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continuing education feature Orofacial Myofunctional Therapy – The Critical Missing Element to Complete Patient Care by Joy Moeller, BS, RDH, COM Educational objectives 5PONCOMPLETIONOFTHISCOURSEPARTICIPANTSSHOULDBEABLETOACHIEVE THEFOLLOWING s$EFINEOROFACIALMYOFUNCTIONALTHERAPY s2ECOGNIZEORALANDFACIALMUSCLEPATTERNABNORMALITIES s5NDERSTANDPROACTIVEINTERVENTIONMODALITIESTHATADENTISTORORTHO DONTISTINPRIVATEPRACTICECANUTILIZE s%DUCATETHEPROFESSIONALASTOTHEVALUEOFEARLYTREATMENTANDPREVENTION s,EARNHOWNOXIOUSHABITSMIGHTAFFECTGROWTHANDDEVELOPMENT Dentaltown is pleased to offer you continuing education. You can read the following CE article in the magazine, take the post-test and claim your two ADA CERP or AGD PACE continuing education credits. See instructions on page 76. Farran Media is an ADA CERP Recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 12/01/2004 to 12/31/2012 For more information, go to http://www.towniecentral.com/Dentaltown/OnlineCE.aspx 70 August 2010 » dentaltown.com )HAVEBEENADENTALHYGIENISTANDAMYOFUNCTIONALTHERAPISTFORMORE THANYEARS)LEARNEDABOUTMYOFUNCTIONALTHERAPYINFROMTHEDEN TIST)WORKEDWITH-YSONWHOHAD4-$ALOWTONGUERESTPOSTURENO LIPSEALCROWDINGMOUTHBREATHING)AMSUREHEHADAPNEASYMPTOMS ANDCHRONICHEADACHEPAINWASHELPEDTREMENDOUSLYBYACOMBINATIONOF MYOFUNCTIONALTHERAPYCRANIALOSTEOPATHICTHERAPYANDABITESPLINT.OT ONLYDIDHISHEADACHESAND4-$ISSUESIMPROVEBUTHISPALATEWIDENED ANDALLOWEDHISTEETHTOERUPTINAMORENORMALPOSITION)CONTINUETO SPREADTHEWORDTHATTHISTREATMENTWORKSTOSTABILIZETHEMUSCLESAND ADDRESSTHECAUSEOFMANYPROBLEMSINSTEADOFCHASINGTHESYMPTOMS 4HISISAhGREENvTREATMENTWHICHYOURPATIENTSWILLLOVE4HEY WANT THIS TREATMENTBECAUSETHEYACTUALLYHAVEANACTIVEROLEINCORRECTINGTHEPROB 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)NTENSIVEPHASEOFASERIESOFEXERCISESTOTEACHTONGUEREST POSITIONANDESTABLISHALIPSEAL )NTRODUCEPROPERCHEWINGANDSWALLOWINGANDCORRECT FUNCTIONALHEADANDNECKPOSTURE 74 August 2010 » dentaltown.com feature continuing education 4HEHABITUATIONPHASEWHICHREINFORCESCORRECTMUSCLEMEMORYPATTERN 4HERAPYUSUALLYSTARTSWITHESTABLISHINGNASALAIRWAYAFTERCLEARANCEFROMAN %.4ANDAN!LLERGISTANDDEVELOPINGALIPSEAL)FAPATIENTHABITUALLYBREATHES THROUGHHISHERMOUTHTHETONGUERESTSDOWNANDTHEMANDIBLEDROPSDOWNAND BACK4HEPALATEINTURNMIGHTNOTDEVELOPCORRECTLY!GOODMYOFUNCTIONALTHER APISTWILLASSISTTHEPATIENTTOCLEARHISHERNOSEUSECORRECTABDOMINALDIAPHRAG MATICBREATHINGANDTHENESTABLISHHABITUALNASALBREATHING !ESTHETICCHANGESFROMORALMYOLOGYCANMOTIVATETHEPATIENTTOTAKEAMORE ACTIVEROLEINRESTORINGTEETHTOCREATEBEAUTIFULSMILES 4HEINTERDISCIPLINARYORTEAMAPPROACHISALWAYSTHEBEST7EMUSTKNOWWHAT EACHOTHERDOESANDHOWTOGETHERWECANINFLUENCETHEPROGNOSISFORTHEBESTRESULT POSSIBLEANDTHEBESTCAREPOSSIBLE )FYOUWOULDLIKETOSTARTAMYOFUNCTIONALASPECTOFTREATMENTINYOURPRACTICE SENDYOURHYGIENISTORYOUYOURSELFCANATTENDAFOURDAYCLASSTAUGHTINAREASALL OVERTHECOUNTRY'OTOWWWMYOFUNCTIONALTHERAPYCOMORWWWIAOMCOMFOR MOREINFORMATION n 2EFERENCES I-ARASHA!N%XPLANATIONOFTHE%FFECT4HAT4WO$IFFERENT3WALLOWING0ATTERNS(AVEON#RANIAL!RTICULAR -OTION*OURNALOFTHE!CADEMYOF'NATHOLOGIC/RTHOPEDICS*UNE II'UIMARAESANDALL%FFECTSOF/ROPHARYNGEAL%XERCISESON0ATIENTSWITH-ODERATE/BSTRUCTIVE3LEEP!PNEA 3YNDROME!MERICAN*OURNALOF2ESPIRATORYAND#RITICAL#ARE-EDICINE III-ASON2!2ETROSPECTIVEAND0ROSPECTIVE6IEWOF/ROFACIAL-YOLOGY)NTERNATIONAL*OURNALOF/ROFACIAL -YOLOGY.OVEMBER IV0RICE7!.UTRITIONAND0HYSICAL$EGENERATION0RICE0OTTENGER.UTRITION&OUNDATION V3TRAUB7ALTER-ALFORMATIONOFTHE4ONGUE!MERICAN*OURNALOF/RTHODONTICS VI/EVERLANDETALL/RAL"REATHINGINPATIENTSWITH3LEEP2ELATEDBREATHING$ISORDERS!CTA/DTOLARYNGOL 3EPT VII$AENECKE3ETALL!NTHROPOMEDIECAL-EASUREMENTOFTHEHEIGHTOFTHEUPPERLIPANDLENGTHOFTHE0HILTRUM0RO &ONO3EPT 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XVII!RKUSZEWSHI0ETALL!-ETHODFOR$ETERMINATIONOF4ONGUE3IZEIN0ATIENTSWITH-ANDIBULAR0ROGNATHISM !NN!CAD-ED3TETIN XVIII:ARDETTO#'ETALL%FFECTSOFDIFFERENTPACIFIERSONTHEPRIMARYDENTITIONANDORALMYOFUNCTIONALSTRUCTURES OFPRESCHOOLCHILDREN0EDIATR$ENT XIX3TRAUB7*-ALFUNCTIONOFTHETONGUE4HE!BNORMAL3WALLOWING(ABIT)TS#AUSE!FFECTSAND2ESULTSIN RELATIONSHOPTO/RTHODONTICTREATMENTAND3PEECH4HERAPY!MERICAN*OURNALOF/RTHODONTICS XX-ARMET#.EONATAL&RENOTOMY-AYBE.ECESSARYTO#ORRECT"REASTFEEDING0ROBLEMS*(UMAN,ACT XXI#ULLINAN-00ERIDONTAL$ISEASEAND3YSTEMIC(EALTH#URRENT3TATIS!UST$ENT* XXII'ULATI-3ETALL!#OMPARATIVE3TUDYOF%FFECTSOF-OUTH"REATHINGON'INGIVAL(EALTHIN#HILDREN* )NDIAN3OC0EDOD0REV$ENT3EPT XXIII(ENNINK'ETALL!EROPHAGIAEXCESSIVEAIRSWALLOWINGDEMONSTRATEDBYESOPHAGEALIMPEDANCEMONITORING #LIN'ASTRO%NTEROL(EPATOL XXIV/VSENIK-)NCORRECT/ROFACIALFUNCTIONUNTILAGEYRSOFAGEANDTHEIRASSOCIATIONWITHPOSTERIORCROSSBITE !M*ORTHOD$ENTOFACIALORTHOP3EPT XXV"RUSATI2ETALL&UNCTIONAL2ESULTSAFTER#ONDYLECTOMYINACTIVELATEROGNATHIA*#RANIOMAXILLOFACSURG *UNE XXVI'UIMARAESANDALL%FFECTSOF/ROPHARYNGEAL%XERCISESON0ATIENTSWITH-ODERATE/BSTRUCTIVE3LEEP!PNEA XXVII3YNDROME!MERICAN*OURNALOF2ESPIRATORYAND#RITICAL#ARE-EDICINE XXVIII3MITHPETER*AND#OVELL*R2ELAPSEOFANTERIOROPENBITESTREATEDWITHORTHODONTICAPPLIANCESWITHANDWITH OUTFACIALMYOFUNCTIONALTHERAPY!-*/RTHO-AY Author’s Bio Joy Moeller, BS, RDH, COM, is a Certified Orofacial Myofunctional therapist and a licensed registered dental hygienist. She is currently an elected member of the Board of Directors of the International Association of Orofacial Myology (IAOM) where she is the dental hygiene liaison. She is currently holding a position at the UCLA Sleep Medicine Mini Residency Program where she will be doing research on the effects of myofunctional exercises on sleep apnea. She is a former associate professor Indiana University School of Dentistry, and has been practicing OMT for 30 years. She is an on-going guest lecturer at USC, UCLA, and Cerritos College to ortho, perio, and pedo dental residents and hygiene students. She attended the Myofunctional Therapy Institute in Coral Gables, Florida and the Coulson Institute in Denver, Colorado. She is currently a founding member of the Academy of Orofacial Myofunctional Therapy and has taught courses in OMT at USC Davidson Center (Cont. Ed.), the