I’m asking about whether or not to start therapy because of the difficulty habituating lips closed posture with incisors tipped lingually. I have not yet seen him, but based on former clients, habituation didn’t occur until the incisors were better aligned and the lip strain was eliminated. It sounds like you sometimes work with a student until they can pass exam #1 and then put them on a break until other factors are addressed (maturity, burn out, etc.) Do you find they maintain their exam #1 skills over this period?
If I’m understanding you correctly, you’re suggesting that I get him to the point of passing exam #1 (or to his maximum), then put him on treatment rest until he gets braces.
If the lips can’t close with ease or with very little effort because of the occlusion, then I would maximize
prof exam #1 and maybe see him on occasion to be certain all is maintained. Being that the full focus will be on the tongue at this point, you have a great opportunity to give him a few selected exercises and expect superb results. I’d probably try to see him twice weekly in this case or the following can occur:
He practices well the minimal exercises you give him…and he is ready to move on in a few days. Waiting a full week could be counter-productive; he’ll become bored and disillusioned…
- OR if he practices incorrectly, it’s embedded for an entire week into his little head and you can’t catch it early.
- Another possibility is that he misses a session and now he’s been two weeks practicing only one or two exercises..not good.
For the prof exam, I usually don’t tell the patient how many times to practice. I tell them that they have to demonstrate X number of times, usually 10, to me the next session and it must be perfectly executed. Then they actually practice MORE than if I decided some arbitrary number of times is suitable for a given person.
This is not so for other types of exercises, such as for the lips; in that case, I measure about once every two sessions and give exercises according to how their particular body responds to the number of exercises completed daily.
Hope this is helpful,
When I gave him an oral motor assessment he was unable to stick out his tongue and the sides of his tongue would “wing” outward. Recently, he was able to stick out his tongue without the wings when we returned back to school.
Well I shouldn’t have been surprised but I was not expecting him to say that he does not believe ankloglossia has much to do with speech or dental problems…
Do you think its a good idea to do your program with
her even if she is not a tongue thruster?
How do I incorporate speech and at what point ?
Is there much business successful with students who have a hygiene background that take this class and try to build their own practice?
Hi! I wondered if I could run a client by you who called me today. It was exciting since it was my first ‘real’ client! The mom shared with me that her son is 14 and going into freshman year. He has an open bite on the right side and a class III malocclusion. He […]
We look at several things here. First of all, look at where the frenum inserts into the floor of the mouth. Is it on or right below the lower alveolar ridge? Or is it fairly far back on the floor? Also, look where the frenum inserts into the tongue itself. Is it about midway or is it closer to the tip? Or is it far down at the base of the tongue?
I wanted to get your thoughts on whether lip incompetence in an adult (in their 30’s) that has an overjet and overbite can be remediated through lip stretching exercises. Is it worth it to try?
Bi lateral linea alba was present and also extended to the inside of her lower lip. She states that she rests her tongue on the mandibular teeth and she closes and bites her tongue – which eventually causes pain and she opens her mouth.
In adult patients with TT, do you find less pain in the post frenectomy rehabilitation phase when a period of pre habilitation is undertaken, in essence conditioning the musculature as much as possible?