I will be speaking to a group of orthodontists, some of whom refer to me. I know our position on rakes, cribs, etc. I looked in the literature and could not find any articles to tell me why orthodontists use these. Is it because they believe it is the best way to close the bite? Do they feel it is a more convenient and easy way to address open bites? Why do they opt for this? Is it based on research and training?
Orthodontists and other dentists who use such appliances might cite such studies as: Greg Huang and colleagues at the University of Washington; however, such studies do not report on the characteristics of patients being treated with appliances (such as the status of the airway) nor whether they have an anterior rest posture. They only focus on the thrusting, and show no data about whether the habit returns following the cessation of appliance use.
Orthodontists often focus on the thrusting action of the tongue, often never noting or recording if there is a forward rest posture of the tongue. When you are meeting with your referral sources, your primary message here is the importance of the rest posture and that thrusting itself does not move teeth, as was eloquently reported by Proffit and colleagues in many oral transducer studies. The references are all on the For Dentists and Physicians document on our website — as is the position statement on appliance use. Look under Position Papers, Guidelines, and Articles. Anytime you get stuck, just refer to that article and position statement — written by an orthodontist who has studied such issues and written more than anyone else. Disagreements and challenges are welcome, but only if they are ready to show the data rather than repeating long held beliefs that have no database.
What would be step one (tongue placement) in teaching this child the rotary chew, bolus collection, etc.? He also needs help with lips seal as well. What is step one in teaching chewing and what is appropriate?
I have been trying to attend one of your courses and hope to do so sometime before the end of this year. Until then, I have found a set of DVDs that I can purchase online that claims it will teach me to provide orofacial myology treatment. (They refer to it as myofunctional therapy). I wanted to get your take on whether I can get enough information from DVDs to actually provide orofacial myology to patients before I attend the formal course?
Hi Sandra, Can the Neon Exercise Elastics be sanitized in boiling water or do you typically have patients reuse them? I wonder this because my client had a canker sore recently and I just wondered if it would be best to use fresh ones each time or not so as to avoid germs reinfecting his […]
An orthdontist recommended a palatal expansion after myofunctional therapy for an 8 year old.. I explained that the palatal expansion should take place before myo and she felt that myo would go first and the tongue would widen the palate. You said the tongue would not widen that palate at 8 years of age. Can you help me to understand why the tongue is not going to widen it. Is it because of the patient’s age? Is there an age at which the tongue will naturally widen a narrow palate?
When working to increase time on tongue tip to spot, over what period of time do you increase increments? Obviously it varies case to case, but what’s an acceptable pace for the child not to “overwork.”
I have one frenectomy precious little guy, had it done early Oct. Ever since, he began wagging his tongue all over the place, (dancing in celebration of its freedom) or more like for a lack of just not knowing where his tongue should rest.
The parents don’t want to not listen to the orthodontist since he’s doing the treatment, but they can see that the retainer isn’t right either. The orthodontist feels it’s better than nothing since it will somewhat help to keep her tongue back as well as keep her teeth from moving forward more.
The purpose of using the 100% flattened cotton braiding during the Elevator Disk Exercise is to assure that the client is able to manipulate and collect the braiding in a coordinated fashion
Have you ever heard of a short frenulum being a stabilizing factor in relation to dysarthria? One pediatric SLP felt that if we did a frenectomy it could make her speech worse.