Veidlapa Nr. M-3 (8)
Study Course Description

Orofacial myofunctional therapy

Main Study Course Information

Course Code
ROT_018
Branch of Science
Clinical medicine
ECTS
1.00
Target Audience
Dentistry
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

League Timmerman-Caunite, The first myofunctional clinic, Dzirnavu Street 37-15, Riga, LV-1010

About Study Course

Objective

To acquire the skills to identify the phenotype of the patient for which orofacial myofunkcionala therapy is indicated, to understand the main principles of orofacial myofunctional therapy, to be able to plan the course of orthodontic and orthognatic treatment in combination with orofacial myofunctional therapy. Acquire theoretical knowledge and practical skills for the selection of the patient for the correction of the tongue frenulum, as well as for the conduct of the rehabilitation cycle before and after the correction of the tongue frenulum.

Learning Outcomes

Knowledge

1.Knowledge of the etiology of clinically distinct orofacial myofunctional disorders, diagnostic methods and the importance of therapeutic continuity. Knowledge of anthropometric changes with successful orofacial myofunccionala therapy and failure. Knowledge and skills on the inclusion of orofacial myofunctional therapy in the orthodontic and orthognatic treatment plan. Evidence-based modern orofacial myofunctional therapy algorithm.

Skills

1.Will be taught to identify oropacial myofunctional disorders in different age groups. Perform a standardised orofacial myofunctional evaluation minutes. To be able to interpret the results of the measurements with clinical significance. Be able to plan consecutive stages of oropharyngeal myofunctional therapy according to planned orthodontic treatment.

Competences

1.Develop interdisciplinary treatment plans for patients with oropacial myofunctional impairment based on acquired diagnostic results. Know the conditions for successful orofacial myofunctional therapy and identify the potential risks of unsuccessful therapy early.

Assessment

Individual work

Title
% from total grade
Grade
1.

Measurements

-
10 points

Independent work - measurements of orophacial myofunctional diagnostic minutes and undertongue ligament evaluation should be repeated. Students should be able to perform both intraoral measurements and facial anthropometric measurements. Clinically relevant interpretation of the results of the measurements obtained.

2.

Presentations on the course of clinical case treatment.

-
10 points

Examination

Title
% from total grade
Grade
1.

Final assessment

-
10 points

Examination - Summative assessment: theoretical preparation for seminars, practical involvement in the seminar with patients, correspondence of presentations to the stated objective.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Placement

Modality
Location
On site
Study room

Topics

Aetiology of orofacial myofunccionalo disorder;
  1. Placement

Modality
Location
On site
Study room

Topics

Development of the orophacial complex;
  1. Placement

Modality
Location
On site
Study room

Topics

Lingual and vestibular frenulum.
  1. Placement

Modality
Location
On site
Study room

Topics

Harmful habits in the orofacial zone;
  1. Placement

Modality
Location
On site
Study room

Topics

An interdisciplinary approach to the treatment of OMFT disorders;
  1. Placement

Modality
Location
On site
Study room

Topics

Myofacial trainers in myofunctional therapy;
Total ECTS (Creditpoints):
1.00
Number of Residency Seminars:
-
Length (weeks):
1
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Achmad, H., Mutmainnah, N., & Ramadhany, Y. F. (2020). A Systematic Review of Oral Myofunctional Therapy, Methods and Development of Class II Skeletal Malocclusion Treatment in Children. Systematic Reviews in Pharmacy, 11(6), 511-521.

2.

AlQhtani F. A. B. A. (2024). Evaluating the Impact of Myofunctional Therapy on Orthodontic Treatment Outcomes. Journal of pharmacy & bioallied sciences, 16(Suppl 3), S2667–S2669.

3.

Begnoni, G., Dellavia, C., Pellegrini, G., Scarponi, L., Schindler, A., & Pizzorni, N. (2020). The efficacy of myofunctional therapy in patients with atypical swallowing. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 277(9), 2501–2511.

4.

Carrasco-Llatas, M., O'Connor-Reina, C., & Calvo-Henríquez, C. (2021). The Role of Myofunctional Therapy in Treating SleepDisordered Breathing: A State-of-the-Art Review. International journal of environmental research and public health, 18(14), 7291.

5.

Cenzato, N., Iannotti, L., & Maspero, C. (2021). Open bite and atypical swallowing: orthodontic treatment, speech therapy or both? A literature review. European journal of paediatric dentistry, 22(4), 286–290.

6.

Correa, E. J., O'Connor-Reina, C., Rodriguez-Alcala, L., BENJUMEA, F., Casado-Morente, J. C., Baptista, P. M., Casale, M., Moffa, A. & Plaza, G. (2023). Does Frenotomy Modify Upper Airway Collapse in OSA Adult Patients? Case Report and Systematic Review. Journal of Clinical Medicine, 12, 201.

7.

Debucean, D., Mihaiu, J., Maghiar, A. M., Marcu, F., & Marcu, O. A. (2023). A Multidisciplinary Approach to Swallowing Rehabilitation in Patients with Forward Head Posture. Medicina (Kaunas, Lithuania), 59(9), 1580.

8.

Ferreira J.E.A., Almeida B.R.S., Deps T.D., Pretti H., Furlan R.M.M.M. 2023. Orofacial myofunctional therapy associated with the use of the stimulating palatal plate in children with trisomy 21: case studies. CoDAS, 35(5), e20210231.

9.

González Garrido, M. D. P., Garcia-Munoz, C., Rodríguez-Huguet, M., Martin-Vega, F. J., Gonzalez-Medina, G., & Vinolo-Gil, M. J. (2022). Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review. International journal of environmental research and public health, 19(19), 12347.

10.

Yang, X., Lai, G., & Wang, J. (2022). Effect of orofacial myofunctional therapy along with preformed appliances on patients with mixed dentition and lip incompetence. BMC oral health, 22(1), 586.

11.

Lee, S. Y., Guilleminault, C., Chiu, H. Y., & Sullivan, S. S. (2015). Mouth breathing, “nasal disuse," and pediatric sleep-disordered breathing. Sleep & breathing = Schlaf & Atmung, 19(4), 1257–1264.

Additional Reading

1.

Marvin L. Hanson, Robert M. Mason, Branca Vaidergorn. Orofacial Myology: International Perspectives. 2nd Edition.

2.

Daniel Garliner. Myofunctional Therapy in Dental Practice. Abnormal Swallowing Habits, Diagnosis-Treatment. A Course of Study for the Dental Practitioner and Speech Pathologist.

3.

Richard Baxter. Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More