International Journal of Orofacial Myology and Myofunctional Therapy

1 pages, 586 KB

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Mouth Breathing in Allergic Children: Its Relationship to Dentofacial Development

by Robert M. Mason

Int. J. Orofac. Myol. Myofunct. Ther. 1987, 13(2), 13; https://doi.org/10.52010/ijom.1987.13.2.4 - 1 Jul 1987

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This 1983 often-quoted study was the result of a Master's Thesis in Orthodontics at the University of Washington in Seattle by the senior author. The other authors are mostly orthodontists and pediatricians. The study compares facial growth characteristics in 45 individuals ranging from age 6 to 12 years. Thirty chronically allergic mouth breathers were selected from a pediatric allergy practice, and 15 nonallergic nose breathers were selected for comparison from a general pediatric practice. Each subject underwent intraoral and lateral cephalometric radiographic examinations. A variety of skeletal and dental relationships were evaluated for statistical differences as related to age and mode of breathing. In the mouth breathers, the cephalometric findings differed considerably from the nasal breathers. Facial height was increased, both jaws were more retrognathic, the palatal height was increased, dental overjet was increased, the maxillary intermolar width was narrower, and many cephalometric angular measures supported a "long face syndrome" tendency. Overall, the mouth breathers had longer faces with narrower maxillae and retrognathic jaws. The authors conclude that these data support previous claims that nasal airway obstruction is associated with aberrant facial growth. They add that longitudinal studies are needed to evaluate the effectiveness of early intervention in preventing these growth alterations. They caution against aggressive new treatment approaches unless they are a part of a wellcontrolled research effort. Full article

3 pages, 1582 KB

Open AccessCommentary

Research in Orofacial Myology

by Allen H. Nelson

Int. J. Orofac. Myol. Myofunct. Ther. 1987, 13(2), 10-12; https://doi.org/10.52010/ijom.1987.13.2.3 - 1 Jul 1987

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Abstract

Introduction: The purpose of this article is to examine selected issues related to the conduct of research within the profession of orofacial myology. This article is also intended to summarize several of the research issues presented at the 1987 International Association of Orofacial Myology convention in Chicago, Illinois. Orofacial myology, like many specialties, is primarily a clinical field. Historically there has been a tendency for practitioners to avoid conducting research. An underlying philosophy might suggest that practitioners should provide clinical treatment while research should be conducted within the academic and laboratory settings. After all, those in the academic environment are more likely to be trained in the skills and methods of conducting research. To a large degree this is a valid assumption. However, a case can be made for the practicing therapist also to be involved in research for the following reasons: (a) The therapist has access to the client population. (b) The therapist can improve clinical skills through systematic evaluation of treatment protocols. (c) The therapist is the eventual caregiver. Full article

3 pages, 1523 KB

Open AccessArticle

Evaluation of the Patient with Temporomandibular Joint Dysfunction

by Edward A. Dolan

Int. J. Orofac. Myol. Myofunct. Ther. 1987, 13(2), 7-9; https://doi.org/10.52010/ijom.1987.13.2.2 - 1 Jul 1987

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Abstract

Introduction: Evaluating the patient with temporomandibular joint disorders can be difficult and challenging for the clinician. Gathering the appropriate data, diagnosing the problem and formulating an accurate differential diagnosis is essential. Temporomandibular joint disorders may be muscular in origin (myofascial pain dysfunction) or have their primary etiology within the joint itself (internal derangement). It is important for the clinician to systematically evaluate the patient in order to formulate an optimal treatment plan. The treatment must be multidisciplinary, however the first challenge for the clinician is to recognize the problem. Listening to the patient, taking a complete history, and performing a thorough clinical and radiographic examination are the first priorities. Full article

6 pages, 2799 KB

Open AccessArticle

Speech and Swallowing Changes Associated with Sagittal Osteotomy: A Report of Four Subjects

by Felicia A. Bruce and Marvin L. Hanson

Int. J. Orofac. Myol. Myofunct. Ther. 1987, 13(2), 1-6; https://doi.org/10.52010/ijom.1987.13.2.1 - 1 Jul 1987

Cited by 4

Abstract

The purpose of the study was to determine the immediate and possible long-term effects of a mandibular osteotomy upon speech and tongue thrust (where present). To explore this, four subjects who exhibited a Class Ill malocclusion or skeletal underbite, in addition to a lisp, were evaluated before and after undergoing a sagittal osteotomy. The evaluation consisted of identical speech and tongue thrust assessments completed within two weeks of and nine weeks after the scheduled surgery. Both evaluations were completed by a panel of three speech-language pathologists. The speech evaluation required the subject to read ten /s/ and ten /z/ phoneme sentences taken from the McDonald Deep Test of Articulation. Each subject was judged as either exhibiting or not exhibiting a lisp on each sentence read. The tongue thrust evaluation utilized a quantitative tongue thrust baseline measurement in which the subject's tongue position was ranked during the swallowing of food, liquid, and saliva. Full article

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Int. J. Orofac. Myol. Myofunct. Ther., Volume 13, Issue 2 (July 1987) – 4 articles

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