The effect of tongue thrusting on tongue pressure production during swallowing in adult anterior open bite cases

Kurihara, Kanako; Fukui, Tadao; Sakaue, K.; Hori, Kazuhiro; Ono, Takahiro; Saito, Isao

doi:10.1111/joor.12820

Cited by 11 publications

(9 citation statements)

References 18 publications

(77 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These data are difficult to compare since only few studies have analyzed the peak isometric tongue pressure in patients with tongue thrust using the IOPI [21]. The low values of isometric tongue pressure found before OMT are in accordance with the results of Kurihara et al [6] who analyzed the effect of tongue thrust on tongue pressure production during swallowing in adult patients with AOB using a pressure sheet and found that patients with tongue thrust and AOD demonstrated a weaker tongue pressure than control subjects. A significant improvement in tongue strength obtained through OMT is in accordance with previous reports.…”

Section: Tongue Strengthmentioning

confidence: 64%

“…The persistence of tongue thrust is frequent in the pediatric population [1] and might contribute in determining alterations in the maxillofacial morphology and in the development of malocclusion because of the altered motor activity and position of the tongue in the oral cavity [2][3][4][5][6]. Altered tongue dynamics, in fact, is often associated with a reduced contraction of the lower jaw elevator muscles and increased activity of the perioral muscles [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Mozzanica

Pizzorni

Scarponi

et al. 2020

Folia Phoniatr Logop

View full text Add to dashboard Cite

Introduction: Tongue thrust is a frequent clinical condition characterized by abnormal patterns of movements and altered tongue posture on the mouth floor. It might contribute to determining alterations in the maxillofacial morphology and in the development of malocclusion. Several therapeutic options are available for treatment. In particular, the orofacial myofunctional therapy (OMT) is frequently adopted even if only few studies have analyzed its efficacy using validated instruments and no information is available regarding the effect of dentition on the results obtained with OMT. Objective: To evaluate the effect of OMT through a validated instrument and explore the role of dentition on its efficacy. Methods: A total of 22 consecutive patients with tongue thrust were enrolled. According to the presence of mixed or complete dentition, the cohort of patients was divided into 2 groups. Each patient underwent OMT according to the Garliner method (10 weekly sessions of 45 min each in hospital and daily exercises at home). The efficacy of OMT was evaluated using the Orofacial Myofunctional Evaluation with Scores (OMES), a validated protocol developed for the assessment of orofacial myofunctional disorders, and the Iowa Oral Performance Instrument (IOPI) to measure the peak isometric pressure exerted by the anterior and posterior part of the tongue. Both OMES and IOPI were administered before and at the end of the treatment. Results: A significant improvement in the OMES scores was demonstrated after OMT. No significant differences between the patients with intermediate and mixed dentition obtained in both the pre- and post-treatment conditions were demonstrated in the OMES scores. Similarly, a significant increase in the peak isometric tongue pressure in both the anterior and posterior parts of the tongue was demonstrated after OMT in the groups. No differences between the two groups in both the pre- and post-treatment conditions were demonstrated in the IOPI scores. Conclusions: OMT improves orofacial motricity and tongue strength in patients with tongue thrust regardless of the type of dentition.

show abstract

Section: Tongue Strengthmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Mozzanica

Pizzorni

Scarponi

et al. 2020

Folia Phoniatr Logop

View full text Add to dashboard Cite

show abstract

“…On the other hand, deviant swallowing could persist due to the presence of other OMD such as sucking behavior or low resting tongue postures [64]. It was also suggested that deviate swallowing could also be considered an opportunistic or compensatory behavior [14,15]. Furthermore, AOB was almost always measured and included in the parameters, whereas other occlusal parameters were not, which could be a possible bias in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, OMD that exert long-term pressure on teeth, such as a caudal tongue resting posture can be hypothesized to change the dentition and occlusion [12,13]. On the other hand, shorter-duration habits, such as deviate swallowing [15] or bruxism [16], would have less of an effect on the dentition and occlusion [13]. However, while most of these theories are based on the literature, they remain opinion based.…”

Section: Introductionmentioning

confidence: 99%

Oral Myofunctional and Articulation Disorders in Children with Malocclusions: A Systematic Review

