Use of athletic tape in the speech-language-hearing treatment of post-stroke facial paralysis in the acute phase. / Utilização da bandagem elástica funcional no tratamento fonoaudiológico da paralisia facial pós-AVC na fase aguda.

PURPOSE: To verify the efficacy of using athletic tape associated with myofunctional therapy in the speech-language-hearing treatment of facial palsy after stroke in the acute phase. METHOD: Randomized controlled clinical study with 88 patients with facial palsy in the acute phase of stroke. The sample was allocated in: Group 1: rehabilitation with orofacial myofunctional therapy and use of athletic tape on the paralyzed zygomaticus major and minor muscles; Group 2: rehabilitation alone with orofacial myofunctional therapy on the paralyzed face; Group 3: no speech-language-hearing intervention for facial paralysis. In the evaluation, facial expression movements were requested, and the degree of impairment was determined according to the House and Brackmann scale. Movement incompetence was obtained from measurements of the face with a digital caliper. After the evaluation, the intervention was carried out as determined for groups 1 and 2. The participants of the three groups were reassessed after 15 days. The statistical analysis used was the generalized equations. RESULTS: The groups were homogeneous in terms of age, measure of disability and functioning, severity of neurological impairment and pre-intervention facial paralysis. Group 1 had a significant improvement in the measure from the lateral canthus to the corner of the mouth, with better results than groups 2 and 3. CONCLUSION: The athletic tape associated with orofacial myofunctional therapy had better results in the treatment of facial paralysis after stroke in the place where it was applied.

OBJETIVO: Verificar a eficácia do uso da bandagem elástica funcional associada à terapia miofuncional no tratamento fonoaudiológico da paralisia facial pós-acidente vascular cerebral na fase aguda. MÉTODO: Estudo clínico controlado randomizado com 88 pacientes com paralisia facial na fase aguda do acidente vascular cerebral. A amostra foi alocada em: Grupo 1: reabilitação com terapia miofuncional orofacial e utilização da bandagem elástica funcional nos músculos zigomáticos maior e menor paralisados; Grupo 2: reabilitação apenas com terapia miofuncional orofacial na face paralisada; Grupo 3: sem qualquer intervenção fonoaudiológica para paralisia facial. Na avaliação foram solicitados os movimentos de mímica facial e o grau do comprometimento foi determinado de acordo com a escala de House e Brackmann. A incompetência do movimento foi obtida a partir de medições da face com paquímetro digital. Após a avaliação, a intervenção foi realizada de acordo como determinado para os grupos 1 e 2. Os participantes dos três grupos foram reavaliados após 15 dias. A análise estatística utilizada foi das equações generalizadas. RESULTADOS: Os grupos foram homogêneos quanto à idade, medida de incapacidade e funcionalidade, gravidade do comprometimento neurológico e da paralisia facial pré-intervenção. O grupo 1 teve melhora significativa na medida canto externo do olho à comissura labial, com melhores resultados quando comparado aos grupos 2 e 3. CONCLUSÃO: A bandagem elástica funcional associada a terapia miofuncional orofacial apresentou melhor resultado no tratamento da paralisia facial após acidente vascular cerebral no local onde foi aplicado.

Validity based on the response processes of the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofuncional Clinical History. / Validade baseada nos processos de respostas - Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial.

