SIGN IN YOUR ACCOUNT TO HAVE ACCESS TO DIFFERENT FEATURES

FORGOT YOUR PASSWORD?

FORGOT YOUR DETAILS?

AAH, WAIT, I REMEMBER NOW!

Orofacial Myology

Helping Speech Pathologists and Dental Professionals with training, services and products.

954-461-1114
Email: info@orofacialmyology.info

Neo-Health Services, Inc.
Morrisville NC 27560

CALL US: 954 461 1114
  • LOGIN
  • HOME
  • Myo Info
  • Myo Training
  • Myo Products
  • Myo Therapists
  • Myo Videos
  • Qualification (QOM)
  • About Us
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Mackenzi Coker
    • Greta Vigil
  • MY CART
    No products in cart.

Habituation with Swallow and Lateral Open Bite

Wednesday, 21 April 2010 / Published in Dental Hygienist, Dentists, Parents, speech languge pathologist, Therapists

Habituation with Swallow and Lateral Open Bite

Hi, Sandra….Hope all is well with you!  So, this 14 year old that has done SO WELL with the program is currently in “follow-up” stage with me.  She has worked very hard and gone thru all of the stages and has been working diligently to incorporate reminders and associations and has been using and liking the autosuggestion.  My question is I am relying heavily right now on self reports, self charting, etc. for her generalization….how do I know when she has truly generalized and is “done”?  Well, I guess the word isn’t “generalize” because she is doing that – good swallows w/ different foods in different environments, and same with tongue on spot for rest……habituate may be a better word…..doing it all the time/enough?  (I’ve done a post assessment – no longer drooling at night, was “a lot” when we started; lips closed all day,even in silent reading, all objective measurements WNL (within normal limits), freeway space measurement normal, from a “7” to a “2” (tho, of course she knows I’m measuring), etc.  One thing: She does still have a lateral open bite (right side only) – I think it has closed some, but it is still open.  If that is to close on its own, w/o 2nd round of ortho, how long does that take (or what is reasonable?)

Regarding habituation:  I usually tell them the first or second session that I can offer them what they need and guide them.  I tell them that the first two phases can be accomplished by working hard on the exercises and activity assignments given to them.  “But,” I tell them, “making it a part of your every day life is up to you.  Neither your parent nor I can be responsible for that part.  We’ll support you all along the way, but making it a habit is your job.”  I encourage them to try to start the process early on, long before we actually focus on it in Phase 3 targets. Your measurements and clinical observations are pretty good indicators of success.  I also give them 3 months of the Grab Bag Activity right at or near the end of the regular treatment sessions. About the lateral open bite, this is one of those areas that some trainers and therapists are emphasizing, but should not be doing so.  For years, therapists showed photos of changes that “we” created.  In reality, they selected the particular ones that showed movement, or worse yet, they might have used photos of patients who had also had orthodontic intervention of one type or another that made the teeth “move.”  I never make any guesses or promises about whose teeth might “move” into a more desirable position.  The more I learn, the less I make any claims about orthodontics.  I just today took photos that I am sending to Dr. Bob Mason because I am not sure whether to initiate the orthodontics now or later with a child.  Has she previously had orthodontics or is she currently seeing an orthodontist?  Sorry to give more questions back, but she needs to see one and if he/she is a good practitioner, he might not have to do anything extreme now that you’ve helped the girl make the oral cavity easier for orthod. to work.

OK, FABulous……I actually did start that “lecture” process from the get go, and this girl’s mom is phenomenal at having fun with it (sending funny texts during the day….do you know where your tongue is? ,etc.) So, yes, she DOES know it is up to her.  Whew!  THANKS for taking the pressure off re:  the pictures and the teeth.  One thing I have noticed is that there are about 5 pictures that are used around the whole country!!! ha! Like they all have the same client!  Anyway…..yes she has had ortho, and he referred her to me when her teeth opened up after about a month after braces off and he and her dentist noted tongue thrust…..she is due back for follow up with him, but he told me he does want to wait to see if shifting back occurs or not (I was feelin’ the pressure!)  OK, I think I am actually in a good place (I get to sleep tonight!  yay!)

Tagged under: carryover, drooling, freeway space, good swallows, habituation, lateral open bite, teeth opened up, tongue thrust

What you can read next

What sequence for airway issues, incorrect resting postures of the tongue and open bite?
Repaired bilateral cleft lip has hypernasal speech
Can I replace the Elevator Disk exercise with a strip of shoestring licorice?

Search

Archives

  • January 2023
  • December 2022
  • November 2022
  • August 2022
  • July 2022
  • June 2022
  • May 2022
  • April 2022
  • March 2022
  • February 2022
  • January 2022
  • November 2021
  • October 2021
  • September 2021
  • August 2021
  • May 2021
  • September 2020
  • August 2020
  • July 2020
  • June 2020
  • May 2020
  • March 2020
  • February 2020
  • January 2020
  • December 2019
  • November 2019
  • October 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • March 2017
  • February 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016
  • May 2016
  • April 2016
  • March 2016
  • February 2016
  • December 2015
  • November 2015
  • October 2015
  • September 2015
  • August 2015
  • July 2015
  • June 2015
  • May 2015
  • April 2015
  • March 2015
  • February 2015
  • January 2015
  • December 2014
  • November 2014
  • October 2014
  • September 2014
  • August 2014
  • July 2014
  • June 2014
  • May 2014
  • April 2014
  • March 2014
  • February 2014
  • January 2014
  • December 2013
  • November 2013
  • October 2013
  • September 2013
  • May 2013
  • March 2013
  • February 2013
  • January 2013
  • December 2012
  • November 2012
  • October 2012
  • September 2012
  • August 2012
  • July 2012
  • June 2012
  • May 2012
  • April 2012
  • March 2012
  • February 2012
  • January 2012
  • December 2011
  • November 2011
  • October 2011
  • September 2011
  • August 2011
  • July 2011
  • June 2011
  • May 2011
  • April 2011
  • March 2011
  • February 2011
  • January 2011
  • December 2010
  • November 2010
  • October 2010
  • September 2010
  • August 2010
  • July 2010
  • June 2010
  • May 2010
  • April 2010
  • March 2010
  • February 2010
  • January 2010

Recent Posts

  • The McGurk Effect Game

    ...
  • orofacial-myology-jaw-deviation-and-speech

    jaw deviation and speech problems

    Does jaw deviation cause speech problems or vic...
  • orofacial-myology-overactive-mentalis

    overactive mentalis

    I’m trying to think of what exercises could hel...
  • HOME
  • Myo Info
  • Myo Training
  • Myo Products
  • Myo Therapists
  • Myo Videos
  • Qualification (QOM)
  • About Us
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Mackenzi Coker
    • Greta Vigil
  • GET SOCIAL
Orofacial Myology

© 2017 NEO-Health Services, Inc. All Rights Reserved.

TOP