Thijs

Bruneel

Pauw

et al. 2021

Folia Phoniatr Logop

View full text Add to dashboard Cite

Background: Relationships between malocclusion and orofacial myofunctional disorders (OMD), as well as malocclusions and articulation disorders (AD) have been described, though the exact relationships remain unclear. Given the high prevalence of these disorders in children, more clarity is needed. Summary: The purpose of this study was to determine the association between OMD (specifically, bruxism, deviate swallowing, caudal resting tongue posture, and biting habits), AD, and malocclusions in children and adolescents aged between 3 and 18 years. To conduct a systematic review, 4 databases were searched (MEDLINE, Embase, Web of Science, and Scopus). The identified articles were screened for the eligibility criteria. Data were extracted from the selected articles and quality assessment was performed using the tool of Munn et al. [Int J Health Policy Manag. 2014;3:123–81] in consensus. Using the search strategy, the authors identified 2,652 articles after the removal of duplicates. After reviewing the eligibility criteria, 17 articles were included in this study. One of the included articles was deemed to have an unclear risk of bias, whereas all other articles were considered to have a low risk of bias. The articles showed a relationship between anterior open bite and apico-alveolar articulatory distortions, as well as between anterior open bite and deviate swallowing. For the biting habits, bruxism, and low tongue position no clear conclusions could be drawn. Key Messages: The current review suggests a link between specific types of malocclusion and OMD and AD. However, more high-quality evidence (level 1 and level 2, Oxford Levels of Evidence) is needed to clarify the cooccurrence of other OMD, AD, and malocclusions.

show abstract

“…Generally, changes in tongue pressure have been suggested to be associated with changes in dentition position and occlusion [8]. A previous study reported that patients with an anterior open bite and tongue thrusting at swallowing exhibited weaker maximum tongue pressure than did healthy adults [9]. A recent study showed that the maximum tongue pressure in cases of Class II malocclusion was significantly lower than in cases of Class I and Class III malocclusions in children around 9 years old [10].…”

Section: Introductionmentioning

confidence: 99%

Differences in the factors associated with tongue pressure between children with class I and Class II malocclusions

Fujita

Ohno

et al. 2021

BMC Pediatr

View full text Add to dashboard Cite

Background The relationship between tongue pressure and masticatory performance during the mixed dentition period in cases of Class II malocclusion has not been clarified. The aim of this study was to determine differences in tongue pressure-related factors, including maxillofacial morphology and masticatory performance, between Class I and Class II malocclusions during the mixed dentition period. Methods A total of 56 children with Class I malocclusion (12 boys, 16 girls) or Class II malocclusion (16 boys, 12 girls) with mixed dentition were included in the present study. Height, body weight, hand grip strength, maximum occlusal force, maximum tongue pressure, masticatory performance, and the number of decayed, missing, and filled teeth were measured in all participants. Their lateral cephalograms were also evaluated. The means of all measurements were compared between Class I and Class II malocclusions. Pearson’s correlation coefficients were used to determine associations between maximum tongue pressure and other variables for each type of malocclusion. Results The maximum tongue pressure, hand grip strength, and maximum occlusal force in the Class II malocclusion group were significantly lower than those in the Class I malocclusion group (all, p < 0.05). The maximum tongue pressure was significantly positively correlated with hand grip strength, maximum occlusal force, masticatory performance, and SNB (sella, nasion, B point) angle in the Class I group (all, p < 0.05), and with height, body weight, and labial inclination of the central incisors in the Class II group (all, p < 0.05). Conclusions The maxillofacial morphometric factors associated with tongue pressure were clearly different between cases of Class I and Class II malocclusion with mixed dentition. Masticatory performance and tongue pressure were significantly positively correlated in cases of Class I malocclusion, but not in cases of Class II malocclusion.

show abstract

The effect of tongue thrusting on tongue pressure production during swallowing in adult anterior open bite cases

Cited by 11 publications

References 18 publications

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Oral Myofunctional and Articulation Disorders in Children with Malocclusions: A Systematic Review

Differences in the factors associated with tongue pressure between children with class I and Class II malocclusions

Contact Info

Product

Resources

About