PURPOSE: Present the step of evidence of validity based on the responses to procedures of the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History. METHODS: Study developed according to phonoaudiologic tests validations recommendations. Validity analysis performed based on the process of instrument response. Ten speech therapists, that work on phonoaudiology clinic and/or orofacial myofunctional research on the population with age between 6 to 71 months, participated and applied the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History with those responsible for the children. The speech therapists appraised the instrument applicability via Google®ï¸ electronic forms, containing dichotic and/or multiple-choice questions, and likert scale with space to justify negative answers. The data was tabulated on Microsoft Excel 2016®ï¸ worksheets and analyzed by the content validity index (CVI). The software R Core Team 2022 (Versão 4.2.2) was used. RESULTS: All items from the MMBGR Protocol Infants and Preschoolers: Instructional and Orofacial Myofunctional Clinical History were valid when applied to real contexts. Orofacial Myofunctional Clinic history protocol- IVC 100% in terms of ease of application and filling and usage in professional practice; IVC 90% in terms of usefulness for phonoaudiology clinic. The instructional got IVC 80% in terms of clinic usefulness and 70% regarding to the prior reading necessity to fill the MMBGR Protocol Infants and Preschoolers. CONCLUSION: The Instrucional and Orofacial Myofunctional Clinical History, in the MMBGR Protocol Infants and Preschoolers had its validity proven based on the processes of responses to the usage on phonoaudiology clinic.

OBJETIVO: Apresentar a etapa da evidência de validade baseada nos processos de respostas do Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial. MÉTODO: Estudo desenvolvido conforme recomendações para validação de testes em Fonoaudiologia. Realizada análise da validade baseada nos processos de resposta do instrumento. Participaram dez fonoaudiólogos, que atuam em clínica e/ou pesquisa da Motricidade Orofacial com população entre 6 e 71 meses de idade, que aplicaram o Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial junto aos responsáveis pelas crianças. Os fonoaudiólogos emitiram apreciação sobre aplicabilidade do instrumento via formulário eletrônico do Google®, contendo questões dicóticas e/ou múltipla escolha, e escala likert com espaço para justificar respostas negativas. Os dados foram tabulados em planilhas Microsoft Excel 2016® e analisados pelo Índice de Validade de Conteúdo (IVC). Utilizado software R Core Team 2022 (Versão 4.2.2). RESULTADOS: Todos os itens do Protocolo MMBGR Lactentes e Pré-escolares: Instrutivo e História Clínica Miofuncional Orofacial foram válidos na aplicação em contexto real. Protocolo de História Clínica Miofuncional Orofacial - IVC 100% quanto à facilidade de aplicação e preenchimento, e uso na prática profissional; e IVC 90% quanto à utilidade para clínica fonoaudiológica. O Instrutivo obteve IVC 80% quanto à utilidade e 70% referente à necessidade de leitura prévia para preenchimento do Protocolo MMBGR Lactentes e Pré-escolares. CONCLUSÃO: O Instrutivo e o Protocolo História Clínica Miofuncional Orofacial, pertencentes ao protocolo MMBGR ­ Lactentes e Pré-escolares tiveram comprovada validade baseada nos processos de resposta, para uso na clínica fonoaudiológica.

Microstomia: Aplicação da fotogrametria para mensurar a eficiência da órtese oral associada à terapia fonoaudiológica / Microstomy: Application of photogrammetry to measure the efficiency of oral orthosis associated with speech therapy

OBJETIVO: Esse estudo teve como propósito verificar, por meio da fotogrametria computadorizada, a eficácia do uso da órtese oral como auxiliar na terapia fonoaudiológica. MÉTODO: Após a documentação fotográfica, cada paciente foi submetido a terapia fonoaudiológica, por meio da terapia miofuncional orofacial, associada ao uso da órtese oral, confeccionada segundo Borges et al. (2011). Ao término do tratamento, foi realizado novo registro fotográfico, em seguida, a mensuração da dimensão vertical (distância entre lábio superior/inferior) e horizontal (distância entre comissuras direita/esquerda), com o uso do programa Corel Draw X3. RESULTADOS: As médias da abertura bucal aumentaram da avaliação inicial para a avaliação final, tendo aumentado 5,1 mm no sentido horizontal (67,3 mm para 72,4 mm) e 13,9 mm no sentido vertical (de 32,7 mm para 46,6 mm). Essas diferenças se revelam significativas para as avaliações (p <0,05). CONCLUSÃO: O uso da órtese oral associado a terapia fonoaudiológica demonstrou ser eficaz como mais um instrumento na prevenção da microstomia.

