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

2020 ◽  
pp. 1-9
Author(s):  
Francesco Mozzanica ◽  
Nicole Pizzorni ◽  
Letizia Scarponi ◽  
Giorgia Crimi ◽  
Antonio Schindler
Keyword(s):  
Posterior Part ◽  
Post Treatment ◽  
Mixed Dentition ◽  
Tongue Pressure ◽  
Tongue Strength ◽  
Oral Performance ◽  
Myofunctional Therapy ◽  
Treatment Conditions ◽  
Tongue Thrust

<b><i>Introduction:</i></b> 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. <b><i>Objective:</i></b> To evaluate the effect of OMT through a validated instrument and explore the role of dentition on its efficacy. <b><i>Methods:</i></b> 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. <b><i>Results:</i></b> 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. <b><i>Conclusions:</i></b> OMT improves orofacial motricity and tongue strength in patients with tongue thrust regardless of the type of dentition.

scholarly journals Effects of oral myofunctional therapy on swallowing and sibilant production

1995 ◽  
Vol 21 (1) ◽  
pp. 9-22
Author(s):  
Shelley Gommerman ◽  
◽  
Megan Hodge ◽  
Keyword(s):  
Speech Production ◽  
Normal Values ◽  
Home Visits ◽  
Treatment Phase ◽  
Treatment Session ◽  
Tongue Strength ◽  
Myofunctional Therapy ◽  
The Subject ◽  
Tongue Thrust ◽  
Therapy Sessions

This study investigated the effectiveness of oral myofunctional therapy in eliminating a 16 year-old girl's tongue thrust swallowing pattern and mild sibilant distortion. An ABC design was used where Phase A had eight baseline sessions (no treatment), Phase B had 14 oral myofunctional therapy sessions, and Phase Chad four articulation treatment sessions. Dependent measures of swallowing and sibilant production were obtained in each session. A third dependent variable, labial diadochokinetic rate, was also measured each session and served as a control for maturation. Oral myofunctional therapy was shown to be effective in eliminating the tongue thrust swallowing pattern of this subject, but not her sibilant distortion. However, her sibilant distortion reduced after one articulation treatment session and was maintained at negligible levels over the next three treatment sessions. As expected, labial diadochokinetic rate remained stable across the three phases. At the conclusion of Phase C, two bi-weekly home visits revealed that the subject had maintained and generalized her new swallowing pattern. Measures obtained six months after completion of Phase C indicated that the subject had maintained her new swallowing and speech production behaviors. The subject's maximal tongue strength and endurance were below expected normal values at the initiation of the study and increased during the study. Her tongue endurance appeared more sensitive to the effects of oral myofunctional training than tongue strength and, unlike tongue strength, tongue endurance decreased in the six month period following completion of the study.

scholarly journals Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing

2021 ◽  
Vol 10 (24) ◽  
pp. 5772
Author(s):  
Carlos O’Connor-Reina ◽  
Jose María Ignacio Garcia ◽  
Laura Rodriguez Alcala ◽  
Elisa Rodríguez Ruiz ◽  
María Teresa Garcia Iriarte ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Sleep Disordered Breathing ◽  
Positive Airway Pressure ◽  
Tongue Strength ◽  
Oral Performance ◽  
Good Adherence ◽  
Myofunctional Therapy ◽  
Before And After ◽  
Nose And Throat ◽  
Disordered Breathing

Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence—only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym®, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (p < 0.05) in the apnoea–hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O2 saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson r = 0.4; p = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie.

scholarly journals Analysis of Labial and Lingual Strength among Healthy Chinese Adults in Taiwan

2020 ◽  
Vol 17 (21) ◽  
pp. 7904
Author(s):  
Shang-Jung Wu ◽  
Chun-Chieh Wang ◽  
Feng-Yu Lin ◽  
Kai-Yu Tseng ◽  
Yueh-Juen Hwu
Keyword(s):  
Objective Assessment ◽  
Mean Value ◽  
Tongue Pressure ◽  
Tongue Strength ◽  
Oral Performance ◽  
Chinese Adults ◽  
Strength Parameters ◽  
A Value ◽  
Healthy Chinese ◽  
Posterior Tongue

