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Tag: frenectomy

Terrible progress with /s/

Monday, 01 April 2019 by Administrator
Q: Hi all! I am a SLP working with a 5 year old little boy with all the classic OM issues. Tongue-tie, cross bite, narrow palate, abnormal swallow pattern, poor lingual resting posture, etc. Parents followed through with lingual frenectomy via laser and he completed pre and post frenectomy exercises. I am currently working on
frenectomyswallowing exercises
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  • Published in Dental Hygienist, Dentists, occupational therapists, Orofacial Myologist, Orthodontist, physical therapists, speech languge pathologist, Teacher, Therapists, Uncategorized
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Great opportunity to see a tongue tie patient prior to surgery

Tuesday, 15 April 2014 by Administrator
When you have the great opportunity to see a tongue tie patient prior to surgery, you should do a full evaluation for comparisons post surgery.
frenectomyoral examtongue tie
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  • Published in Dental Hygienist, Dentists, Orofacial Myologist, Orthodontist, speech languge pathologist, Therapists, Uncategorized
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What to expect from 3 year old post frenectomy?

Wednesday, 15 May 2013 by Administrator
He has great mobility except elevation outside the mouth. He cannot lick upper lip or lift up if the tongue is extended. He has perfect placement for l inside the mouth... Any suggestions?
elevate the tongue tipfrenectomylick upper liptongue depressortongue tie consultation
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  • Published in Dental Hygienist, Dentists, Orofacial Myologist, speech languge pathologist, Therapists, Uncategorized
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SLP with tongue tie and OSA

Friday, 30 November 2012 by Administrator
My interest is more concerning: I have a new diagnosis of obstructive sleep apnea (hypopneas, actually), in which the MD believes that the base of tongue is falling into the airway (and per a recent laryngoscopy, my airway is small). When I was a child, an orthodontist offered to clip it, but I wasn't having any difficulty with speech, and I hadn't really figured out that my childhood sleep disruption was apnea until all these decades later.
ankyloglossiaClipping vs. laserfrenectomyfunctional dysphagiahypopneaslaryngoscopymandibular floorobstructive sleep apneatongue tie
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  • Published in Dental Hygienist, Dentists, occupational therapists, Orofacial Myologist, Orthodontist, physical therapists, SLP-A, speech languge pathologist, Teacher, Therapists, Uncategorized
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Ankyloglossia with some symptoms missing

Monday, 09 July 2012 by Administrator
When there appears to be NO current obvious difficulties in the presence of a tight lingual frenulum, should one proceed with frenectomy?
ankyloglossiafrenectomyInternational Board of Lactation Consultantlingual frenulum
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  • Published in Dental Hygienist, Dentists, occupational therapists, Orofacial Myologist, Orthodontist, physical therapists, SLP-A, speech languge pathologist, Teacher, Therapists, Uncategorized
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Ankyloglossia and palatal expansion, when to do it

Thursday, 08 December 2011 by Administrator
I was recently referred a case where there is an obvious need for a frenectomy, she is 9 and is getting an expander TOMORROW. I need to decide to recommend she get the surgery now and take my chances with the rehab when I basically can't do much more than mobility work while we wait 4-6 months for the expander to be removed, or wait for the frenum surgery after the expander comes off.
ankyloglossiafrenectomyfrenum surgerypalate expansionsucking habitstongue
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  • Published in Dental Hygienist, Parents, Therapists, Uncategorized
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RDH questions re enlarged tonsils, timing for therapy, speech considerations

Thursday, 15 September 2011 by Administrator
... Could her speech be sooooooo poor due to the 60 % airway or is there some delayed development issue that no one knows about??????
dfrenectomylip exerciseslip strengthmouth open posture with interdental tongue postureMyo Manualn and L soundsorofacial myology issuesorofacial myology related problemslightest restriction with lingual frenumspeech problemsStabilizing the mandiblettongue low and forwardtongue postureTonsils very enlargedunintelligible speechvowel sounds
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  • Published in Orofacial Myologist, speech languge pathologist, Therapists
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Considerations when diagnosing

Thursday, 23 June 2011 by Administrator
It is my findings 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, feeing like the food is clogging up the "throat," etc.
cannot produce an /r/frenectomyhyper gaglength of the lingual frenumlingual frenumwww.nss-nrs.com
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  • Published in Dental Hygienist, Orofacial Myologist, Parents, SLP-A, speech languge pathologist, Therapists, Uncategorized
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Frenectomy and tongue thrust connection

Thursday, 16 June 2011 by Administrator
I was wondering if you think (or if there is a consensus) that a tongue thrusting pattern is "normal"/typical swallowing pattern up to a certain age. I have read that it is normal for babies. I have also read that it is "normal" until the age of 6. I have also read that it is never normal, and even infants that are breastfeeding do not exhibit a forward tongue motion. I feel a little confused.
breastfeedingforward tongue motionfrenectomylingual shaping skillsnormal tongue thrusting pattern
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  • Published in Dental Hygienist, Dentists, Orofacial Myologist, Orthodontist, physical therapists, SLP-A, speech languge pathologist, Therapists, Uncategorized
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Is there is a consensus that a tongue thrusting pattern is “normal”/typical up to a certain age?

Monday, 02 May 2011 by Administrator
tongue thrusting tends to spontaneously regress over time as neuromotor development results in the tongue elevating under control and as the dimensions of the oral cavity and pharynx are adapted to by the tongue. For 2, 3, 4, and even 5 year olds, it is not abnormal to see a tongue thrust, and when noted, this does not automatically indicate the need for treatment. In some cases, it is important NOT to treat such children.
children with severe neuromotor retardationearly oral maturationforward tongue motionfrenectomygrowth of the maxilla and mandibleHanson and Mason texthigh density sensory nervehigh-riding tonguelength of the pharynxoral isthmus areaOrofacial Myology: International PerspectivesProtrusion of the tongueswallow patternstongue thrusting pattern
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  • Published in Dental Hygienist, Dentists, Orofacial Myologist, Orthodontist, Parents, physical therapists, SLP-A, speech languge pathologist, Therapists, Uncategorized
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