Orofacial Myofunctional Therapy: Why Now?

Moeller, Joy L.

doi:10.1179/crn.2012.035

Cited by 15 publications

(8 citation statements)

References 5 publications

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“…Oral chondrocyte therapy has for several decades been used to treat and prevent poor oral habits [54] . Various exercises are used to encourage mature swallowing in children, including pushing the tip of the tongue against the hard palate [55] , [56] .…”

Section: Relationship Between Masticatory Performance and Tongue Presmentioning

confidence: 99%

Association of feeding behavior with jaw bone metabolism and tongue pressure

Fujita

Maki

2018

Japanese Dental Science Review

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SummaryIn recent decades, the eating habits of children and adolescents have undergone many changes due to the diversification of lifestyles worldwide. Reduced masticatory function in growing animals results in changes in the mandible, including a decrease in bone mass. However, the influence of different eating behaviors on jaw bone metabolism (e.g., the palatal palate) during the growth period is not fully understood. In addition, recent clinical studies reported that masticatory performance is positively related to tongue pressure in adults, but no consensus has been reached regarding whether tongue pressure is related to masticatory performance in children. This review summarizes current findings related to these issues, focusing on the influence of different feeding behaviors on jaw bone metabolism, including the development of tongue pressure. Consumption of a soft diet had a negative impact on jaw bone metabolism in the maxilla and mandible of rats; however, mastication of a hard diet recovered the collapsed equilibrium of bone turnover caused by a soft diet during growth. Tongue pressure is closely associated with an increase in masticatory performance in children. Peak maximum tongue pressure is reached earlier in women than in men. Before reaching adulthood, women require intervention to increase their peak tongue pressure.

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Section: Relationship Between Masticatory Performance and Tongue Presmentioning

confidence: 99%

Association of feeding behavior with jaw bone metabolism and tongue pressure

Fujita

Maki

2018

Japanese Dental Science Review

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“…Regarding orofacial myofunctional disorders, it was demonstrated how the correct function of the tongue is essential for the neuromuscular harmony of the whole maxillo-facial area [37]. A short lingual frenulum has a critical impact on the development of the orofacial complex [38]; for this reason, frenulectomies associated with the orofacial myofunctional therapy (OMT) do not allow the tissue to reattach postoperatively [39]. The value of OMT was also demonstrated in a study by Tecco et al [40]; the study showed the improvement in the oral muscles in subjects following an OMT after a lingual frenulectomy using electromyography.…”

Section: Discussionmentioning

confidence: 99%

Frenulectomy with Diode Laser Technology in Paeditric Patients: Quantitative and Qualitative Evaluations. Randomized Double- Blind Clinical Trial

et al. 2020

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Background: Ankyloglossia is an anatomical alteration of the frenulum length, volume, compactness, and insertion. It can lead to alterations in the ability to swallow and chewing, and dysfunctional coordination amongst cranio-facial muscles; these alterations are often responsible for respiratory alterations, skeletal malocclusions and dyslalia or the delay of speech. The aim of this study is to estimate the efficacy of lingual frenulectomy with diode-laser technology through a qualitative and quantitative evaluation. Methods: One hundred and twenty-five pediatric patients were recruited: 100 with a lingual pathological frenulum were randomly divided into four operating groups; the other 25 with a borderline pathological frenulum were recruited as a control group. Each patient was included in a follow-up program (T0-T1-T2-T3-T4) for a quantitative and qualitative evaluation: the first through an accurate measurement of Kotlow’s free tongue measurement (≥16), Mouth Opening with Tongue Tip to incisive papilla (MOTTIP), Maximal Intercisal Mouth Opening (MIO) and Protrusion; and the second using the Assessment Tool for Lingual Frenulum Function (ATLFF), Bristol Tongue Assessment Tool (BTAT), and grade of tongue functionality. Results: The increase of the aforementioned quantitative parameters was circa 10 mm, and all patients reacquired full functionality of the tongue. Conclusions: Diode-laser technology is efficient and innovative in the treatment of pathological lingual frenulums.

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“…Orofacial myofunctional therapy (OMT) reeducates the muscles of the face and mouth, which is crucial for the maintenance of craniofacial integrity andthe achievement of normal nasal breathing. 41 OMT emphasizes a strong sucking and good mastication, employing both sides of the jaw, as well as normal swallowing and tongue position, and nasal breathing with the lips in good contact at rest. 42 Children with persistent OSA after adenotonsillectomy reportedly achieved a decrease in AHI from 4.9 to 1.8 events/h within two months after OMT, whereas minimal changes in AHI (4.6–4.1 events/h) were observed in the control group.…”

Section: Non-surgical Treatment Of Pediatric Osamentioning

confidence: 99%

Debates in pediatric obstructive sleep apnea treatment

2021

World j. otorhinolaryngol.-head neck surg.

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Pediatric obstructive sleep apnea (OSA) is among the most common sleep-disordered breathing (SDB) diseases in children. Its high prevalence and multiple systemic complications lead to increasing numbers of children and families affected by OSA. Timely diagnosis and effective intervention in children with this condition is extremely important in improving their prognosis. The major approaches in the treatment of OSA in children are to eliminate the causes of upper airway obstruction and prevent and treat complications. Considering the specific individual differences in children's growth and development, as well as the diversity of etiologies in children's OSA, pediatric treatment strategies need to be precise, multidisciplinary, and individualized. First-line clinical treatment consists of surgical (adenotonsillectomy) and non-surgical therapies [including anti-inflammatory medications and non-invasive ventilation (NIV)]. However, a considerable controversy exists concerning the indications, treatment standards, and the evaluation of the efficacy of the aforementioned treatment methods. In this review, reviews and assessment of literature studies and multidisciplinary clinical experience were performed to analyze the application of each treatment and discuss controversial issues and future research directions. We suggest that the above interventions should be tailored to each child's needs, comorbidities, and the availability and expertise of the practitioner. The ideal case is when a multidisciplinary team of doctors together with the patients and their parents, or guardians, have a thorough discussion regarding the benefits and risks of all available treatment options and all agree on an effective treatment plan.

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Orofacial Myofunctional Therapy: Why Now?

Cited by 15 publications

References 5 publications

Association of feeding behavior with jaw bone metabolism and tongue pressure

Association of feeding behavior with jaw bone metabolism and tongue pressure

Frenulectomy with Diode Laser Technology in Paeditric Patients: Quantitative and Qualitative Evaluations. Randomized Double- Blind Clinical Trial

Debates in pediatric obstructive sleep apnea treatment

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