{"title":"Lingual frenulum: classification and speech interference.","authors":"Irene Queiroz Marchesan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To propose a classification of the different lingual frenulum and to relate them to speech disorders.</p><p><strong>Methods: </strong>We evaluated 1402 patients' frenulum with an age range of 5 years 8 months to 62 years 10 months between 1978 and 2002. Pictures were taken of the altered frenulum. Measures of maximal mouth opening, with and without tongue suction, were taken with a sliding caliper. Speech samples were also taken. Frenulum were then classified as normal; short; with anterior insertion, and short with anterior insertion.</p><p><strong>Results: </strong>From the 1402 patients evaluated, 127 (9%) presented with an altered frenulum insertion. For this study we considered only those with short or with anterior insertion. For those who had an altered frenulum, 62 (48.81%) presented with speech disorders. The more frequent speech disorders were: omission and substitution of /r/; {R}, and consonant clusters with /r/, and of /s/ and /z/. Frontal and lateral lisps also occurred. The frenulum of 21 patients was classified as short and of these, 12 patients (57%) presented with speech disorders. Of the 106 patients with anterior insertion, 50 (47.2%) presented with a speech disorder. After statistical analyses the relation between altered frenulum and speech disorders was considered significant with p<0.001.</p><p><strong>Conclusion: </strong>The lingual frenulum was classified as normal, short and with anterior insertion. An altered frenulum may predispose the individual to exhibit an accompanying speech disorder.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"30 ","pages":"31-8"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25231636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renata C Fiorotti, Milene M Bertolini, Jorge H Nicola, Ester M D Nicola
{"title":"Early lingual frenectomy assisted by CO2 laser helps prevention and treatment of functional alterations caused by ankyloglossia.","authors":"Renata C Fiorotti, Milene M Bertolini, Jorge H Nicola, Ester M D Nicola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Incorrectly produced speech sounds, the presence of dentofacial alterations and acquired functional adaptations may be due to a short and inadequate lingual frenum. When frenectomy is indicated, it should be performed as early as possible to prevent functional alterations. This study presents a literature review on correct lingual positioning in relation to orthodontic and phonetic function as well as an assessment of 15 patients who underwent frenectomy utilizing the carbon dioxide laser. The results demonstrated that this technique is safe, effective and perfect for use in young children and can be performed in an outpatient unit.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"30 ","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25231639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral structures and sleep disorders: a literature review.","authors":"Licia Coceani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years, a wealth of studies revealed the many physiological and histological changes the oropharyngeal muscles go through as a result of sleep disorders, in particular, as a result of Obstructive Sleep Apnea (OSA). This article presents a literature review of the most recent findings regarding sleep disorders and their effect on oropharyngeal structures. The article includes classifications and definitions of various sleep disorders; explains the negative implications of sleep disorders in children, as well as in adults; reviews the viable options to treat sleep disorders; suggests steps in which the orofacial myologists could be instrumental in identifying and referring patients with possible sleep disorders; and suggests further studies on the subject conducted by orofacial myologists.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"29 ","pages":"15-28"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24136763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lip sucking and lip biting in the primary dentition: two cases treated with a morphological approach combined with lip exercises and habituation.","authors":"Kyoko Fukumitsu, Fumie Ohno, Toshihide Ohno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lip sucking and lip biting in the primary-dentition period can cause the upper incisors to tip labially and the lower incisors to collapse lingually with the lower lip wedged between the upper and lower anterior teeth. The resulting lip incompetence further aggravates maxillary protrusion. Thus, there is a causal relationship between lip sucking/lip biting and maxillary protrusion. Orofacial myologists provide lip training to activate the flaccid upper lip and raise the child's awareness to help stop the sucking or biting of the lower lip, sometimes using an oral screen. Two primary-dentition cases with lip sucking and lip biting were treated with a functional appliance (F.A.), resulting in the elimination of the habits in 5 to 6 months along with the improvement of the overjet, overbite and facial profile. The authors prioritize myofunctional therapy (MFT) when treating open bite cases with tongue thrust in the primary dentition. However, the treatment of maxillary protrusion due to lip sucking and lip biting is approached differently with priority given to morphological improvement to create an oral environment that makes lip sucking and lip biting difficult, which is complimented with lip exercises and habituation. This combined approach was found to be effective in breaking the lip-sucking and lip-biting habits.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"29 ","pages":"42-57"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24136765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cephalometric evaluation in children presenting adapted swallowing during mixed dentition.","authors":"Milene Maria Bertolini, Sérgio Vilhegas, Denise Yvonne Norato, Jorge Rizzato Paschoal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The tongue trust and anterior projection through the dental arcades during swallowing is known as Adapted Swallowing (AS) and is a common finding during mixed dentition. The authors studied the morphologic dentofacial characteristics through cephalometric measures in 38 girls and 35 boys, aged seven to nine years, presenting AS, as determined by the speech therapist evaluation. Cephalometric evaluation was obtained by Radiocef 2.0 software. The measurements studied were the mandibular and maxillary relations to the cranial base, the nasolabial angle, and the upper airway patency, as proposed by McNamara Jr (1984), and the convexity and facial axis angles and maxillary height from Ricketts (1960; 1981). Results, analyzed in relation to sex and racial group, showed an association of Class II facial convexity with the African Brazilian children with dark black skin. This classification does not reflect an abnormality as all African Brazilians studied were classified as class II, due to the fact that the standard measurements are based in the white American population. These findings point to the need of specific racial normative standard for evaluating orofacial and dental structures.