Validity of the ‘protocol of oro‐facial myofunctional evaluation with scores’ for young and adult subjects

Abstract

The OMES protocol is valid and reliable for clinical evaluation of young and adult subjects, among them patients with TMD.

Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report

“…The primary objective was not to reduce the states of anxiety, but it was possible to obtain favorable reports from the patient regarding this aspect, raising the possibility of new investigations that contribute to the inclusion of speech therapy to treat people with TMD. The scores found for AMIOFE after 23 therapy sessions reached the previously established normal values 11 . This indicates that the speech therapy approach, combined with other dental and selfmanagement modalities, proved to be effective for the orofacial myofunctional balance, and consequently for the reduction of musculoskeletal overload, for the patient's perception and education regarding changes in myofunctional habits and behaviors and therefore contributing to the treatment/management of TMD in the way recommended by the current literature.…”

“…These results also produced a lower and more balanced electromyographic activity of the masseter and anterior temporal muscles in the tests at rest, swallowing and maximum teeth clenching (maximum voluntary contraction). Some studies have shown an increase in activity for evidence of high demand for muscle contraction after treatment and a decrease for tests of low demand, such as rest and swallowing 8,11 . In this case, lowering the electromyographic activity may have occurred due to excessive patient care when clenching the teeth since it was a much-discussed aspect during the treatment.…”

“…The situation found characterized the diagnosis of OMD. The TMD diagnosis was carried by an experienced dental surgeon based on the revised protocol Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) 10 and the phonological by an expert in orofacial kinetics, based on the Orofacial Myofunctional Evaluation Protocol with Scores (AMIO-FE) 11 , that allowed to quantify the perceptive evaluation (clinical examination) and compare with the evolution obtained after the therapeutic process. The instrumental evaluation was performed to complement the diagnosis and was composed by surface electromyography (SEMG) and electrovibratography (EVG).…”

Caracterização miofuncional orofacial na síndrome de Parry-Romberg

“…The OMS changes include conditions and specific behaviors that may negatively impact the oral posture and the stomatognathic functions -breathing, chewing, swallowing and speech (14) -leading to vital and social problems. Speech therapists are trained to evaluate and treat OMS disorders, which include postural and morphological aspects, mobility, sensitivity and strength of the speech organs, in addition to oral functions (14) .…”

“…Speech therapists are trained to evaluate and treat OMS disorders, which include postural and morphological aspects, mobility, sensitivity and strength of the speech organs, in addition to oral functions (14) . The reasons why patients with Parry-Romberg syndrome seek care/treatment are primarily motivated by the aesthetic aspect and are not usually related to the functional needs.…”