Author Archive
I want to be professional for my first patient
I’ve just scheduled my first patient!! I am going to see him (9 yr old) next week the 23rd for the initial evaluation/assessment. He is quite developmentally delayed however Dr. William Hang, DDS, an orthodontist. recommended Myofunctional therapy for him.
Quick tongue tie assessment questions re norms, lateral scale
Are there average norms to use when you work with the ROM scale?
Could you tell me how to use the lateral scale?
Tongue sucking habit
The boy only sucks his tongue at night per mom. He had his adenoids out at 3 and sucked a pacifier until 2. He doesn’t suck anything besides his tongue now and does not use a sippy cup. He does have an open bite though. Do you have any experience with this or could you give me any pointers?
Tongue radiation hard to open mouth
A patients has been referred who has been treated with head and neck radiation for tonsil cancer. The reason for referral is limited ability to open following the treatment. He did not have surgery. He has severe dry mouth which is being addressed with xylitol gels and lozenges. Any suggestions for treatment exercises is greatly appreciated.
Should OFM disorder should be treated
Some orofacial disorders for some people should be ignored for a period of time or maybe forever.
RDH how to become an insurance provider
If the RDH is working with a DDS, there is a chance for dental insurance coverage. If working with an SLP, again there is a chance for coverage. The International Association of Orofacial Myology is currently trying to address that issue, having appointed a committee to get recognition of an orofacial myology code.
R therapy help needed
I have a client at the moment who is not making much progress. Independent movements of tongue are ok, however she can NOT maintain suction. She can click and cluck all day but can’t prolong that after many sessions trying.
Orthodontist asks how to use ROM for tongue tie assessment
I’d like to learn a little more about the Range of Motion measures you described in the newsletter. How do you relate MOWS and MOtts to MOmax? Is there a ratio you use to indicate limited opening? How do you instruct the “suction” position to the patient? Is your curved ROM ruler easier or better to use than a straight ruler?
Is there a minimum age to start therapy
Is there a minimum age you use when you decide to start therapy? The pictures and examples in the Myo Manual all show children who are about 7 years or older.
Palatal expander, low S position, cribs and rakes
I have a new referral who I recently saw who is about to embark on some orthodontic treatment (a palatal expander ). In addition to a tongue thrust swallow she also presents with an articulation component with an interdental pattern for alveolars and sibilants…
