Swallow Right manual

I just ordered the Swallow Right manual. Do you think it will help with this feeling that I have that I do not know how frequent and long to have the patients work each exercise?

I loved Roberta Pierce, may she rest in peace, the author of that program. It was and is still often used to target young children in schools, where parents are unavailable to participate. There are many people who also use it in the clinical setting with the parent there. I think it is good to read all the programs and ideas that are out there so you can incorporate it into what you already know.

For whatever programs you use, it may see “easier” to go a cookbook approach; but you pay a price later because you, as a specialist, might not grow by trying your own ideas out, and individualizing for each patient. I tell each patient that I am probing and learning all the time and I am not afraid to sit back and just think, right in front of them, trying to put things together in my mind so that I can come up with a good home assignment. It is still difficult for ME, so it SHOULD be difficult for you and others.

Must I wait until a palatal expander is taken out to begin therapy?

Posted by | Feb 15, 2015 | No Comments

I used to take kids who could suction flat with the expander, but there are too many other considerations.


RDH not too sure about charges

Posted by | Jan 30, 2015 | No Comments

I’m not too sure about charges. So far I’m thinking of working these cases without charging.


Can adult undergo expansion?

For adult expansion, longer periods of retention are needed to maintain the expansion.



at times her tongue was in and her lisp were together (which suggests to me that there are no nasal breathing issues). Her tonsils were not visible (small???). She seemed to easily be able to breathe through her nose. Parents report that she does snore a little. Her cheeks were pretty “puffy” looking, but she is a young child so it seemed like it could be just a baby face. On the inside of her mouth, her cheeks seemed really “thick”.


It is fair to start patients when I will be leaving in 3-6 months.

Posted by | Dec 15, 2014 | Tags:
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“Because you know Phase One, most especially proficiency exam #1, you can build a decent foundation for a patient and then, even if they move or you move, they have the most important basic skills.


When apraxia rules all… it explains many of the OM symptoms we see

Hi Sandra, So glad that you were able to meet with my patient. I have been perplexed about him. His OM issues seem to be compounded by his difficulty with nasal breathing (polyps), poor motor planning, and weak sensation around his lips and tongue. For sure…at the very least! My basic results from exam: 1. […]


8-year old girl with a pretty severe tongue thrust and speech errors on all the sibilants plus /r/.

I recommended a lingual frenectomy, which was done last week. She is coming back to therapy Wednesday, and I was wondering if there are specific exercises that should be done post-frenectomy to avoid scar tissue from forming.


Little girl who got her tonsils out unable to say “H”

Posted by | Oct 30, 2014 | Tags: ,
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A nice “flow” of conversation will help to embed that “h” sound within words and phrases rather than just saying it at the beginning.


Starting a new private practice and looking for a good oral mechanism exam checklist

I am starting a new private practice and I’m looking for a good oral mechanism exam checklist. Do you have one or know of a place that would have one? Thanks, S Hi S, Congratulations on starting up a practice.  Being that I have focused on orofacial myology for so many years, my eval is […]

ankyloglossia ASHA certified orofacial myologists decision to quit diastema Dr. Robert Mason drooling freeway space frenectomy habituation hyoid bone IAOM incisive papilla lack of expressive language lingual frenectomy lingual frenum lip licking habit lip strength lisp lower alveolar ridge malignant sleep apnea myofunctional therapy Myo Manual narrow palate open bite oral motor orofacial myofunctional disorders orofacial myology orofacial myology treatment palatal expander post frenectomy quick tongue tie assessment restricted lingual frenum sleep apnea speech language pathologist sucking habits suctioning thumb thumb sucking TMJ tongue exercises tongue thrust tongue tie tongue to spot unplugging the thumb