Tuesday, 15 April 2014
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.
Sunday, 30 March 2014
Today I saw a Mexican American baby 2 1/2 months old that frequently but not always has her tongue sticking out of her mouth. It reminds me of a Down's baby, but she has no other Down Syndrome characteristics.
Saturday, 15 March 2014
Today, a 5 year old, (parents divorced this last year,) had stopped thumb sucking, but recently went back to it. I'm wondering how long to wait, because of the divorce issues and living in 2 households now, etc. She's suppose to let me know when she's ready, but do I put this off for a while due to the divorce?
Saturday, 01 March 2014
I will be speaking to a group of orthodontists, some of whom refer to me. I know our position on rakes, cribs, etc. I looked in the literature and could not find any articles to tell me why orthodontists use these. Is it because they believe it is the best way to close the bite? Do they feel it is a more convenient and easy way to address open bites? Why do they opt for this? Is it based on research and training?
Saturday, 15 February 2014
What would be step one (tongue placement) in teaching this child the rotary chew, bolus collection, etc.? He also needs help with lips seal as well. What is step one in teaching chewing and what is appropriate?
Monday, 03 February 2014
I have been trying to attend one of your courses and hope to do so sometime before the end of this year. Until then, I have found a set of DVDs that I can purchase online that claims it will teach me to provide orofacial myology treatment. (They refer to it as myofunctional therapy). I wanted to get your take on whether I can get enough information from DVDs to actually provide orofacial myology to patients before I attend the formal course?
Saturday, 04 January 2014
An orthdontist recommended a palatal expansion after myofunctional therapy for an 8 year old.. I explained that the palatal expansion should take place before myo and she felt that myo would go first and the tongue would widen the palate. You said the tongue would not widen that palate at 8 years of age. Can you help me to understand why the tongue is not going to widen it. Is it because of the patient's age? Is there an age at which the tongue will naturally widen a narrow palate?
Saturday, 21 December 2013
When working to increase time on tongue tip to spot, over what period of time do you increase increments? Obviously it varies case to case, but what's an acceptable pace for the child not to "overwork."
Saturday, 07 December 2013
I have one frenectomy precious little guy, had it done early Oct. Ever since, he began wagging his tongue all over the place, (dancing in celebration of its freedom) or more like for a lack of just not knowing where his tongue should rest.