Guttenberg University in Mainz, Germany, Freiberg University in Freiberg, Germany, Louvain, University in Brussels, Belgium, and many other locations around the world. She has worked with Children’s Hospital and in public schools as a health educator. She is currently in the exclusive practice as an orofacial myofunctional therapist in Pacific Palisades, California and Beverly Hills, California. She teaches an IAOM approved four-day course in orofacial myofunctional therapy with Barbara J. Greene, COM. Contact [email protected]. Disclosure: Joy Moeller declares that neither she nor any member of her family have a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program, nor does she have a financial interest in any commercial product(s) or service(s) she will discuss in the presentation. continued on page 76 dentaltown.com « August 2010 75 continuing education feature continued from page 75 Post-test Claim Your CE Credits $QVZHUWKHWHVWLQWKH&RQWLQXLQJ(GXFDWLRQ$QVZHU6KHHWDQGVXEPLWLWE\PDLORUID[ZLWKDSURFHVVLQJIHHRI We invite you to view all of our CE courses online by going to http://www.towniecentral.com/Dentaltown/OnlineCE.aspx and clicking the View All Courses button. To complete the test online: After reading the preceding article, type the following link into your browser and click the button Take Exam: http://www.towniecentral.com/Dentaltown/OnlineCE.aspx?action=PRINT&cid=135. 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Registration is fast, easy and of course, free. 3OMEGOALSOF-YOFUNCTIONAL4HER APYARE A#ORRECTDYSFUNCTIONALORALHABITS B$EVELOPTONGUETOPALATERESTPOSITION C%STABLISHALIPSEAL D.ONEOFTHEABOVE E!LLOFABOVE 3OMETHINGSTOLOOKFORINTHEDIAGNO SISOFORALFACIALMYOFUNCTIONALDISOR DERSWOULDBE A3HORTUPPERLIP B/PENBITEWITHTHETONGUEBETWEEN THETEETHATREST C&ACIALGRIMACEDURINGTHESWALLOW D.ONEOFTHEABOVE E!LLOFTHEABOVE 4WONOXIOUSHABITSAMYOFUNCTIONAL THERAPISTCOULDHELPWITHWOULDBE A4HUMBSUCKINGANDNAILBITING B$RINKINGALCOHOLEXCESSIVELY C.OTSLEEPINGWELL D,EGTAPPING E"EINGLATEALLTHETIME 7HATCOULDHAPPENTOTHEHARDPALATE WHENTHETONGUERESTSLOWINTHEORAL CAVITY A!CLEFTPALATEDEVELOPS B#ANCEROROTHERORALLESIONSDEVELOP C!COLLAPSEDPALATECOULDLEADTOA UNILATERALORBILATERALCROSSBITE D4HEPATIENTBECOMESANAILBITER E$ENTALDECAYISPREVALENT 7HATARESOMEETIOLOGICFACTORSOF OROFACIALMYOFUNCTIONALDISORDERS A3UCKINGHABITS B-OUTHBREATHING C4ONGUETHRUSTING D!LLOFTHEABOVE E.ONEOFTHEABOVE 7HYISITIMPORTANTTOCHECKLINGUAL FRENUMATTACHMENTS A4HEINFANTISNOTABLETOBREASTFEED PROPERLY B"ECAUSETHISCANLEADTOALOW TONGUERESTPOSTURE C4HEPATIENTCANTSWALLOWCORRECTLY D.ONEOFTHEABOVE E!LLOFTHEABOVE 7HATSTOMACHSYMPTOMSMIGHTBE RELATEDTOOROFACIALDYSFUNCTION A'ASANDBURPING B(ICCUPS C3TOMACHACHES D.ONEOFTHEABOVE E!LLOFTHEABOVE 7HYISSLEEPPOSITIONSOMETIMESA FACTORTOATTAINSUCCESSINTREATINGORAL MYOFUNCTIONALDISORDERS A0ATIENTSOMETIMESBLOCKSTHEIRAIR WAYWHENTHEYSTOMACHSLEEPAND SOMETIMES4-$DEVELOPSFROM SHIFTINGTHEIRJAW B)TCAUSESKNEEPROBLEMSWHENYOU SLEEPONONESIDE C3OMETIMESVISIONISAFFECTEDWHEN YOUBACKSLEEP D4HEPATIENTCANLOSETHEIRHAIR WHENTHEYSLEEPONTHEIRSIDE