Orofacial Myofunctional Therapy Flashcards

1
Q

What is the definition of orofacial myofunctional therapy (OMT)?

A

focuses on the evaluation and treatment of oral and facial muscles’ function and their influence on overall health

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2
Q

Orofacial myofunctional therapy address…

A

improper muscle function, swallowing patterns, and oral habits that can lead to various health issues

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3
Q

Trained therapists work with patients to correct these dysfunctions through…

A

exercises and behavioral modifications

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4
Q

What are the four goals of myofunctional therapy?

A
  • proper lip seal
  • tongue posture
  • nasal breathing
  • swallowing pattern
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5
Q

Nasal breathing converts oxygen into ________________, which is
produced in the sinuses around the nose

A

nitric oxide

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6
Q

Nasal breathing opens the blood vessels in the lungs, allowing for

A

better oxygen diffusion in lungs and throughout the body

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7
Q

What does nitric oxide do?

A

regulates blood pressure, transmits signals between neurons and suppresses harmful pathogens

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8
Q

When there is a proper balance of oxygen and carbon dioxide (CO2) in the blood, the body maintains a

A

balanced pH

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9
Q

If you breathe through an open mouth, you lose too much…

A

CO2

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10
Q

Nose breathing enhances your body’s ability to access the ___________ in your blood.

A

oxygen

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11
Q

It is not possible to maintain diaphragm breathing through the ___________.

A

mouth

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12
Q

Nose breathing engages and strengthens your __________

A

diaphragm

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13
Q

nasal breathing __________ the air you breathe in, allowing it to adjust to your body temperature

A

humidifies

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14
Q

When exercising, the extra resistance during nose breathing results in ____% better oxygenation

A

10 to 20

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15
Q

Our nose hairs (otherwise known as cilia) are estimated to protect our bodies from about _________ particles of foreign matter each day

A

20 billion

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16
Q

Why is Lip Seal important?

A

-Promotes nasal breathing
-Promotes tooth alignment

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17
Q

What is the correct tongue posture?

A

High Tongue Posture
- Equal pressure of tongue and lips shape the growth of the palate and teeth
- High resting tongue posture prevents mouth-breathing

18
Q

Why is tongue posture important?

A

-Swallowing
-Speech
-Sleep
-Breathing (airway)
-Jaw development

19
Q

Why proper swallowing?

A

-To prevent teeth relapse (tipping, shifting teeth after orthodontic treatment)
-To prevent acid reflux (high tongue posture; not swallowing air)
-Less gagging, better digestion of food, evenly distributed chewing forces promote proper tooth alignment

20
Q

What is a tongue thrust or “reverse” swallow?

A

● The tongue pushes outward when swallowing

21
Q

What does tongue thrust/”reverse swallowing” cause?

A

● Teeth have been pushed outward, creating malocclusion such as an ‘open bite’
● Difficulty producing speech sounds such as s, z, t, d, n, l, r, sh, ch, or j

22
Q

What can cause a tongue thrust/”reverse swallow”?

A

● Prolonged thumb/finger sucking or pacifier use (after the age of two)
● May be caused by tethered oral tissues such as a tongue tie.

23
Q

Why does proper occlusion matter?

A

Occlusion (position of teeth) plays a significant role in oral health because the jaw and its muscles generate incredible force with every bite. If this force is not spread out and distributed evenly it can cause serious and possibly irreversible damage to the teeth, gums, jaw muscles and bone structure

24
Q

Why does chewing matter?

A

● The natural growth forces generated from correct chewing make a big contribution to growing faces and maintaining ideal oral function for life.
● Chewing has been linked to facial development, jaw growth, correct swallow patterns, normal digestion and even concentration and memory.

25
Q

Why do we need myofunctional therapy?

A

● Jaws are shrinking
—Processed foods
—Industrial revolution
● Airway issues
—Allergies (causes
mouthbreathing)
—Enlarged tonsils
—Asthma
● Lip and tongue tie

26
Q

What should you look for to notice if someone would benefit from orofacial myofunctional therapy?

A
  • Asthma
  • Tongue tie, lip tie
  • Raccoon eyes/allergic shiners
  • Strong Gag reflex
  • Allergies (dust, dairy, animals)
  • Mouth-breathing
  • Ortho relapse
  • Forward head posture
  • Grinding teeth (bruxism)
  • TMJ pain/TMD
  • Sleep apnea
  • Snoring
  • Large tonsils
  • Dry, red/inflamed throat and gingiva
  • Patients who struggle with ultrasonic use, water pooling, rubber dam
27
Q

What does tongue tie (ankyloglossia) promote?

A

-Promotes low tongue posture
-Promotes mouth breathing

28
Q

What are the dangers of tongue tie (ankyloglossia)?

A

-Inhibits proper jaw growth
-Increased strain on TMJ and facial muscles
-Can cause airway obstruction, sleep apnea

29
Q

What are the symptoms of lip and tongue times in babies?

A

● Gassy
● Acid reflux
● Colic
● Blisters on lips
● Difficulty latching
● Painful latch (for mom)
● Loud eating

30
Q

What does it matter if kids and adults have lip ties?

A

-Difficulty brushing teeth (leads to decalcification and caries)
-Oral incompetence contributing to problems with proper lip seal
-Lip seal aka “lip competence”
-Bad lip seal = prone to mouth breathing

31
Q

What are common conditions addressed by myofunctional therapy?

A

● Malocclusion (misalignment of teeth)
● Temporomandibular joint disorders - TMD
● Sleep-disordered breathing (sleep apnea)
● Swallowing difficulties
● Speech difficulties
● Facial pain
● Headaches
● Forward head posture (trying to open airway)

32
Q

What is sleep disordered breathing?

A

A general term for breathing difficulties occurring during sleep. Can range from frequent loud snoring to obstructive sleep apnea

33
Q

What are the symptoms of sleep disordered breathing?

A

-Apneic events, including choking,
gagging, and long pauses without
breathing

34
Q

What can sleep disordered breathing cause?

A

SDB has been shown to be a factor contributing to heart disease, high blood pressure, cardiac arrhythmias, diabetes, stroke, and other chronic health issues

35
Q

What is sleep apnea?

A

potentially serious sleep disorder in which breathing repeatedly stops and starts

36
Q

What are the sings of sleep disordered breathing in kids?

A

● Teeth grinding
● Bed wetting
● Sleep walking
● Sweating at night
● Restless sleep
● Snoring
● Growth problems
● Napping in older children
● ADHD
● Mouth breathing

37
Q

How can you treat sleep disordered breathing?

A

-Refer to sleep clinic or pediatric sleep doctor
-Polysomnogram: measures blood oxygen saturation, apnea hypopnea index (how many times the airway obstructs per hour)
-CPAP machine
-Mandibular advancement device
-Palatal expansion + ortho

38
Q

What does Myofunctional Therapy look like?

A

● Assessment and consultation
● 6-12 month program (session every 2-4 weeks)
● Daily practice for 5-10 minutes a day (AM and PM)
● Neuromuscular connection retraining
● Interdisciplinary approach
● Breathing + posture exercises

39
Q

What is the cycle of oral dysfunction?

A
40
Q

What are myofunctional therapy exercises?

A

-Lingual palatal suction aka “Caves”
-K sounds
-Tongue Points