This study collected 11 parameters regarding the labial and lingual strength for maximum isometric and swallowing tasks among 150 healthy Chinese adults in Taiwan. Measurements were performed using the Iowa Oral Performance Instrument (IOPI). All of the labial and lingual strength parameters were measured three times. The maximal value of three trials represents the pressure of every parameter. The overall mean (±standard deviation) and maximum isometric pressures of the lips, anterior tongue, and posterior tongue were 24.81 ± 5.64, 55.95 ± 14.13, and 53.23 ± 12.24 kPa, respectively. The mean value of posterior tongue strength was less than that of the anterior tongue by approximately 5%. The percentages of maximum isometric tongue pressure during the swallowing of saliva and water were 85% and 80% for the anterior tongue and 90% and 81% for the posterior tongue, respectively. The average endurances for the anterior tongue and posterior tongue were 13.86 ± 7.08 and 10.06 ± 5.40 s, respectively. The maximum isometric pressures were greater than both the saliva and water swallowing pressures, and the saliva swallowing pressures were greater than the water swallowing pressures. A value of 33 kPa in maximum isometric pressure could serve as a demarcation of weak tongue strength for healthy Chinese adults. As for the repeated trials of labial and lingual strength, there were no statistically significant differences for any of the pressures obtained from the 11 labial and lingual strength parameters. The normative data can be used for the objective assessment of labial and lingual strength in healthy Chinese adults.

scholarly journals Transient sex-related changes in the mice hypothalamo–pituitary–adrenal (HPA) axis during the acute phase of the inflammatory process

1993 ◽  
Vol 2 (2) ◽  
pp. 123-127 ◽  
Author(s):  
T. Daneva ◽  
E. Spinedi ◽  
R. Hadid ◽  
M.-C. Jacquier ◽  
M. Giacomini ◽  
...  
Keyword(s):  
Sex Difference ◽  
Acute Phase ◽  
Hpa Axis ◽  
Plasma Levels ◽  
Potential Role ◽  
Post Treatment ◽  
Male Mice ◽  
Plasma Acth ◽  
Endogenous Sex Hormones

The potential role of endogenous sex hormones in regulating hypothalamo–pituitary–adrenal (HPA) axis function was investigated after a single injection of endotoxin in adult (8 week old) BALB/c mice of both sexes. The effect of LPS on plasma ACTH, corticosterone (B), testosterone and oestradiol (E) levels and on anterior pituitary (AP) ACTH and adrenal B contents at different times after treatment was studied. The results indicate that: (a) basal B but not ACTH plasma levels were significantly higher in female than in male mice; (b) LPS significantly increased both ACTH and B plasma levels over the baseline 2 h after injection, both hormone levels being higher in female than in male mice; (c) although plasma ACTH concentrations recovered the basal value at 72 h after LPS in animals of both sexes, plasma B levels returned to the baseline only at 120 h after treatment; (d) E plasma levels significantly increased 2 h after LPS and returned to the baseline at 72 h post-treatment, in both sexes; (e) at 2 h after LPS, testosterone plasma levels significantly decreased in male mice and increased in female mice, recovering the baseline level at 120 and 72 h after LPS, respectively; (f) AP ACTH content was similar in both sexes in basal condition and it was significantly diminished 72 h post-treatment without sex difference; whereas AP ACTH returned to basal content 120 h after LPS in males, it remained significantly decreased in females; (g) basal adrenal B content was higher in female than in male mice, and it significantly increased in both sexes 2 h post-LPS, maintaining this sex difference. Whereas adrenal B returned to basal content 72 h after treatment in male mice, it remained significantly enhanced up to 120 h post-LPS in female animals. The data demonstrate the existence of a clear sexual dimorphism in basal condition and during the acute phase response as well as in the recovery of the HPA axis function shortly after infection.

