Hope all is well. Question : had call from mother with a 3 year old who’s SLP diagnosed child with apraxia and is a mouth breather. Also had sleep study and has mild apnea. They are planning on tonsil/adenoid removal for apnea. Is this a case Myofunctional should be included ?
John W DDS
You DO get difficult cases! Is he “just” three or nearly “four”? He isn’t a candidate for typical myo, but after the T & A, there might be a few very simple exercises that an older three year old could do just to get used to having a good airway and a tongue that doesn’t have be held forward or out to help him breathe better. Being that he has apraxia, he might not be able to do anything you ask or demonstrate, unfortunately.
Without apraxia, I would I would attempt only what a three year old could do: Open mouth and hold it open as he touches the lip corners, trying not to move mandible (might be difficult for a young three year old); try to touch upper teeth on inside or even the cutting edges; transfer food (could be a malted ball or something similar) from one side to the other; lick around lips, etc. Not much else you can do
If he is seeing an SLP for the apraxia, I hope she/he would be one that has some oral motor background and can work with him in ways that involve his mouth and tongue and lips. If he has a cooperative therapist, you could speak with her or have mom do so to encourage oral movement, chewing, etc.
That’s about all I can contribute with this particular kiddo. I hope it is at least a bit helpful.
3 year old who’s SLP diagnosed child with apraxia and is a mouth breather
What do I need to correct or review, when a patient has difficulty moving forward in treatment after the slurps followed by swallowing? Do I have to work more with the middle and the back of the tongue? Do you have any suggestion?
I evaluated a two year old girl today who already has overjet and an anterior open bite with a high palate due to her thumb sucking. Would you use your program with a child this young?
Is it acceptable to teach a client about tongue to spot even if he’s wearing a retainer he can take out?
Is it acceptable to teach a client about tongue to spot even if he’s wearing a retainer he can take out? I sent him home to do TTS exercises without wearing his retainer, but if he wears a retainer most of the day will that have a negative effect?
…few very simple exercises that an older three year old could do just to get used to having a clear airway and a tongue that finally doesn’t have to hang down or forward or out in order to try to increase airway space.
…we had the choice of two different mouth props, depending upon the client’s needs.
I think that 3 days post frenectomy should be the maximum amount of time to wait to initiate treatment under most circumstances.
My student went 9 consecutive days, and the night before his 10th, he didn’t wear “sockie” because he didn’t think he needed it anymore. Needless to say, he put his hand in his mouth during the night.
The problem with ENT assessments of airway interference is that most of the time, the physician looks at the anatomy and then presumes about the functions involved.
OMDs are, most often, habit patterns or adaptations that develop because of specific and abnormal morphological characteristics of the head and neck area, some of which may be inherited.