Pain, a complex experience comprising of a physiological and a psychological reaction to a noxious stimulus .Most of the time the patients rush to reach a dentist is pain. Tooth pain could be of either odontogenic or non-odontogenic origin. The orofacial pain from dental origin was specifically called odontogenic toothache. However, some toothaches may…
Orofacial harmonization is an essential aspect of maintaining excellent dental health. It refers to the balance and alignment of the structures within the oral
by Karen M. Wuertz, DDS, ABCDSM, ABLS, FOM, and Brooke Pettus, RDH, BSDH, COMS Frenectomy Methods Frenotomies performed with a scalpel or scissors can be accompanied by significant bleeding, obscuring the surgical field making it difficult to ensure if the restriction has been completely removed. Because of the increased risk…
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Waking up in the morning with headaches? Painful popping in the jaw with chewing and yawning? Sharp, severe, lancinating pain in the head, face, ear, or jaw? You may be suffering from a type of orofacial pain! Often the structure involved is the temporomandibular joint (TMJ) and the muscles surrounding this area. Pain may be due to a hypo- or hypermobile TMJ (too little or too much movement, respectively), derangement of the TMJ disc, or tightness of the muscles of mastication. Your physiotherapist will take a detailed history of your current complaints, as well as a meticulous musculoskeletal assessment of your jaw and neck. We will be looking for asymmetry of facial structures, as well as movement deviations of the jaw through its available range of motion. Picture taken from: http://www.primehealthchannel.com/tmj-disorder-anatomy-causes-symptoms-and-pain.html. Thank-you. Another examination your physiotherapist will do will be checking the teeth for signs of bruxism (teeth clenching or grinding) as well as the insides of the cheek for damage. This may be evoked during sleep in the night or by stress during the day. Clients that have TMJ pain and are 'grinders' may benefit from having a night guard to help maintain the jaw in a slight rest position, and refrain from wearing their teeth down. On many occasions, temporary and relative rest of the jaw are required to improve healing. This may be as simple as temporarily eating softer foods, or cutting up the food into smaller pieces. Usually gum and pen chewing must cease and desist immediately. Physiotherapy treatment of TMJ dysfunction (TMD) may joint mobilizations, stretching, myofascial release, acupuncture, and strengthening exercises. In a recent study conducted in Sweden (reviewing of systematic reviews and meta-analyses) found that there is evidence that night guards, acupuncture, exercises and postural retraining can be effective in alleviating TMD pain. Interestingly they found that electophysical agents (including ultrasound and laser) as well as surgery were ineffective, although could not be conclusive because of methodology variation between studies. I would like to enforce that by no means is your physiotherapist the only professional to help you through your care of TMD. We will be working hand-in-hand with your dentist and possibly other health professionals such as your family physician, a neurologist, or an orofacial surgeon. Without treating the whole picture, we risk poor recovery. List, T. & Axelsson, S. (2010). Management of TMD: evidence from systematic reviews and meta-analyses. Journal of Oral Rehabilitation. May 37, 430-451.
by Karen M. Wuertz, DDS, ABCDSM, ABLS, FOM, and Brooke Pettus, RDH, BSDH, COMS Frenectomy Methods Frenotomies performed with a scalpel or scissors can be accompanied by significant bleeding, obscuring the surgical field making it difficult to ensure if the restriction has been completely removed. Because of the increased risk…
by Karen M. Wuertz, DDS, ABCDSM, ABLS, FOM, and Brooke Pettus, RDH, BSDH, COMS Frenectomy Methods Frenotomies performed with a scalpel or scissors can be accompanied by significant bleeding, obscuring the surgical field making it difficult to ensure if the restriction has been completely removed. Because of the increased risk…
You’ve probably heard about orofacial myology in dental hygiene, but there’s a fair amount of misinformation circulating. These authors, both certified orofacial myologists (COMs...
Learn TMJ exercises to relax your jaws. Stress, but also braces, often leads to tension in the jaws. Here are a few tips to help you relax your jaws.
