Sleep Medicine Commons^™

Proceedings Of The 2023 Iaom Convention, International Association Of Orofacial Myology

International Journal of Orofacial Myology and Myofunctional Therapy

The International Association of Orofacial Myology (IAOM) held its 2023 Convention in Chandler, Arizona from October 13 - 15. The Proceedings of the Convention contain abstracts and summaries of podium and poster presentations.

What Are We Missing In Adult Obstructive Sleep Apnea Clinical Evaluation? Review Of Official Guidelines, Eduardo J. Correa, Carlos O´Connor-Reina, Laura Rodriguez-Alcalá, Diego M. Conti, Alberto Rabino, Peter M. Baptista, Maria-Teresa Garcia-Iriarte, Guillermo Plaza

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: This article presents a narrative review of current recommendations for the clinical evaluation and management of adult patients with obstructive sleep apnea (OSA) to identify points missing from a myofunctional perspective.

Methods: The authors reviewed current official guidelines for adult patients with OSA, searching clinical evaluation and treatment recommendations for myofunctional therapy.

Results: None of the current guidelines for evaluation of adult OSA recommend performing a myofunctional evaluation. Only two guidelines consider myofunctional therapy (MFT) as a treatment modality for adult patients with OSA.

Conclusion: Despite the role of the pharyngeal dilator muscles as an …

The Mental And Dental Repercussions Of Obstructive Sleep Apnea And Its Treatments, Emily E. Mcgoohan

Honors Undergraduate Theses

The purpose of this study is to examine the relationship between dental and mental health. To dive deeper into seeing this connection, patients with sleep apnea will be asked to share their experiences with the treatments for sleep apnea and how it had affected their mental or dental health.

Advances And Updates On Open-Access Publishing By The Ijom, Nancy Pearl Solomon

International Journal of Orofacial Myology and Myofunctional Therapy

An online, open-access, no-fee model of the International Journal of Orofacial Myology and Myofunctional Therapy (IJOM) was established in December 2020 and includes all archived articles back to the journal’s origin in 1975. While aiming to increase content for the journal, the Editorial Review Board (ERB) has also been diligent about maintaining high standards for publication. This note From the Editor highlights recent publications, conference proceedings, and special issues. It also lists updates and challenges in terms of policies and practices. The IJOM remains both a traditional association-supported journal and is on the cutting edge of open-access publishing.

Proceedings Of The 2022 Iaom Convention, International Association Of Orofacial Myology

International Journal of Orofacial Myology and Myofunctional Therapy

The International Association of Orofacial Myology (IAOM) held its 2022 Convention in Kansas City, Missouri from October 21 - 23. The Proceedings of the Convention contain abstracts and summaries of podium and poster presentations.

Proceedings Of The 2022 Icap Conference, International Association Of Orofacial Myology

International Journal of Orofacial Myology and Myofunctional Therapy

The International Consortium of Ankylofrenula Professional (ICAP) held its 2022 Conference in Vancouver, Canada from September 1 to 4, 2022, titled ‘Untangling Ankylofrenula: Collaborative Approaches to Best Practice Management’. The Conference Proceedings includes abstracts and summaries of plenary, concurrent, lightning and virtual presentations.

Functional Nasal Breathing Rehabilitation: Effectiveness And Feasibility Of An Online Integrative Breathing Therapy Protocol, Rosalba Courtney, Roger Engel, Sandra Grace, Anna Potts, Brooke Riordan, Kaitlyn Ireland, Courtney Osbourne, Avinash Sukhtankar

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: Nasal disuse and mouth breathing are associated with negative structural, functional, postural, occlusal, and behavioural changes. While there is some research to suggest that nasal breathing exercises can reduce mouth breathing, clinical protocols have not been extensively investigated. The purpose of this research was to determine the feasibility and effectiveness of a nasal breathing rehabilitation protocol based on Integrative Breathing Therapy principles called Functional Nasal Breathing Rehabilitation (FNBR).