Effect of Post-treatment Conditions on the Inactivation Rate of Pathogenic Bacteria after the Composting Process

2015 ◽  
Vol 23 (3) ◽  
pp. 164-173
Author(s):  
Hamidatu S. Darimani ◽  
Ryusei Ito ◽  
Seyram K. Sossou ◽  
Naoyuki Funamizu ◽  
Maiga H. Amadou
Keyword(s):  
Pathogenic Bacteria ◽  
Post Treatment ◽  
Inactivation Rate ◽  
Composting Process ◽  
Treatment Conditions

Tongue Thrust: A Point of View

1976 ◽  
Vol 41 (2) ◽  
pp. 172-184 ◽  
Author(s):  
Marvin L. Hanson
Keyword(s):  
Orthodontic Treatment ◽  
Point Of View ◽  
Patient Age ◽  
Present Evidence ◽  
Standard Definition ◽  
Myofunctional Therapy ◽  
Developmental Factors ◽  
Patient Âgé ◽  
Definition Of ◽  
Tongue Thrust

The purpose of the present paper is to present evidence to support the following hypotheses: (1) there is a relationship between tongue thrust and malocclusion, and it is probably a reciprocal one; (2) tongue thrust may yield spontaneously to nonthrusting patterns; (3) if tongue thrust does not yield spontaneously to nonthrusting patterns, some form of treatment should be considered; (4) if myofunctional therapy is the treatment of choice, its timing with respect to patient age, developmental factors, and orthodontic treatment should be an individual matter. The need for more definitive research is described. In order for such research to be meaningful, a standard definition of tongue thrust is required. Such a definition is proposed.

scholarly journals Role of Prophylactic Antibiotics in the Management of Postoperative Endodontic Pain

2015 ◽  
Vol 16 (12) ◽  
pp. 939-943 ◽  
Author(s):  
Leena Alsomadi ◽  
Riyad Al Habahbeh
Keyword(s):  
Pain Scale ◽  
Prophylactic Antibiotics ◽  
Post Treatment ◽  
Endodontic Treatment ◽  
Significant Difference ◽  
Group A ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Group B

ABSTRACT Aim To investigate the efficacy of using antibiotics in post endodontic treatment as a method to alleviate post-treatment pain. Materials and methods After completion of endodontic treatment 129 patients were randomly divided into two groups: Group A (65 patients) received Ibuprofen 400 mg one tablet before procedure and one tablet every 8 hours for the first day, then one tablet once indicated by pain. Group B (64 patients) received the same regimen as group A in addition to amoxicillin, clavulanic acid tablets (one tablet before the procedure, and then one tablet twice daily for a total of 3 days). Intensity of pain at 8 hours interval using visual analog scale (VAS) and total number of Ibuprofen tablets used was recorded by patients. Results Peak postoperative pain occurred at 16 hours posttreatment in both groups, there was a significant difference in the pain scale between the two groups in favor for group B over group A (3.8 vs 2.1 respectively). Pain scale was significantly lower in group B at 24, 32, 40, and 48 hours post-treatment with a p-value of < 0.05. The pain scale at 56, 64 and 72 hours were also less in group B, although could not show up as statistical difference. Patients in group A used statistically significant more Ibuprofen than patients in group B (486 vs 402). Conclusion Antibiotic prescription to manage post endodontic treatment pain results in less pain with less consumption of Ibuprofens. Clinical significance Pain management in endodontics is a real challenge, nonsteroidal anti-inflammatory drugs (NSAIDS) are used effectively in many patients to alleviate post endodontic pain. Nonsteroidal anti-inflammatory drugs may have adverse reactions or may be contraindicated. Short-term use of antibiotics to alleviate pain can be of clinical benefits in these patients. How to cite this article Alsomadi L, Al Habahbeh R. Role of Prophylactic Antibiotics in the Management of Postoperative Endodontic Pain. J Contemp Dent Pract 2015;16(12):939-943.

scholarly journals The effectiveness of orofacial myofunctional therapy in improving patients' ability to swallow pills

1997 ◽  
Vol 23 (1) ◽  
pp. 50-51
Author(s):  
Roberta Pierce
Keyword(s):  
Functional Outcome ◽  
Initial Evaluation ◽  
Myofunctional Therapy ◽  
Tongue Thrust