Save 20% off by purchasing all my OMFS notes in one bundle. Due to space restrictions here on Etsy, once payment is confirmed you'll have to download a PDF file that I will provide you, which includes a URL where you'll be able to download the notes. The set includes: (84 pages) 1. Dental Abscess 2. Tooth Extraction 3. Clefts 4. Fractures (Jaw Fractures,Le Fort Fractures) 5. Trauma (Soft tissue trauma, Teeth trauma) 6. Osteomyelitis (Acute, Chronic ) 7. TMJ (Disorders,Ankylosis, Dislocation ) 8. Maxillary Sinus 9. Impacted teeth 10. Tooth eruption 11. Salivary Glands Diseases 12. Obstructive diseases 13. Sjögren and Mikulicz's Syndrome 14. Lymph nodes 15. Oral Tumors & Cancers 16. Cysts in the Maxillofacial area 17. Cranial Nerves 18. Periodontal Diseases 19. Instruments used in Dentistry Each Chapter includes full on details on the topic(Classification,Clinical Manifestations,Diagnosis, Treatment) Your files will be available to download once payment is confirmed. If you have any questions or problems don't hesitate to message me and I will get back to you within 24 hours. Thank you for your support, Stacie x
by Kristie Gatto, MA, CCC-SLP, Certified Orofacial Myologist Ideal health and function of the body is directly dependent upon optimal breathing patterns. Just as breathing impacts cellular regeneration; blood oxygenation; overall brain function; hormonal levels; and the strength and stamina of the muscular system, poor breathing patterns can also impact…
Dental Traumatology An Overview Introduction Dental traumatology requires more attention and profound discussion in paediatric dentistry as dental and orofacial trauma is being encountered commonly, especially in children. An injury to teeth, oral soft tissues and associated hard tissues has significant short-term and long-term consequences. A fracture of a tooth causes short-term consequences whereas a […]
Like any joint in the body, the TMJ’s are subjected to wear and tear, trauma (micro and macro), disease, degeneration, and growth and developmental abnormalities over time. Arthritis Arthritic changes occur when there is a breakdown of the articular surfaces of the joint that leads to degeneration and an inflammatory condition that can affect any joint in the body. Various forms of arthritis such as Osteoarthritis (degenerative), Rheumatoid, Infectious, Psoriatic …Read More
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How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and…
Mouth breathing or an open mouth can change the shape and appearance of a child's face, and can also lead to a number of health concerns.
In the world of cookies and chocolates, tooth decay and cavities is just another problem developing in one out of two individuals, from youngsters to adults. One of the most common oral health…
Here is my beautiful patient, Shay Lowe Shull who shared her experience with Orofacial Myofunctional Therapy at Honor Franklin Myofunctional & Speech Clinic and orthodontics at Adams & McBride Orthodontics on her blog, Mix and Match Mama that we posted on April 19, 2016. (http://shullfamily.blogspot.com/2014/09/fifty-two-shades-of-shay-myofunctional.html?m=1) Orofacial Myofunctional Disorders (OMDs) can have a negative impact on […]
How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and…
Gain the knowledge of dental anatomy you need as a dental assistant or hygienist! Anatomy of Orofacial Structures: A Comprehensive Approach, 9th Edition provides an all-in-one resource for learning oral histology and embryology, dental anatomy, and head and neck anatomy. It offers all the benefits of a combined textbook and workbook, reinforcing your understanding with review questions in each chapter and tests in each unit. The book also includes flashcards for convenient, on-the-go study and reference. Supported with engaging activities on the Evolve website, this book provides a complete learning package! UNIQUE! Comprehensive coverage includes orofacial development, landmarks, veins, arteries, nerves, bones, and muscles of the head and neck region. UNIQUE! More than 600 anatomical illustrations include labeled line drawings, radiographs, and clinical photographs. Textbook/Workbook format includes chapter review quizzes, unit tests, and a perforated workbook section. Clinical Considerations boxes describe the real-world application of anatomical concepts. Flashcards provide a convenient study tool for tooth morphology and major head and neck structures, featuring an image of a tooth on one side and that tooth's identifying/important information on the other side. Learning resources on the Evolve website include chapter quizzes and the Body Spectrum anatomy coloring book. NEW! Thoroughly revised embryology and histology section features new illustrations. NEW! Updated art program includes new illustrations and clinical images. 650 illustrations (650 in full color); Illustrations, unspecified