Methods: Twenty-three participants with symptoms of nasal obstruction and self-reported mouth breathing completed the 4-week online FNBR training. Outcome measures included the Nasal Obstruction Symptom Evaluation (NOSE) scale, a numeric rating …

J Mich Dent Assoc January 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists! In this January 2022 issue, the reader will find the following original content:

• A cover feature, “Eating Disorders in Adolescents: Facts and Recommendations for the Oral Health Team”
• An introduction to the Pediatric Health Series, “Psychosocial Factors of COVID-19 Impact Oral Health”
• A DEI Feature, “Inclusion of the Mobility Impaired in Our Community”
• A 10-Minute EBD, “Factors Impacting Gingival Margin Position Following Esthetic Crown Lengthening”
• News you need, an …

Meet The Journal’S Editorial Review Board Members, Nancy Pearl Solomon

International Journal of Orofacial Myology and Myofunctional Therapy

I am honored to take on the role as Editor-in-Chief (EIC) of the International Journal of Orofacial Myology and Myofunctional Therapy (IJOM). To prepare for my role as EIC, I set two major goals to address today’s quickly evolving publication standards and the expansion and growth of the discipline of orofacial myofunctional disorders. The first was to establish an on-line submission and review process and an on-line archive for all past articles. The second critical goal was to recruit and enlist an international group of highly respected scientists and doctoral-level practitioners who represent diverse topics related to orofacial myofunctional disorders …

Review Of New Trends In Myofunctional Therapy: Occlusion, Muscles And Posture, By Saccomanno And Paskay (2020), Jayanti Ray

International Journal of Orofacial Myology and Myofunctional Therapy

The field of myofunctional therapy (MT) is complex, as it covers theoretical and practical information on many topics to effectively assess and treat orofacial myofunctional disorders, also known as myofunctional disorders, including tongue thrust, tongue posture, tongue-tie, orthodontic concepts, oral habits, and more. This review summarizes the strengths and usefulness of the book New Trends in Myofunctional Therapy: Occlusion, Muscles and Posture (Saccomanno & Paskay, 2020). The review informs the audience about various important features of the book, chapter materials, and the overall usefulness of the content for professionals working in MT. Providing cutting-edge information, the book draws substantive support …

Perceptions Of Tongue-Bulb Comfort And Stability With And Without Anti-Slip Patches During Assessments Of Tongue Strength And Endurance, Heidi A. Vanravenhorst-Bell, Lucy M. Cook

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: The Iowa Oral Performance Instrument (IOPI) is commonly used to measure tongue strength and endurance. The tongue, however, is reported to periodically move from its intended placement on the IOPI bulb during measurement. This study sought to determine one’s perception of tongue-to-bulb slippage with and without two anti-slip patches (Patch1 – flexible fabric, Patch2 – hypoallergenic micropore fabric) and whether measures of tongue strength and endurance differed across the three IOPI bulb conditions.

Method: 40 healthy adults were randomly assigned to perform tongue strength and endurance procedures by elevating either the anterior (n = 22) or posterior ( …

Iaom President's Greeting 2021: 50th Anniversary Celebration, Amanda Moore Chastain

International Journal of Orofacial Myology and Myofunctional Therapy

The 50^th Anniversary Address delivered by the President of the International Association of Orofacial Myology at the Annual IAOM Convention held online October 22-24, 2021.

Proceedings Of The 50th Annual Iaom Convention

International Journal of Orofacial Myology and Myofunctional Therapy

The International Association of Orofacial Myology (IAOM) held its 50^th Anniversary Convention virtually in 2021. The Proceedings of the Convention contain abstracts and summaries of the presentations. Topics include: history of orofacial myology, mastication, palatal expansion, temporomandibular disorder, clinical research methods, tethered oral tissues, frenuloplasty, case report, nasal breathing rehabilitation, sleep disordered breathing, parasomnias, evolution and comparative zoology, reticent children, orofacial myofunctional therapy.

