Adult with complex issues
Tuesday, 01 September 2020
J: I’m writing with a question regarding a 22-year-old client whom I just recently evaluated; her mother sent her to me with concerns about a frontal lisp due to a “tongue thrust.” According to mom, the young woman had had a “tongue thrust” and frontal lisp that went away around age 7 when her tonsils
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Speech therapy before or after frenectomy
Wednesday, 19 August 2020
Hi I have a client (new to me) who just came back to in-clinic therapy (from teletherapy). He does have a tongue tie, and it’s affecting his /r/, s/ and,/l/ sounds significantly. The problem is this…they are moving the first week of July. Should I write a recommendation letter for surgery now and attempt to
Orofacial Myology Exercises: When to stop practice for proficiency exam?
Thursday, 30 July 2020
Orofacial Myology Exercises: When to stop practice for proficiency exam? Q: If a client completes Exam #1, do they stop practicing it and just focus on the new exercises or do you have them continue working on them? They always ask me if they should stop. I say, the more practice , the better! A:
How to help nail biters?
Wednesday, 15 July 2020
Q: Hi, regarding nail biters….. I’ve had my clients try fidget for your digit but is there anything else? I need a program that works. I don’t remember much discussion about nail biters in our course or I wasn’t paying close enough attention. A: We never have enough time to cover Growing the Nails as
Are the 3 way mouth props washable?
Tuesday, 30 June 2020
Q: Are the 3 way mouth props washable? I see the 2 way ones are. Thank you A: Thank you for asking this question. This particular question never arose with regard to the 3Way Mouth Props. They are probably sterilizable, can be boiled, etc. I would only consider doing so if they are used for
Should I take a Buteyko breathing class?
Wednesday, 11 March 2020
Should I take a Buteyko breathing class? Local dentists have been sending me myo clients and now they have asked me to take a course on breathing. As a Qualified Orofacial Myologist, I am already having success with my clients working with nose breathing versus mouth breathing. Do you know of any other breathing courses
Nervous setting up a new myofunctional therapy office
Sunday, 16 February 2020
Hi there, how are you and the team? I am excited and nervous at the same time about setting up a new myofunctional therapy office. I am having some questions about where to begin now that I have completed the course and am home with referral sources ready to start sending some people my way.
A class II case
Thursday, 30 January 2020
Q: I have a class II case that will slide his mandible forward on closing to spot. That’s not OK, right?! A: If it is a severe Class II, they probably should not be seen until it is corrected orthodontically or surgically if necessary. If it is not too extreme, remember that we explained in
- Published in Dental Hygienist, Dentists, Orofacial Myologist, Orthodontist, speech languge pathologist, Therapists
Ready to stop sucking fingers/thumbs
Wednesday, 15 January 2020
Q: I have two great nieces, sisters 7 and 9, who are ready to stop sucking fingers/thumbs. I think they both use both hands. What should I order for them? I live across the country from them but will be available to them by phone and FaceTime. A: Hi, It is so good to hear
What sequence for airway issues, incorrect resting postures of the tongue and open bite?
Sunday, 15 December 2019
Q: What do you feel is the best sequence to approach a client with airway issues, an incorrect resting posture of the tongue, and an open bite? A: The sequence is to identify and resolve the airway issues first and to establish and stabilize an appropriate tongue rest posture. Following that, orthodontic treatment should be