My patient, Sarah, age 30 years, sent me this selfie photo when her orthodontic braces were removed. Look at that gorgeous smile! “Am I too old for tongue thrust therapy or Orofacial Myofunctional Therapy?” I get asked this question everyday and the answer is, “Absolutely Not!” The oldest patient I have seen for orofacial myofunctional […]
Myofunctional therapy is a program used to correct the improper function of the tongue and facial muscles. Myofunctional therapy involves strengthening of the tongue and oro-facial muscles by teaching individuals how to reposition muscles to the appropriate position. The tongue should be kept in a high position against the hard palate during sleep with its dorsal-terminal end in constant contact with the palatine striae located on the anterior aspect of the palate. Reeducation is typically easier in children 6 years and older, but is largely related to the degree of effort parents make in reinforcing a child to perform his or her exercises The presented exercises are fully described in the following book: Rééducation des fonctions dans la thérapeutique orthodontique, 1990 These exercises have been performed not only in France, but also at the Stanford Sleep Disorders Clinic as well as other countries such as Brazil, Belgium, and Taiwan. Please repeat the following exercises for 10 repetitions and perform at least 10 sets every day (The total exercise time across the day should be 45 minutes total throughout the day). If ten sets cannot be achieved, the exercises should be performed for a minimum of 4 sets and as many repetition necessary to achieve 45 minutes of daily exercise. These exercises should be performed daily for a minimum of 2 years. Exercise 1: Push Up The Tongue: Place the tip of the tongue against the anterior portion of the hard palate and push upwards and hold for 5 seconds and relax. Repeat 10 times. Exercise 2: Touch Nose: Pull the tongue forward and try to touch your nose and hold for 10 seconds then relax. The subject here has difficulty performing the exercise. With practice she should be able to improve. Repeat 10 times. Exercise 3: Touch Chin: Pull the tongue forward and try to touch your chin and hold for 10 seconds, then relax. Repeat 10 times. Exercise 4: Push Tongue Right: Push your tongue forward and push it to the right and hold for 10 seconds, then relax. Repeat 10 times Exercise 5: Push Tongue Left: Push your tongue forward and push it to the left and hold for 10 seconds, then relax. Repeat 10 times. Exercise 6: Fold Tongue: Fold your tongue and try and protrude as far forward as possible while keeping it folded. Hold for 10 seconds, then relax. Repeat 10 times. Exercise 7: Click the Tongue. Please perform the following exercise as shown in the video below. Perform the exercise for 15 seconds and repeat 10 times. Please turn up the volume on your machine to hear the clicking sound. The first video is clicking that needs to be improved vs the second video which demonstrates loud clicking that is better. Exercise 8: Push Tongue Against Spoon: Push the tip of the tongue forward and straight and push hard against a spoon. Make sure to keep the tip of the tongue straight as shown below (Repeat 10 times): A: Good Position B. Poor Position Exercise 9: Hold A Spoon: Hold a spoon between your lips (Make sure that it is between the lips and NOT the teeth). At the beginning you may use only a spoon, but as you become more advanced you can use a small object (sugar cube/chocolate/etc) to add difficulty. Proper and Poor position are shown below: Proper Position (Note Head/Neck/Spoon): Poor/Inappropriate Position: Exercise 10: Hold Button: Tie a button to a string that is at least 10 cm in length. Take the button and put it inside of your mouth between your lips and your teeth. Hold your lips as tight as you can and then pull on the string in a horizontal plane and do not allow the button to be pulled out. Hold for 10 seconds then relax. Repeat 10 times. For added difficulty, older children can try to hold the button (or a coin) flat in between their lips. Caution: Please make sure that the child is old enough to make sure that they can hold the string, or parent is holding straight to avoid the child accidentally swallowing the button. Pulling button with string Holding button flat between lips Prior to these exercises being performed, your child's frenulum should be evaluated. If he or she is having difficulties performing the exercises outline above, it may be due to a short frenulum that can be evaluated by their sleep specialist. (Treatment involves a small procedure to release the tongue into a normal position and can be discussed with sleep specialist and ear/nose/throat specialist). Below are two photos pointing to the location of the frenulum i.e. a small ligament in the middle of the tongue that attaches the tongue to the base of the mouth anteriorly
How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and…
(adsbygoogle = window.adsbygoogle || []).push({}); Many people think that it's important for their kids to go to the dentist while neglecting their own dental health. However, while cavities often strike during childhood, problems like periodontal disease...