J Mich Dent Assoc January 2021

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on “The Dentist’s Role in Recognizing Sleep-Disordered Breathing in Children”.
• A feature article, “Dental Sleep Medicine Education: Do You Want a Nap or a Full Night’s Sleep?”.
• The feature article, “In-office Plans: Where Are We Now? What Have We Learned?”
• News you need, Editorial and regular department articles on MDA Foundation activities, …

J Mich Dent Assoc December 2020

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on “The Dentist’s Role in Recognizing Sleep-Related Breathing Disorders: A Two-Part Series”.
• The “2020 Author/Title Index to the Journal of the Michigan Dental Association”.
• News you need, Editorial and regular department articles on MDA Foundation activities, Dentistry and the Law, Staff Matters, and component news.

This issue also includes three articles reprinted …

Enhancing The Evidence Base In Orofacial Myology, Hope C. Reed

International Journal of Orofacial Myology and Myofunctional Therapy

The purpose of this article is to stimulate research in orofacial myology. The research-to-practice gap may be reduced by highlighting concepts relating to evidence-based practice. Information is also presented on the International Association of Orofacial Myology Institutional Review Board process.

Development Of Lip Closing Function During Taking Food Into The Mouth In Children With Down Syndrome, Tomoko Isoda, Fumiyo Tamura, Takeshi Kikutani, Miki Mizukami

International Journal of Orofacial Myology and Myofunctional Therapy

Children with Down Syndrome (DS) show developmental retardation of gross motor function including acquisition of oral movements related to eating and swallowing. To characterize the process of development/acquisition of eating/swallowing function of children with DS, interlabial pressure (IP) during taking food into the mouth was assessed. This study included 99 children with DS (birth to 4 year-old), and 112 age-matched control children showing typical development. IP during taking food into the mouth was measured as an objective index of lip closing function. The system for measuring IP during taking food into the mouth consisted of a strain gauge-pressure sensor connected …

Feasibility Of Using A Tongue-Activated Joystick By Healthy Pre-Teen Children, Mariana Souza Amaral, Ranata Maria Moreira Moraes Furlan, Guilherme Andre Santana, Clarice Magnani Figueiredo

International Journal of Orofacial Myology and Myofunctional Therapy

PURPOSE: To investigate the motivation and the effects of: tongue movement direction; resistance force level; repetition number; and sustained tongue contraction duration on tongue motor performance in healthy pre-teen children using computer games. METHODS: An analytical observational cross-sectional study was conducted with 15 healthy 11-13 year-old children with normal lingual strength. The participants played six computer games using a tongue-controlled joystick. The series varied the time for continuous force application on the target (3 and 5 seconds) and the target force level (0.5, 1 and 2 N). After the tests, the participants answered a questionnaire about their impressions and reactions …

Investigating Factors Related To The Acquisition Of Masticatory Function In Down Syndrome Children, Miki Mizukami, Takeshi Kikutani, Miwa Matsuyama, Keigo Nagashima

International Journal of Orofacial Myology and Myofunctional Therapy

Down syndrome (DS) has the highest prevalence of any chromosomal abnormality identified in newborns. DS children have specific eating and swallowing difficulties such as poor tongue control, mouth opening, swallowing food without chewing, and both facial and occlusal abnormalities. DS children are also at high risk of aspiration, and swallowing food without chewing is considered to be a factor associated with increased risk of aspiration and eating problems. This study aimed to identify factors preventing the acquisition of masticatory function in DS children. The subjects were 75 outpatient DS children (44 males, age range 12 to 36 month-old, mean age …

Clinical Effectiveness Evaluation Of Laser Therapy And Dry Needling In Treatment Of Patients With Myofascial Pain In Masseter Muscle, Diego A. Oliveira, Rafael De Almeida Spinelli Pinto, Larissa De Oliveira Reis, Isabela Maddalena Dias, Isabel Cristina Goncalves Leite, Fabiola Pessoa Pereira Leite

