i'm dr amanda orthodontist at straightsmile solutions we help dentists launch and scale
orthodontics in their practice today we'll be sharing some content from a webinar
that was co-hosted with ms tamara thomas a facial physique oral myofunctional therapy
to connect with ms thomas please use this qr code or visit www.facialphysique.com
if you want to help with an orthodontics case please
contact dr amanda with at straight smile solutions www.straightsmilesolutions.com
or click on her qr code
so we want if you can see the little green arrows we want the insertion of the frenulum
to be in the middle if you look at the one in the center it's a little higher up
if you look up and the one on the right you can see there's a heart-shaped tip
there's blanching so this frenum probably goes all the way through
the hip and pulls down this one of course i can't even move the tongue at all oh that's terrible
wow so that's just one of the things we look for is the appearance i put this in here because
there's a lot of heart-shaped tips and not all look the same so some can be very small
i'm sorry i need a drink no worries don't use your neck muscles when you have that drink right
okay tell me again the heart shaped tip is what means what that frenum could be pulling it back oh
the phantom pulls the tip of the tongue wow that's nuts okay i've seen that before i didn't know that
yeah so that frenum is an indication that that tissue goes through the tongue and pulls there
so that's treating the heart that's crazy yeah so if they stick the tongue out but there can
be little tiny hearts and there can be large hearts i'm gonna call it does not look like
a heart to me it looks like something else but i'm just not going to say what it is but
next next so the other indication one of the other things of appearance is we look for the depression
on the tongue so if you stick your tongue out you don't have it but if you stick yourself and
there's a depression if you think of that tissue underneath the front of being too tight it's going
to pull back and you'll get that depression on the tip another thing that we look for okay patients
have a really deep groove that can be indication that there's restriction there ignore the doorbell
and then um elevation shape so if you stick the tongue to the roof of the mouth we're looking
if there's flat what we want is it to look like this we want it to look nice and round and we
want there to be a lot of range of motion this patient's opening as wide as i can comfortably
and able to touch um the heart shaped tip this is a heart shape slash whale tail
look yeah that's what it looks like also we look for floor of the mouth lifting and what we mean
is like all this tissue underneath the tongue is being lifted up as well we want it to stay down
so this is the eiffel tower that i was explaining to you where it is
you're at the alveoli i can see that what you're talking about now yeah this is really cool yeah
it's it's i don't think that's um it's just a term that we use in myofunctional therapy but it's not
you know everybody in my own knows the way it looks but okay um this is not can you see the
heart-shaped tip on this one yep so we want to look at the way the elevation um yours
is pointed but you still have restriction it's not able to reach fully without closing
a couple more eiffel towers some more floor of the mouth lifting so those patients that you
know you're always having to push down and retract yes i know what you're talking about interesting
um there can be restriction in there even though you know it's not very much like it looks like oh
there's nothing wrong that you can lift his tongue up but if you were to have them do that suctioning
and that you suction and open they would only be able to open so much so they're not venom in the
back part of the tongue tight and not allowing the tongue to reach fully though the back part
right i put this in here just for different ways of looking at the floor of the mouth lifting um
even though that front end that looks like there's no issue here they're able to lift to the roof
this floor of the mouth is an indication they'll see it yeah it goes crazy
wow or what they call posterior submucosal tie is what they'll call it
so tongue function with you suctioning up we want it to look like b versus a by the time you're done
with therapy you're able to do this um deep caves is what we call on either side which
means the back part of tongue is being lifted where you can see on a that back part is still
kind of staggering down it's not suctioned up so we also don't want there to be any restriction
or any overflow onto the molars that can be an indication that there's not a lot of palatal space
okay so when we teach this exercise we're really having them focused on getting that back part of
the tongue up and if that's a issue when they're practicing and unable to do it then that's
another reason why we refer out and we already went over this little palatal single palatal
suction and the tip tongue range of motion scale