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 that offer solutions to your orofacial myology concerns.

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)
  • MYO TEAM
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Karen Masters
    • Mackenzi Coker
    • Greta Vigil
  • MY CART
    No products in cart.

Considerations when diagnosing

by Administrator / Thursday, 23 June 2011 / Published in Dental Hygienist, Orofacial Myologist, Parents, SLP-A, speech languge pathologist, Therapists, Uncategorized

Sandra, I am an SLP in the Tampa Bay area.  I recently evaluated a 13 year old who cannot produce “r”.  He received therapy in elementary school.  I cannot make a definitive determination if the frenum is shortened.  I have seen children with ankyloglossia in the past and it was quite evident.  He seems to be on the borderline.  He can make the isolated tongue movements but cannot produce a good “r”.  I have not had a child experience this much difficulty isolating this sound. Are there any guidelines for measuring the length?  In  addition, a hypersensitive gag complicates matters. Any suggestions would be greatly appreciated. M.

Hi M, I’m glad you were able to find us and ask these important questions.  Determining tongue tie (ankyloglossia) when it isn’t the “obvious” type is somewhat tricky.  In fact, we teach it in detail during our 28 hour intensive courses and I also developed a short course to focus on tongue tie and sucking habits.  The reason I mention this is to let you know that there are a lot of considerations involved in the diagnosis. The length of the lingual frenum might or might not be important.  For example, visualize a very tiny frenum that is flexible, attaches to the lower part of the tongue and also to the floor of the mouth well behind the lower alveolar ridge.  This might not pose any problem whatsoever and allow for ample lingual excursions.   Then visualize a lingual frenum that is lengthy and flexible, but is attached too far anterior onto the tongue or is embedded into the tongue and is also attached onto the lower alveolar ridge.  This might pose problems even though it is much longer than the earlier one I described.  These are just two considerations.  When it comes to a tongue where the frenum is pulling on the tip or restricting lingual movements horizontally or vertically or laterally…that might need a frenectomy. In the case of a 13 year old young man who cannot produce an /r/, I would lean toward frenectomy even if it were a borderline case since the articulation problem has been impacting his life for a very long time.  I don’t know if you have seen my CEU online course with  (Northern Speech Services).  I wrote a course on /r/ production called   R: From Basics to Habituation.  Here’s a link in case you are interested: https://www.northernspeech.com/search/?search=holtzman It is my finding using my past examinations that a hyper-gag might be common with ankyloglossia.  I do not have formal research yet, but rather just my experience with patients.  There are incidences of gagging, choking, feeling like the food is clogging up the “throat,” etc. Please let me know if this helps or if you have further questions. 

Tagged under: cannot produce an /r/, frenectomy, hyper gag, length of the lingual frenum, lingual frenum, www.nss-nrs.com

What you can read next

Surgery vs Orthodontic + Orofacial Myology Treatment Background
Hi I am interested in purchasing your Myo Manual
Nine years old, forward tongue thrust

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Search

Archives

  • 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

  • orofacial-myology-thumb-sucking

    Thumb sucking and vacation  

    Q: Hi Sandra, I’m seeing a wonderful 9 year old...
  • orofacial-myology-new-rdh-office

    A private office for an RDH

    I am interested in speaking with others or find...
  • orofacial-myology-low-tone

    Low tone – Can myo help

    Q: I have an 8 year old kiddo with low tone and...
  • HOME
  • MYO INFO
  • MYO TRAINING
  • MYO PRODUCTS
  • MYO THERAPISTS
  • MYO VIDEOS
  • QUALIFICATION (QOM)
  • MYO TEAM
    • Sandra R. Holtzman
    • Becky Ellsworth
    • Karen Wuertz
    • Zohara Nguyen
    • Jamesa Treadwell
    • Carma Stump
    • Karen Masters
    • Mackenzi Coker
    • Greta Vigil
  • GET SOCIAL
Orofacial Myology

© 2017. Tecnify. All Rights reserved.

TOP