This is why Dr. Honor Franklin at Honor Franklin Myofunctional & Speech Clinic refers all patients to an Allergist AND ENT on her team who understand OMDs before any orofacial myofunctional therapy is ever initiated. In her almost 44 years of specializing in OMDs, she has learned the PRIMARY cause of OMDs is unresolved nasal airway issues and habit with reduced muscle strength – not tongue ties. She works on habit and reduced muscle strength but needs to know if any airway issues are present which must be addressed before she ever initiates any therapy. She never wants to get caught up in treating the EFFECT and ignoring the CAUSE or she would be setting her patients up for failure which she refuses to do!
Honor Franklin Blog
A great visual of how tonsils and adenoids block and restrict nasal airways and can displace the tongue resulting in an Orofacial Myofunctional Disorder (OMD) of an incorrect oral rest posture.
Lip biting is another example of an Orofacial Myofunctional Disorder (OMD) that needs to be eliminated since it can act as a functional orthodontic appliance that can further exacerbate a dental over jet and open bite.
Lip biting is usually caused by unresolved nasal airway issues and/or habit and reduced muscle strength. This clinician only works on habit and reduced muscle strength so depends on the findings of an Allergist and ENT on her team who understand OMDs to determine if it is due to unresolved nasal airway issues or due to habit and reduced muscle strength. She was found to have unresolved nasal airway issues. Since nasal airway issues are the primary cause of OMDs- not tongue tie-no patient is ever allowed to initiate any therapy at this clinic until they have been evaluated by an Allergist and ENT on my team.
It depends upon FREQUENCY- the number of times the habit is practiced; INTENSITY- the amount or force applied to the teeth during sucking; and DURATION- the total amount of time spent sucking. Plus, the patient has to sincerely want to stop. It took this sweet 9 year old girl 18 months to eliminate her deleterious sucking habit but she did it!! Look at the improvement in her occlusion once she kicked the habit! International Association of Orofacial Myology (IAOM)CERTIFIED Orofacial Myofunctional Therapists know how to eliminate sucking habits using positive reinforcement and no hurtful dental appliances. An increase in my patients’ self esteem and pride is also achieved.
Part 2- This 6 year- 5 month old female referred by Dr. Hilton Goldreich at Goldreich Orthodontics presented with an Orofacial Myofunctional Disorder (OMD) of lip incompetence- a chronic open mouth posture and low resting posture of her tongue against and between her teeth.
She exhibited a dental cross bite which is always a red flag for nasal airway problems and a referral to an Allergist and ENT who understand OMDs confirmed she has Allergies and was prescribed a daily allergy regime to control her allergies. Once Dr. Goldreich delivered the palatal expansion appliance to correct her dental cross bite, Dr. Honor Franklin of Honor Franklin Myofunctional & Speech Clinic enrolled her in the Lip Competence therapy program concentrating on lip competence and nasal breathing using the Zickefoose Lip Exerciser-ZLE. It’s gradual process which took 18 visits over 17 months. Look at the awesome dental occlusal results Dr Goldreich was able to achieve with a palatal expansion appliance and orthodontic braces. Her occlusion will remain stable long-term IF the patient maintains the nasal breathing pattern(by continuing to follow the allergist’s recommendations) and maintains lip closure. A progressive orthodontist, Lip Competence Therapy, ZLE, nasal breathing, a compliant patient and supportive mother spells success! It’s a Team approach. Thank you, Dr Goldreich, for referring this great patient and her supportive mother.
This precious 6 year – 5 month old female patient was referred by the exceptional orthodontist, Dr Hilton Goldreich at Goldreich Orthodontics. She exhibited an Orofacial Myofunctional Disorder (OMD) of Lip incompetence characterized by a habitual open mouth and low, forward resting posture of her tongue against and between her teeth which can have a negative effect on the development of the dentition, particularly dental eruption patterns and/or alignment of teeth and jaws, can contribute to improper orofacial development and speech patterns may become distorted. After being evaluated by an Allergist and ENT, (she was found to have Perennial Allergic Rhinitis and was put on a daily allergy medication regime to control her allergies), she was enrolled in a Lip Competence Therapy Program created by Dr Honor Franklin of Honor Franklin Myofunctional & Speech Clinic using the Zickefoose Lip Exerciser-ZLE and TWO exercises ONCE a day! No tongue exercises, no swallowing exercises, no busy work. An open mouth posture can pull the corners of the eyes down, cause chapped, puffy lips, a hyperactive mentalis muscle or dimpling in her chin, recessive chin, etc. Look at the improvement in her facial shape, lips and chin due to her hard work and her mother’s excellent support!