Screening each other Lab for Determining Who Needs - PowerPoint Presentation

Slide1

Screening each other

Lab for Determining Who Needs Myofunctional Therapy

All patient images are to be used for educational purposes and by the AOMT only;To protect the privacy of the people who are featured in the case studies during the course,Please do not distribute any images via email, online, or otherwise without written permission of the AOMT.

Slide2

Were they bottle fed and was a pacifier used?

Slide3

WHAT HABITS DO THEY HAVE?

Slide4

Leaning Habits

Other Leaning Habits

Slide5

Bruxing/Grinding/Clenching

Do they grind their teeth at night or during the day?Do they clench their teeth at night or during the day?

Slide6

Allergies/Congestion

Is there congestion? What % of the time?Are any nasal sprays, inhalators, or medications used? What types? How frequently?

Are any allergies present? Previous testing? Shots? % of time effected? Visible allergic eye rings? Pushes nose? Sneezing? Asthma? Episodes?

Slide7

Are they mouth breathing or snoring?

Slide8

What is their sleep position?

Sleeping positions..stomach, right side, left side, back? What % of the time?

Slide9

How is the bedding? Is it protected from dust?

Slide10

Watch them eat & drink

Slide11

Do they chew on both sides? Does the jaw shift?

Does the tongue come up to meet the cup?Bi-Lateral Chewing

No tongue to meet the cup

Slide12

Look at the way their teeth meet

Slide13

Do they have an overbite, open bite, cross bite, under bite, wearing on edges, over jet?

Slide14

Palpate the masseter muscles

Are they over or under developed? Is there symmetry when they bite?

Slide15

Does the mentalis muscle activate

when they swallow or close their lips?

Slide16

The Grimace

Is there a swallowing grimace?

Slide17

Are the lips flaccid and weak? Is there a lip seal?

Slide18

Lingual

Labial

Check out the Frenum attachments…Are there any restrictions?

Slide19

Frenum Evaluation

1. Look at the palate. If it is high and narrow, is it because the tongue rests down?

2. Have the patient put their tongue in their cheek. Does the chin follow? 3. Have the patient open their mouth and put their tongue up. Does the mouth close more than half? 4. When they close their mouth, do they feel the back of their tongue up? 5. Does the tongue pull to one side when the tip is up and they open?

5.

Slide20

Frenum Evaluation

6. Does the tip of the tongue pull in or down when the patient sticks their tongue out? 7. Is there a dip or pull down in the center of the tongue? 8. Is there the classic "heart shape" at the tip of the tongue? 9. Can the patient "clean" their molars with their tongue?

Slide21

First measure distance from incisor edge to edge

Then measure same distance with tongue up

Should be greater than 60%

Determining need for Lingual

Frenotomy

Slide22

Treating the Restricted Frenum

Be sure you have an orofacial myofunctional therapist do a few weeks of exercises before the surgeryThen make sure the patient will do some exercises immediately following the surgery to prevent re-attachment.

Slide23

Do they strain to close their lips?

Slide24

Or are they more comfortable

with their mouth open?

Slide25

Speech Patterns

Has there been any previous speech therapy? DescribeIs the speech of any concern to the patient or parent?

Mumbling/garbled speech?Facial or lip adaptation to achieve word sounds?Visible tongue positions? Anterior? Lateral? Which sounds?Any anterior lisp? Lateral lisp?Any jaw shift? Anterior? Left? Right?Any wetness? Bubbles?Poor air projection? Difficult to hear? Talks too fast?

Stuttering history?

Slide26

Speech Patterns….have them say “Sister Sally said something”. Note: tongue position and shift

Slide27

Speech….Do you hear a frontal or lateral “s” lisp?

Jaw Shift/Incorrect tongue placement/Asymmetry of lip use

Slide28

Do they drool?

Slide29

Is their tongue resting on the floor of their mouth, in between their teeth or up in the palate?

Slide30

Does the tongue rest up in the roof of the mouth?

Is the tongue resting out of the mouth?

Slide31

Posture

Do they carry the head forward? Shoulders Slumped?

Slide32

What does their back posture look like?

What is the posture? Back Lordosis?

Slide33

Do they have any special needs,

handicaps, or family patterns?

Slide34

Also look at how trauma affects the muscles

Have there been any accidents or traumas which may cause a problem and require therapy?Is there “neuro- imaging” or imitating from watching a loved one?

Is there a genetic pre-disposition?What medications are they taking that may interfere with muscle functions? Are they in pain, which may cause a dysfunctional patterning issue?

Slide35

Where do we go from here?

How to refer 1. Informed consent…”If you don’t see an OMT you can expect…”

2. “It is the ideal time to see an OMT because of the window of time we have during their growth spurt…” 3. “I work with the bones (or teeth). The OMT works with the muscles. If we are all on the same page, the treatment will be much more successful!” 4. “The habits that your child has can be successfully treated by a specialist who will save you time, money, and embarrassment”. “Your child will learn how to eat comfortably and neatly and their digestion and posture will improve.” 5. “If it were my child, (or my problem) I would definitely see an OMT because they deal with the cause of your problem.”

6. “Please read this brochure and see a OMT as soon as possible.”

Slide36

Thank you very much

for making me part of your team!