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International Journal of Orofacial Myology and Myofunctional Therapy is published by MDPI from Volume 51 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with International Association of Orofacial Myology (IAOM).

Int. J. Orofac. Myol. Myofunct. Ther., Volume 14, Issue 1 (March 1988) – 9 articles

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7 pages, 9744 KB  
Perspective
Orthodontic Perspectives on Orofacial Myofunctional Therapy
by Robert M. Mason
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 49-55; https://doi.org/10.52010/ijom.1988.14.1.9 - 1 Mar 1988
Cited by 3 | Viewed by 259
Abstract
Summary: The challenges presented in this article, for the orthodontist who has largely ignored orofacial myofunctional therapy and for the orofacial myologist who may have been more enthusiastic about claims than evidence deserves, are intended to encourage understanding and improve communication between professionals. [...] Read more.
Summary: The challenges presented in this article, for the orthodontist who has largely ignored orofacial myofunctional therapy and for the orofacial myologist who may have been more enthusiastic about claims than evidence deserves, are intended to encourage understanding and improve communication between professionals. Efforts to consider orofacial myofunctional variations in a broader perspective should result in added recognition of orofacial myofunctional therapy, while also improving patient care. Full article
9 pages, 12243 KB  
Perspective
Motivational Considerations in Orofacial Myofunctional Therapy
by Joseph B. Zimmerman
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 40-48; https://doi.org/10.52010/ijom.1988.14.1.8 - 1 Mar 1988
Cited by 1 | Viewed by 175
Abstract
Conclusions: The variety of motivational approaches available to the orofacial myologist and speech pathologist is multifaceted. Motivational concepts are modified by clinical experiences and the continuing education that follows initial formal education. Since motivation is a constantly changing phenomenon, the approaches to motivation [...] Read more.
Conclusions: The variety of motivational approaches available to the orofacial myologist and speech pathologist is multifaceted. Motivational concepts are modified by clinical experiences and the continuing education that follows initial formal education. Since motivation is a constantly changing phenomenon, the approaches to motivation must also undergo change or risk stagnation and lose effectiveness. It is my hope that the concepts presented in this article will help the clinician develop and maintain the high level of patient motivation needed to effect and maintain successful behavior change. Full article
7 pages, 7978 KB  
Article
Treatment for the Young Child
by Roberta B. Pierce
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 33-39; https://doi.org/10.52010/ijom.1988.14.1.7 - 1 Mar 1988
Viewed by 164
Abstract
Summary: The large majority of patients referred to orofacial myologists have been, and will continue to be, in the 10 to 15 year age range, primarily because this is the age when most individuals begin orthodontic treatment. As more pedodontists and general dentists [...] Read more.
Summary: The large majority of patients referred to orofacial myologists have been, and will continue to be, in the 10 to 15 year age range, primarily because this is the age when most individuals begin orthodontic treatment. As more pedodontists and general dentists have become aware of developing malocclusions, and the possible detrimental effects of tongue and lip-resting posture and tongue thrust swallowing, there has been an increase in the number of young children referred from a preventive point of view. Guidelines have been provided to enable the orofacial myologist to function as a member of a team in determining the best course of treatment for each child. There are certainly instances in whichmedical management, surgical intervention or orthodontic treatment are indicated. These recommendations should be made by the dental specialist, perhaps in consultation with the orofacial myologist. There are other instances in which therapy for tongue thrust or rest-posture therapy are indicated. With the young child, we can afford to take the more conservative approach - rest posture therapy - because there is sufficient time later to do additional therapy if needed. The overall goal is to create as normal an oral environment as possible so as to facilitate normal growth and development. Correcting the resting posture of the tongue and lips also improves the cosmetic appearance and enhances the opportunity for good occlusion. Full article
6 pages, 6713 KB  
Tutorial
Orofacial Myofunctional Disorders: Guidelines for Assessment and Treatment
by Marvin L. Hanson
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 27-32; https://doi.org/10.52010/ijom.1988.14.1.6 - 1 Mar 1988
Cited by 2 | Viewed by 3
Abstract
Summary: The approach to assessment and treatment advocated in this article stresses individualization and completeness. The field of orofacial myology provides many oppor­tunities for budding clinicians to latch onto a particular program of treatment and apply it wholesale to patients of all types [...] Read more.
Summary: The approach to assessment and treatment advocated in this article stresses individualization and completeness. The field of orofacial myology provides many oppor­tunities for budding clinicians to latch onto a particular program of treatment and apply it wholesale to patients of all types and ages. The temptation to do so should be resisted vigorously. The purpose of all procedures should be to help the patient eliminate postural or move­ment patterns that create undesirable pressures against teeth or unfortunate cosmetic results. Since tongue and lip-resting postures have the greatest potential of all patterns for interfering with proper dental development and orthodontic treatment, they should receive early and pervasive attention during treatment. Conceptually, therapy may be divided into three phases: Learning new patterns, incorporating those patterns into everyday activities until they become automatic, and maintaining them. Patients should be seen for rechecks for at least two years, or until all orthodontic work is completed. Treatment for orofacial myofunctional disorders is most successful, when the clinician, child, parents and dental specialist work in close cooperation. Full article
5 pages, 4684 KB  
Tutorial
Cosmetic Aspects of Orofacial Myofunctional Therapy
by James L. Case
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 22-26; https://doi.org/10.52010/ijom.1988.14.1.5 - 1 Mar 1988
Viewed by 215
Abstract
Introduction: In maxillofacial, craniofacial, plastic and reconstructive surgeries as well as in general orthodontic treatment, one of the principal concerns for patient management is facial esthetic or cosmetic satisfaction. This is manifested by the numerous articles and manuscripts devoted to the topic of [...] Read more.