International Journal of Orofacial Myology and Myofunctional Therapy

Myofascial pain is considered a type of muscular TMD, being common in patients with musculoskeletal pain associated with active or latent trigger points. Among the therapeutic options, there are low-intensity laser therapy and dry needling. The aim of this study was to compare the efficacy of these two therapies in the masseter muscles of patients with myofascial pain. Ten patients diagnosed with myofascial pain, with or without limitation of mouth opening, were randomly divided into two groups for treatment with low intensity laser therapy (G1) (n = 5) or dry needling (G2) (n = 5). The pain symptomatology and the …

Facial Burn During Orthognathic Surgery: Case Report, Jessica C. Avelar, Marcio Jose De Campos, Raphaella Barcellos Fernandes, Sergio Luiz Da Mota Júnior, Marcelo Reis Fraga, Robert Willer Farinazzo Vitral

International Journal of Orofacial Myology and Myofunctional Therapy

Despite the fact that the advances in surgical techniques have contributed to the reduction in the number of complications associated with orthognathic surgery, problems resulting from different phases of treatment, treatment planning, and postoperative period may occur. This paper presents a case of facial soft tissue lesion, burn in the lower lip region, in a patient with Class III malocclusion during orthognathic surgery. A 22-year, 3-month-old male patient with Class III malocclusion was burned in the paramedian region of the lower lip due to unnoticed overheating of the low-speed handpiece during sagittal osteotomy of the left mandibular ramus. The injury …

Self-Care Treatment On Patients With Wakefulness Bruxism, Tainara Lopes De Castro Bastos, Rafael De Almeida Spinelli Pinto, Isabela Maddalena Dias, Isabel Cristina Goncalves Leite, Fabiola Pessoa Pereira Leite

International Journal of Orofacial Myology and Myofunctional Therapy

Objective: To evaluate self-care efficacy on reduction of pain and wakefulness bruxism before the treatment with the stabilization splint. Methods: Sixty patients were divided into two groups: 30 belonging to the group that received the self-care guide (G1) and 30 belonging to the control group (G2) who were advised to wait for the beginning of the treatment with the stabilization splint. G1 received a self-care guide for immediate application before any intervention for bruxism treatment. The instructions were given as tips to follow every day for 1 month. Before being given to the patient, the guide was read aloud and …

Examining The Effects Of Ankyloglossia On Swallowing Function, Kliss Moulton, John Anthony Seikel, Joni Grey Loftin, Nancy Devine

International Journal of Orofacial Myology and Myofunctional Therapy

Oropharyngeal dysphagia (OPD) involves difficulty during one or more of the stages of swallowing, resulting in difficulty moving the bolus from the mouth to the stomach. A deficit in tongue mobility, such as that found with ankyloglossia, may affect the oropharyngeal transit time of the bolus and predispose a person to OPD. This study was conducted to examine the possible relationship between tongue tie and oropharyngeal dysphagia. Data were gathered on 8 participants (5 females, 3 males) between the ages of 12-43 years. The Lingual Frenulum Protocol (Marchesan, 2012) was used to determine tongue tie. An Iowa Oral Performance Instrument …

Juvenile Dermatomyositis - A Case Report With Review On Oral Manifestations And Oral Health Considerations, Pritesh Ruparelia, Oshin Verma, Vrutti Shah, Krishna Shah

International Journal of Orofacial Myology and Myofunctional Therapy

Juvenile Dermatomyositis is the most common inflammatory myositis in children, distinguished by proximal muscle weakness, a characteristic rash and Gottron’s papules. The oral lesions most commonly manifest as diffuse stomatitis and pharyngitis with halitosis. We report a case of an 8 year old male with proximal muscle weakness of all four limbs, rash, Gottron’s papules and oral manifestations. Oral health professionals must be aware of the extraoral and intraoral findings of this rare, but potentially life threatening autoimmune disease of childhood, for early diagnosis, treatment, prevention of long-term complications and to improve the prognosis and hence, the quality of life …

