Young Adult with lisp, narrow vaulted arch, jaw thrusting, TMD: Questions that must be addressed

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Q: I’m writing with a question regarding a 22-year-old client 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 and adenoids were
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5 year old with tongue tie and difficultly with /l/ production

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I have a 5 yr old patient who has an obvious lingual tongue tie. He had a posterior cut when he was an infant but cannot elevate tongue tip to spot and cannot suction. He cannot produce /L/. I referred him to an ENT who said he doesn't recommend cutting the tie, but rather he suggested...
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Any Risk of Tongue Falling Back Post Release?

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...She was told by one provider that there is a risk of the tongue falling back into the airway in the case of CP. 
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Child cannot put tongue tip to spot – Republished

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I wondered if you could share your thoughts. One child in particular has been seen a number of times and simply cannot put tongue tip to spot.  
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Dentist recommending a gate habit appliance, but mother against it – Republished

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I have a question for you about a client.  He is a six year old boy who has a significant Class III underbite.  He has had expanders. The dentist is now recommending a gate, but his mother is against this and has contacted us.  
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19 months old limited sounds

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I tested a 19-month-old boy with a receptive score of 90 and expressive of 66. He is only saying mama and eye eye eye as his happy noise. He had difficulty breastfeeding due to tongue tie which was clipped.
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How many elevator disks should be added? – Republished

I wanted to ask you about Elevator Disk and braiding for a patient of mine. I am not sure how many disks a patient should be expected to add to their braid, but I think it would be more than three. Yes?
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Parent insists on therapy despite expander interference

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Q: Good morning.  I need advice: 7 yo boy, mouth breather , interdental tongue posture at rest, speech and swallowing. I’ve seen him for the last 2 months, and despite extremely hard and narrow palate he made great progress both on lip and lingual function.  Now the upper expander is finally placed, and a lower one will
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How often and how long for therapy

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Q:  I understand we would undergo the pre proficiency exam before proceeding to the additional exercises and phases of the Myo Manual.  For example, for a new OSA patient, what will be the usual duration and intensity of myo?   Doing daily?  Two times a week?   For how long? A: Every client will have a different duration for treatment due to
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Nasality, Ankyloglossia and Articulation Protocol

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I recently assessed a seven year old girl who previously had surgery to release her tongue tie.  Her lingual range of motion appears good, (although after taking your course I’m going to do further assessment in this area).  She articulates sounds well at the single word level. The issue that is more noticeable than the articulation errors is hypernasality.  Why does her speech sound hypernasal?
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