The data in this report was obtained from the clinical charts of 100 patients who had orofacial myology evaluation/ consultation and subsequent therapy in the office of the author from January 1990 through June 1996. Of the 100 patient charts which were analyzed, 39 reported difficulty swallowing pills at the initial evaluation. All 100 patients were able to swallow pills easily at the conclusion of ten to twelve lessons of tongue thrust therapy. "Ability to swallow pills" is a "functional outcome" of tongue thrust therapy. [excerpts from article]

scholarly journals Breastfeeding, Introduction of Food and Use of Pacifier on the Stomatognathic System of Children with Mixed Dentition

2020 ◽  
Vol 22 (4) ◽  
pp. 222-228
Author(s):  
Isabela Hallak Regalo ◽  
Lígia Maria Napolitano Gonçalves ◽  
Marcelo Palinkas ◽  
Ligia Franco Oliveira ◽  
Selma Siessere ◽  
...  
Keyword(s):  
Negative Impact ◽  
Bite Force ◽  
Artificial Feeding ◽  
Bottle Feeding ◽  
Mixed Dentition ◽  
Complementary Food ◽  
Tongue Pressure ◽  
Healthy Children ◽  
Stomatognathic System ◽  
Pacifier Use

AbstractThe objective of this study was to investigate the effects of maternal breastfeeding, artificial feeding, types of introduction of complementary food introduction and the use of bottle and pacifier on lip /tongue pressure and maximum molar bite force of school children. Thirty-five healthy children with mixed dentition (20 boys and 15 girls), aged 6-10 years, participated in this study. The children were evaluated based on anthropometry, electronic scale and portable stadiometer, feeding practices (breastfeeding, artificial feeding, introduction of complementary food), bottle and pacifier use, tongue and lips strength and molar bite force. The results were submitted to ANOVA (p <.05). The sample showed a predominance of children with adequate height and weight for age. In the analysis of the influence of the food introduction period, the complementary food consistency and the pacifier use; it was observed that these factors did not influence the pressures of the lips/tongue statistically. In the evaluation of the influence of bottle feeding, the data showed higher bite force for children who never used the bottle, statistically significant data for the right and left sides (p ≤ .003 and p ≤ .001, respectively). The authors suggest that the type of breastfeeding received by the children may have a negative impact on the stomatognathic system functioning, evidenced by the lower maximum molar bite force found in the bottle-fed children. Keywords: Breast Feeding. Bottle Feeding. Bite Force. ResumoO objetivo deste estudo foi investigar os efeitos do aleitamento materno, alimentação artificial, tipos de introdução complementar de alimentos e uso de mamadeira e chupeta na pressão labial / lingual e força máxima de mordida molar em crianças em idade escolar. Participaram 35 crianças saudáveis com dentição mista (20 meninos e 15 meninas), com idades entre 6 e 10 anos. As crianças foram avaliadas com base em antropometria, balança eletrônica e estadiômetro portátil, práticas de alimentação (amamentação, alimentação artificial, introdução de alimentos complementares), uso de mamadeira e chupeta, força da língua e lábios e força de mordida molar. Os resultados foram submetidos à ANOVA (p < 0,05). A amostra demonstrou predominância de crianças com altura e peso adequados para a idade. Na análise da influência do período de introdução dos alimentos, da consistência do alimento complementar e do uso de chupeta, observou-se que esses fatores não influenciaram estatisticamente as pressões dos lábios / língua. Na avaliação da influência da mamadeira, os dados mostraram maior força de mordida para crianças que nunca usaram a mamadeira, dados significativos para os lados direito e esquerdo (p ≤ 0,003 ep ≤ 0,001, respectivamente). Os autores sugerem que o tipo de aleitamento materno recebido pelas crianças pode ter impacto negativo no funcionamento do sistema estomatognático, evidenciado pela menor força máxima de mordida molar encontrada nas crianças alimentadas com mamadeira. Palavras-chave: Aleitamento Materno. Alimentação Artificial Força de Mordida

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