SESSION 1
Orofacial Myology Foundations (2hrs)
Background & History
Dental equilibrium & transducer study, freeway space, cortical control, and vertical eruption
Proffit & Davidovitch research
Differential eruption and its relationship to malocclusion
The tongue as a functional appliance
Components that effect dentition
The Basics: Anatomy & Physiology (2hrs)
Oral cavity, muscles of mastication - origin & action
Related muscle groups
Physiology of normal swallow stages - normal tongue rest posture
Physiology of abnormal swallow stages – abnormal tongue rest posture
Orthodontic Fundamentals (3hrs)
Growth and Development- primary & secondary tooth eruption
Ages and timeline
Occlusion/malocclusion, orthodontic appliances
Dentofacial differences
Etiologies: Structural/environmental causes
Airway complications
Noxious habits/thumb-finger-tongue sucking complications
SESSION 2
Biological Basics for OMT (2hrs)
What are orofacial myofunctional disorders?
The common connection vertical dimension of occlusion, increased freeway space and its relationship to dental equilibrium & orofacial myofunctional disorders
Tongue thrust vs. rest posture of the tongue
Accurate and appropriate terminology
Tongue thrust a secondary problem to rest posture
Therapist focus vs. dental-orthodontic focus regarding goals of treatment
Airway Considerations (2hrs)
Mouth breathing/ medical factors
Open mouth rest posture/causes - contributing factors
Patent nasal airway growth and development
Tonsils growth, development, complications, and visual examination
Adenoids growth and atrophy stages
Symptoms of airway interference
Effects of airway interference
Sucking, Thumb, Bottle, Pacifier (3hrs)
Sucking history and facts
Recommendations by the ADA, AAP
Statistics regarding frequency and malocclusions
Thumb/finger and tongue sucking complications
Professional perspective; dental, speech, myofunctional
Evaluating the psychodynamics of chronic thumb sucking
SESSION 3
Thumb Therapy Techniques (2hrs)
Three thumb therapy techniques
IAOM position statement regarding habit appliances
Behavior Modification thumb therapy technique
Understanding the behavior
Consultation assessment
Step by step thumb therapy procedure rational
Tools and motivational materials
Orofacial Myofunctional Disorders (2hrs)
Clinical observation/symptoms of an orofacial myofunctional disorder
Collaborative and disciplinary team approach: medical/dental/orthodontic protocol
Factors to consider before initiating a program
Early intervention and prevention of oral-motor disorders
Asepsis and infection control-protocol
Differential diagnosis, anatomy, physiology check list, tongue restrictions criteria, tongue tie/ankyloglossia and its complications
Recognizing normal development of phonemes and complications when an orofacial myofunctional disorder is present
Analyzing Three Treatment Approaches for myofunctional disorders (3hrs)
Neuromuscular facilitation
Appliances
Myofunctional therapy
SESSION 4
Developing Therapy: Skills (2hrs)
Training including a check list for support personnel
Clinical instruction; observation & analysis consultation, including patient history, age, maturity, background, social and academic curriculum
Age appropriate therapy, early prevention and intervention of oral-motor disorders
Evaluation of structure, function and effective presentation of information to clients/patients
Discuss correct chewing & swallowing patterns with solid & liquids
OM Therapeutic Regime Procedures (3hrs)
Skill development including; effective presentation of exercises, therapy rational, lesson plans, forms, photos, movies, demonstration and participation
Myofunctional therapy habituation, recall protocol, stabilization techniques
Business Practice & Office Management (1hrs)
Clinical service delivery: forms reports, record keeping, caseload management, scheduling, marketing, and advertising including handouts
Implementation & compliance issues related to patient’s privacy rights
Third party payment billing & billing issues
Government & regulatory issues associated with patient care
Professional Scope of Practice: (1hr)
Professional credentials will determine protocol/Scope of practice for the following:
a) Speech Pathologist / ASHA
b) Dental Hygienist / AGD
c) Orofacial Myologist / IAOM
d) IAOM ethics and certification