRICTED
MOBILITY
Functional tonque mobility Tonque mobility is restricted
without signiticant limitations or significantly without assessing
compensation. for compensations
(Grade 1-2 TRMR) (Grade 3/4 TRMR)
COMPENSATED MOBILITY
Limited tongue mobility in the presence of functional compensations and adaptations
(Grade 3 compensating to Grade 2 TRMR or with + FOM Hold / DDT)
0-2 Severely Impaired Healing: Indicates critical concerns in almost all aspects of wound healing.
3-4 Significantly Impaired Healing: Shows significant issues in multiple aspects of wound healing.
5-6 Moderately Impaired Healing: Suggests moderate healing challenges.
7-8 Good Healing Progress: Indicates generally good healing with some minor issues.
9-10 Excellent Healing: Reflects optimal wound healing across all categories. Indicates effective treatment and recovery.
