Ages for Growing the Nails

orofacial-myology-nail-biting-habit
Q: Hi, I need some guidance.  I have 2 boys with serious nail biting problems that need dealing with before they start their full programs. Is the Nail Biting program Growing the Nails too childish for a teen and a mature 8 year old?  Is there any info on adapting the plan to older clients?   A:
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Adult with complex issues

orofacial-myology-frontal-lisp
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

orofacial-myology-therapy-before-or-after-frenectomy
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
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Orofacial Myology Exercises: When to stop practice for proficiency exam?

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:
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How to help nail biters?

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
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Are the 3 way mouth props washable?

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
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Ready to stop sucking fingers/thumbs

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
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Worst /R/ yet!

Q: Hello, I’m an SLP and I have been practicing at the elementary level for several years and just recently encountered my worst /R/ yet! He is in 2nd grade and is 8 years old. I have been seeing him for 2 years, working on /S/, /Sh/ and /R/. The first 2 sounds have been
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What sequence for airway issues, incorrect resting postures of the tongue and open bite?

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
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How can an orofacial myologist help prevent post orthodontic relapse?

Q: Dr. Mason, are there specific things I can do as an orofacial myologist to help prevent relapse? A: There are three contributions that an orofacial myofunctional clinician can make to counter post-orthodontic relapse. They are: 1) to achieve and stabilize a lips-together rest posture and a nasal mode of breathing; 2) to make sure
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