Introduction: In maxillofacial, craniofacial, plastic and reconstructive surgeries as well as in general orthodontic treatment, one of the principal concerns for patient management is facial esthetic or cosmetic satisfaction. This is manifested by the numerous articles and manuscripts devoted to the topic of cosmesis. Thousands of dollars are paid yearly to practitioners in these and similar disciplines by patients who want a better chin line, less protrusion in the maxillary region, a smaller or less dynamic nose, the elimination of a diastema between the central incisors, fewer wrinkles and numerous additional cosmetic concerns. These professionals generally acknowledge that the need for treatment of many orofacial anomalies may be based on factors other than impairment of physiological functions or the potential loss of function -- namely, cosmetic concern (Tedesco, et al. 1983; Tobiasen, 1987; Kapp-Simon, 1986). The orofacial myologist must share this concern for improvement of cosmesis and seek and use techniques to augment the cosmetic goals of related professionals. Full article
11 pages, 12664 KB  
Tutorial
Nasal Airway Interference: Considerations for Evaluation
by John E. Riski
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 11-21; https://doi.org/10.52010/ijom.1988.14.1.4 - 1 Mar 1988
Cited by 3 | Viewed by 184
Abstract
Introduction: Respiration for speech and non-speech activities is an ongoing, adaptive process. The adaptations involved may relate to anatomical factors in the respiratory tree, or physiological demands in the environment. When the nasal cavity is not adequately patent, adjustments in oral and pharyngeal [...] Read more.
Introduction: Respiration for speech and non-speech activities is an ongoing, adaptive process. The adaptations involved may relate to anatomical factors in the respiratory tree, or physiological demands in the environment. When the nasal cavity is not adequately patent, adjustments in oral and pharyngeal posture must take place in order to allow respiration to proceed effectively. In some instances resting oral postures may be influenced and habit response patterns may be developed. These adjustments of oral posture are the broad subject of this journal special issue. More specific to the article, the discussion is of those factors which influence nasal patency and the techniques available for measuring the degree of nasal patency. [excerpt] Full article
8 pages, 9412 KB  
Review
Orofacial Myofunctional Therapy: Historical and Philosophical Considerations
by Marvin L. Hanson
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 3-10; https://doi.org/10.52010/ijom.1988.14.1.3 - 1 Mar 1988
Cited by 5 | Viewed by 291
Abstract
The collaboration of an orthodontist, speech-language pathologists, and orofacial myologists in the compilation of this special issue of the IJOM is a significant happening. It is symbolic of the recent history of multidisciplinary assessment and treatment of a group of disorders known collectively [...] Read more.
The collaboration of an orthodontist, speech-language pathologists, and orofacial myologists in the compilation of this special issue of the IJOM is a significant happening. It is symbolic of the recent history of multidisciplinary assessment and treatment of a group of disorders known collectively as "tongue thrust." Such collaborations may be surprising and possibly disappointing to a group of dentists and speech pathologists who met over a decade ago and developed a statement questioning the validity of the concept that the tongue affects the teeth. Despite the subsequent endorsements of that skepticism by three powerful professional organizations (the American Speech-Language-Hearing Association, the American Dental Association, and the American Association of Orthodontists) all of which published position papers upholding the "Joint Statement" of that 1974 committee, therapy for what came to be known as abnormal orofacial patterns of behavior persisted in most parts of the country under the rubric "myofunctional therapy." A major purpose of this publication is to evaluate the legitimacy of the field of myofunctional therapy in light of research before and after 1974. A second purpose is to describe the scope of present evaluative and therapeutic procedures. A third is to make recommendations concerning future directions for research and clinical activities. Full article
1 pages, 1326 KB  
Commentary
Preface
by Robert M. Mason
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 2; https://doi.org/10.52010/ijom.1988.14.1.2 - 1 Mar 1988
Viewed by 161
Abstract
In 1974, Dr. William R. Proffit and I published an article in the Journal of Speech and Hearing Disorders (39: 115–132) about the tongue thrust controversy [...] Full article
1 pages, 1053 KB  
Article
Orofacial Myology: Current Trends
by Patricia J. McLoughlin
Int. J. Orofac. Myol. Myofunct. Ther. 1988, 14(1), 1; https://doi.org/10.52010/ijom.1988.14.1.1 - 1 Mar 1988
Cited by 1 | Viewed by 167
Abstract
The collaboration of an orthodontist, speech-language pathologists, and orofacial myologists in the compilation of this special issue of the IJOM is a significant happening. It is symbolic of the recent history of multidisciplinary assessment and treatment of a group of disorders known collectively [...] Read more.
The collaboration of an orthodontist, speech-language pathologists, and orofacial myologists in the compilation of this special issue of the IJOM is a significant happening. It is symbolic of the recent history of multidisciplinary assessment and treatment of a group of disorders known collectively as "tongue thrust." Such collaborations may be surprising and possibly disappointing to a group of dentists and speech pathologists who met over a decade ago and developed a statement questioning the validity of the concept that the tongue affects the teeth. Despite the subsequent endorsements of that skepticism by three powerful professional organizations (the American Speech-Language-Hearing Association, the American Dental Association, and the American Association of Orthodontists) all of which published position papers upholding the "Joint Statement" of that 1974 committee, therapy for what came to be known as abnormal orofacial patterns of behavior persisted in most parts of the country under the rubric "myofunctional therapy." A major purpose of this publication is to evaluate the legitimacy of the field of myofunctional therapy in light of research before and after 1974. A second purpose is to describe the scope of present evaluative and therapeutic procedures. A third is to make recommen­dations concerning future directions for research and clinical activities. Full article
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