E-ENTALPROBLEMSCANDEVELOPWHEN YOUSLEEPONYOURSTOMACH (OWCANOROFACIALMYOFUNCTIONAL THERAPYHELPYOURPRACTICE A!VOIDORTHORELAPSE B0ATIENTSAPPRECIATEPROACTIVE TREATMENT C%LIMINATESTHETONGUEFROMBLOCK INGYOURFIELDOFVISION D!LLOFTHEABOVE E.ONEOFTHEABOVE 7HYSHOULDOROFACIALMYOFUNCTIONAL THERAPYBEPARTOFTHEDENTALTEAM A"ECAUSEORALMYOFUNCTIONALTHER APYSTOPSCAVITIES B0EOPLECANHEARBETTERAFTERTHERAPY C"ECAUSETHEPATIENTSVISIONIMPROVES WITHMYOFUNCTIONALTHERAPY D"ECAUSEWECANASSISTTHEORTHO DONTISTANDGENERALDENTISTIN ASSURINGTHEMTHATTHEMUSCLEPAT TERNSAREFUNCTIONINGCORRECTLYWITH THEBONESANDTEETH ,EGAL$ISCLAIMER 4HE#%PROVIDERUSESREASONABLECAREINSELECTINGANDPROVIDINGCONTENTTHATISACCURATE4HE#%PROVIDERHOWEVERDOESNOTIN DEPENDENTLYVERIFYTHECONTENTORMATERIALS 4HE#%PROVIDERDOESNOTREPRESENTTHATTHEINSTRUCTIONALMATERIALSAREERRORFREEORTHATTHECONTENTORMATERIALSARECOMPREH ENSIVE!NYOPINIONSEXPRESSEDINTHEMATERIALSARETHOSEOFTHE AUTHOROFTHEMATERIALSANDNOTTHE#%PROVIDER#OMPLETINGONEORMORECONTINUINGEDUCATIONCOURSESDOESNOTPROVIDESUFFICIEN INFORMATIONTOQUALIFYPARTICIPANTASANEXPERTINTHEFIEL RELATEDTOTHECOURSETOPICORINANYSPECIFICTECHNIQUEORPROCEDURE4HEINSTRUCTIONALMATERIALSAREINTENDEDTOSUPPLEMENT UTARENOTASUBSTITUTEFORTHEKNOWLEDGEEXPERTISESKILLANDJUDG MENTOFATRAINEDHEALTHCAREPROFESSIONAL9OUMAYBECONTACTEDBYTHESPONSOROFTHISCOURSE ,ICENSURE #ONTINUINGEDUCATIONCREDITSISSUEDFORCOMPLETIONOFONLINE#%COURSESMAYNOTAPPLYTOWARDLICENSERENEWALINALLLICENSINGJ URISDICTIONS)TISTHERESPONSIBILITYOFEACHREGISTRANT TOVERIFYTHE#%REQUIREMENTSOFHISHERLICENSINGORREGULATORYAGENCY 76 August 2010 » dentaltown.com feature continuing education Continuing Education Answer Sheet )NSTRUCTIONS4ORECEIVECREDITCOMPLETETHEANSWERSHEETANDMAILITALONGWITHACHECKORCREDITCARDPAYMENTOF TO$ENTALTOWNCOM)NC3TH3TREET3UITE0HOENIX!:9OUMAYALSOFAXTHISFORMTO9OU WILLNEEDAMINIMUMSCOREOFTORECEIVEYOURCREDITS0LEASEPRINTCLEARLY$EADLINEFORSUBMISSIONOFANSWERSISMONTHS AFTERTHEPUBLICATIONDATE9OURCERTIFICATEWILLBEMAILEDTOYOUWITHINWEEKS Orofacial Myofunctional Therapy – The Critical Missing Element to Complete Patient Care by Joy Moeller, BS, RDH, COM License Number ______ ______ ______ ______ ______ ______ ______ ______ ______ _______ CE Post-test 0LEASECIRCLEYOURANSWERS AGD#____________________________________________________________________________ 1. a b c d e 2. a b c d e 3. a b c d e 4. a b c d e 5. a b c d e 6. a b c d e 7. a b c d e 8. a b c d e 9. a b c d e 10. a b c d Name ____________________________________________________________________________ Address__________________________________________________________________________ City______________________________________ State ___________ ZIP ___________________ Daytime phone ___________________________________________________________________ E-mail (optional) ____________________________________________________________________ o Check (payable to Dentaltown.com, Inc.) o Credit Card (please complete the information below and sign; we accept Visa, MasterCard and American Express.) 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