How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and…
Have you ever treated a student with an interdental lisp or tongue thrust? Obviously, you have. But, did you know, tongue thrust is the common name for Orofacial Myofunctional Disorders, or OMDs? Students who have OMDs need much more than just articulation therapy to correct a lisp. They need specialized therapy to retrain their oral rest postures, swallowing habits, as well as their speech. This tool box has everything you need to help you get started treating this disorder! I would love it if you would take a second and follow my store! All new resources are 50% off for the first 24 hours, so you can save money by following me! This resource contains: What are Orofacial Myofunctional Disorders: A handout explaining OMDs, it is perfect for parents and teachers. What Causes OMDs: A handout explaining several common causes of OMDs. The Orofacial Myology Team: A handout explaining additional referrals that might be needed for individuals with OMDs. OMD Parent Observation Evaluation: A parent survey to help you with your evaluation. Oral Mechanism Examination Checklist: A checklist to guide your oral mechanism exam. Swallowing Evaluation: A guide explaining typical and atypical swallows so that you know what to look for when evaluating swallowing as it relates to tongue thrust. Articulation Evaluation: Picture prompts for the phonemes most commonly missed by individuals with OMDs (/t/, /d/, /n/, /l/, /s/, /z/, /sh/, /ch/, /th/, and /j/ (as in juice)). Pictures in color or B/W. Why Do I Come To Speech Mini Book: A simple book explaining why a student is coming to speech for a tongue thrust. My Speech Helpers Mini Book: A flip book for younger students that introduces the mouth and oral structures. My Speech Helpers Reading Passage: A reading passage for students with stronger reading abilities that explains the mouth and oral structures. My Speech Helpers Play Dough Activity: Students use the pictures to make the teeth, tongue, and lips out of play dough. Speech Helper Labeling Activity: A cut and paste activity to help students locate their articulators. Keeping My Mouth Closed Mini Book: A simple flip book for young students teaching about closed oral rest postures. Oral Rest Postures Reading Passage: A reading passage explaining the importance of a closed mouth rest posture, for older students. Teaching A Closed Mouth Rest Posture: A handout with strategies to help the therapist teach a closed mouth resting posture. Oral Rest Posture Parent Handout: A handout to help parents teach a closed mouth oral rest posture. Oral Rest Posture Homework Charts Teaching the Types of Swallows: A handout with strategies to help the therapist teach the different types of swallows. Swallowing Practice Sheet Articulation Cards: Isolation: Pictures depicting the production of the phonemes most frequently missed by individuals with OMDs- /t/, /d/, /n/, /l/, /s/, /z/, /sh/, /ch/, /th/, and /j/. Articulation Cards: Syllables: Visual cards to practice making sounds at the syllable level. Articulation Cards: There are 2-3 pages of cards for the initial, medial, and final positions of the following phonemes at the word level: /t/, /d/, /n/, /l/, /s/, /z/, /sh/, /ch/, /th/, and /j/. Cards are in color and B/W. Over 130 pages of cards in total. Card Deck Cover Pages: Beautiful cover pages in gold, blush, and navy to go with the articulation card decks. Drawer Labels: The drawer labels can be used tomake the toolbox with a navy, blush, and gold theme! I used this tool box from Amazon to organize all of my OMD materials! Thank you so much, Jessica, The Gift of Gab ___________________________________________________________________ Click to Connect Instagram: the_gift.of_gab Blog: the-gift-of-gab.com Email: [email protected]
Our program uses a brain-based approach. Brain plasticity is the ability of your brain to modify its neuronal connections and re-wire itself to learn a new task.
MUSCLES OF MASTICATION 1)Overview and Topographic Anatomy GENERAL INFORMATION Mastication is the process of chewing food in preparation for deglutition (swallowing) and digestion All muscles of mastication originate on the skull and insert on the mandible All muscles of mastication are innervated by the mandibular division of the trigeminal nerve All muscles […]
Human Nutrition