Treatment Of Obstructive Sleep Apnea With Maxillo-Mandibular Advancement Surgery: Evaluation And Predictors Of Success, Daniel Taub, Dmd, Md, Michael Courtney, Dmd, Md, Karl Doghramji, Md

Department of Oral and Maxillofacial Surgery Posters

Obstructive sleep apnea (OSA) is a well-recognized disease entity affecting approximately 2% to 4% of the population. Maxillomandibular advancement (MMA) surgery is a highly successful surgical alternative to poorly tolerated CPAP therapy and achieves a success rate of 89% in the current literature. Our present study evaluates the effectiveness of MMA surgery in the treatment of patients with moderate to severe OSA based on Shers criteria of 50% reduction in AHI and AHI < 20. Radiographic and clinical treatment variables were evaluated in determining predictors of success for MMA in individuals with OSA.

Cpap-Mad Combination Therapy For Cpap Intolerant Patients With Moderate To Severe Osa, Jacob Stadiem

Theses & Dissertations

The treatment of obstructive sleep apnea (OSA) allows for a multidisciplinary approach between dentistry and medicine. Continuous positive airway pressure (CPAP) is the gold standard for OSA treatment, but the non-adherence rates are high. The mandibular advancement device (MAD) has a higher acceptance rate than the CPAP, however the efficacy is much lower in cases of moderate to severe OSA. This thesis attempted to evaluate if there was a change in compliance when a MAD was added as a combination therapy to moderate to severe OSA subjects that were currently non-compliant with their CPAP. In addition, the change in air …

Creating Prediction Models For Obstructive Sleep Apnea Based On Gender, Jeffrey Hwang

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Obstructive sleep apnea (OSA) is a common chronic disorder that is characterized by repetitive episodes of airflow cessation or reduction occurring during sleep as a result of partial or complete upper airway obstruction. These recurrent events have a tremendous impact on the cardiovascular system with a multitude of dangerous consequences. Numerous studies have been conducted determining etiological risk factors for OSA including anatomical predictors which have been observed with multiple imaging techniques. Cone beam computed tomography (CBCT) is a low-radiation mode of imaging that can be used to accurately identify anatomical landmarks and measure craniofacial relationships and airway dimensions. …

Effects Of Functional Appliances On Pharyngeal Airway Dimensions: A Cone Beam Computed Tomography Study, Melissa K. Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Functional appliances are intended to correct by incremental advancement of the mandible for correction of skeletal Class 11 relationships. Similar in design to functional appliances, mandibular advancing devices (MAD) are used for obstructive sleep apnea (OSA) patients as they increase the size of the airway by drawing the tongue and soft palate forwards, and thus maintain its patency during sleep. It has been shown that significant increases in airway dimensions and decreases in airway resistance were gained in OSA patients while evaluated with a MAD in place. This retrospective study evaluated volumetric, cross-sectional area and linear changes in the …

The Validation Of An Existing Sleep Apnea Questionnaire And Its Application To Clinical Orthodontics, Jeffery C. Biggs

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to validate a sleep apnea questionnaire from the Loma Linda University Sleep Disorders Center, and then to utilize the questionnaire in order to identify potential sleep apnea patients from a pre-orthodontic patient sample. Study patients were selected from the Loma Linda University Sleep Disorders Center and the Loma Linda University Orthodontics Clinic, both in Loma Linda, California, USA.

Methods: The study sample represented all of the patients initially examined from 1996 through 1998 who were age 8-15 years old at the time of the initial exam. Validation of the questionnaire was based on responses …

Thumb Sucking Management: A Review, Forrest G. Umberger, J S. Van Reenen

International Journal of Orofacial Myology and Myofunctional Therapy

No abstract provided.