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"29 ","pages":"29-41"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24136764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of orofacial myofunctional therapy on speech intelligibility in individuals with persistent articulatory impairments.","authors":"Jayanti Ray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the effects of orofacial myofunctional therapy (OMT) on speech intelligibility in adults with persistent articulation impairments. Six adults in the age range of 18-23 years were selected to receive orofacial myofunctional therapy for a period of six weeks. The results showed that five out of six clients made significant progress in oral postures and speech sound production across all three speech production tasks: single words, sentences, and spontaneous speech. Speech intelligibility increased significantly in all clients except the one diagnosed with developmental apraxia of speech. Orofacial myofunctional therapists, speech-language pathologists, and other professionals need to rule out underlying orofacial myofunctional variables when targeting speech sounds for intervention. Speech production tasks may be considered as important measures to understand the efficacy of OMT in clinical settings.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"29 ","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24136891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pascal H H M van Lieshout, Arpita Bose, Aravind K Namasivayam
{"title":"Physiological effects of an 8-week mechanically aided resistance facial exercise program.","authors":"Pascal H H M van Lieshout, Arpita Bose, Aravind K Namasivayam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes a study that for the first time addresses the physiological effects of an 8-week mechanically aided facial exercise program, using the Facial-Flex device (Facial Concepts, Inc., Blue Bell, PA) with four healthy individuals with no motor, speech, language, or hearing problems. For a variety of non-speech and speech tasks, upper and lower lip muscle activity (EMG) and upper and lower lip movements were recorded at two baseline sessions (separated by 1 week) and immediately after an 8-week training period. The results indicate that after the training period, all four subjects showed an increase in the number of task repetitions and the duration of isometric contraction using the Facial-Flex device with a fixed resistance (Linebaugh tests). However, with respect to physiological changes as related to the exercise program, the results were mixed. Only one subject showed the expected significant increase in normalized EMG activity. This response was mirrored in a significant overall increase in movement range and peak velocity after the 8-week training period. Regarding the other three subjects, one subject showed no systematic training effect at all, whereas the remaining two subjects showed a significant increase in movement duration. Non-speech and speech tasks were found to be clearly different in their overall physiological characteristics; speech related movements were found to be more clearly defined in terms of larger amplitudes, shorter durations, higher peak velocities, and less variable movement cycles. The apparent discrepancy between the results of the Linebaugh tests and the physiological measures on specific oro-motor tasks warrants some caution in drawing conclusions on changes in the oro-motor system based on general performance measures. Further studies with well-defined clinical populations are needed to assess the usefulness of this device as an aid in the treatment of speech disorders based on motor system impairments.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"28 ","pages":"49-73"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22233236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suffer the little children: fixed intraoral habit appliances for treating childhood thumbsucking habits: a critical review of the literature.","authors":"Nicholas L Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A critical review of the literature is presented covering the treatment of childhood thumbsucking habits using fixed intraoral habit appliances (hayrake, palatal crib). The habit appliances are classified into type and function. Data is tabulated for key references revealing the fragmented and distorted nature of the literature and its lack of consistency. A chronological approach is presented to confirm the confused and idiosyncratic character of the literature. Information is provided on the early work of Massler and Graber and the paradox of Mack, Korner and Reider. Haryett's seminal studies at the University of Alberta regarding aspects of the treatment used are critically reviewed. Reflections are presented on why Larsson's study, casting doubt on the wisdom of using habit appliances, continues to be ignored. The emergence of the Bluegrass Appliance is discussed in terms of its being a more humane appliance and the seeming reluctance of practitioners to apply it as a kinder form of appliance therapy. Information is reported on the pain and serious injuries inflicted on children by habit appliances. A comparison of the use of appliances in the USA is made with the UK, where fixed habit appliances are not popular. Concludes that fixed intraoral habit appliances are cruel and inflict pain and suffering on children out of all proportion to their necessity. Questions why these appliances continue to be used, implying that it could be a combination of financial inducement, professional insularity and the absence of concerted opposition from behavioural therapists.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"28 ","pages":"6-38"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22233234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orofacial myofunctional therapy in dysarthria: a study on speech intelligibility.","authors":"Jayanti Ray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Various types of orofacial myofunctional disorders co-exist with speech problems in individuals with dysarthria. Controlled studies stating the efficacy of orofacial myofunctional therapy (OMT) in dysarthric individuals are very scant. The present study was undertaken to examine the efficacy of OMT in twelve patients diagnosed with mild to moderate dysarthria following right hemisphere brain damage. Pre-therapy assessment focused on existing orofacial myofunctional problems and speech intelligibility in the clients. The goals of OMT were to increase strength and mobility of buccal, facial, labial, and lingual musculature. No speech intervention was provided while OMT was in progress. Post-therapy measures indicated significant improvements in the stated goals as well as in speech intelligibility for single words. Patients observed functional improvements in swallowing functions too. A high positive correlation was found between speech intelligibility and diadochokinetic rate. Clinical implications regarding use of OMT in dysarthria are discussed.</p>","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"28 ","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22233235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An orthodontist's perspective on the use of habit appliances.","authors":"Patricia M Taylor, Robert M Mason","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77635,"journal":{"name":"The International journal of orofacial myology : official publication of the International Association of Orofacial Myology","volume":"28 ","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22233233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}