OBJECTIVES: The aim of this study was to through computerized photogrammetry, the efficacy of oral orthosis as an aid in speech therapy. METHODS: After the photographic documentation, each patient underwent speech therapy, through orofacial myofunctional therapy, associated with the use of an oral orthosis, made according to Borges et al. (2011). At the end of the treatment, a new photographic record was taken, then the vertical dimension measurement (distance between upper lip) and horizontal (distance between corners right/left), using the program Corel Draw X3. RESULTS: The mean mouth opening increased from the initial evaluation to the final evaluation, increasing 5.1 mm in the horizontal direction (67.3 mm to 72.4 mm) and 13.9 mm in the vertical direction (from 32.7 mm to 46.6 mm). These differences are significant for the evaluations (p<0.05). CONCLUSION: The use of oral orthosis associated with speech therapy proved to be effective as another tool in the prevention of microstomia.

Terapia miofuncional orofacial na reabilitação das queimaduras de face em crianças e adolescentes: Uma revisão sistemática / Orofacial myofunctional therapy in the rehabilitation of face burns in children and adolescents: A systematic review

OBJETIVO: Identificar e analisar os achados da literatura referentes a terapia miofuncional orofacial em crianças e adolescentes que sofreram queimaduras de cabeça e/ou pescoço. MÉTODO: Revisão sistemática na qual foram incluídos estudos com desenho analítico observacional, sem restrição de idioma ou data de publicação, com a população de crianças de ambos os sexos, faixa etária de 0 a 18 anos, expostas à queimadura de cabeça e/ou pescoço e como desfecho, que tivessem realizado alguma modalidade de terapia miofuncional orofacial. As bases de dados utilizadas para a busca de artigos científicos foram PubMed, Cochrane CENTRAL, LILACS, CidSaude, PAHO, REPIDISCA, BDENF, MedCarib, WHOLIS, IBECS e SciELO, incluindo estudos indexados até dezembro de 2019. A estratégia de busca foi adaptada para cada base de dados. A seleção dos resumos, seleção dos artigos incluídos, extração de dados e análise de viés foi realizada por três pesquisadores separadamente. RESULTADOS: Foram encontrados 311 artigos nas bases de dados e, desses, quatro foram selecionados para compor o estudo. Identificaram-se diferentes intervenções nos pacientes, variando o tempo e o número de sessões realizadas durante o tratamento de acordo com o tipo de queimadura de exposição, incluindo terapia por pressão, aplicação de silicone, massagem e exercício facial, massagens e uso de aparelhos (placas) associados. CONCLUSÃO: Há falta de evidências sobre a terapia miofuncional orofacial como forma de tratamento para pacientes pediátricos com queimaduras de cabeça e/ou pescoço.

OBJECTIVE: To identify and to analyze the findings in the literature regarding an orofacial myofunctional therapy in children and adolescents who suffered head andor neck burns. METHODS: Systematic review which included studies with observational analytical design, with no restriction on language or publication data, with a population of children of both sexes, aged 0 to 18 years, exposure to head and/or neck burns and as an outcome, they had undergone some modality of orofacial myofunctional therapy. The databases used to search for scientific articles were PubMed, Cochrane CENTRAL, LILACS, CidSaude, PAHO, REPIDISCA, BDENF, MedCarib, WHOLIS, IBECS and SciELO, including studies indexed until December 2019. The search strategy was adapted for each database. The selection of abstracts, selection of included articles, data extraction and bias analysis was performed by three researchers separately. RESULTS: 311 articles were found in the databases, and four were selected to compose the study. Different treatments were identified in patients, varying the time and number of combinations during treatment according to the type of exposure burn, including pressure therapy, silicone application, massage and facial exercise, massage and use of devices (plates) associates. CONCLUSION: There is a lack of evidence on orofacial myofunctional therapy as a form of treatment for pediatric patients with head and/or neck burns.

Intervención fonoaudiológica en quemados: relato de un caso en el Hospital de Urgencia Asistencia Pública, Chile / Speech Language Pathologist intervention in burns: a case report of Hospital de Urgencia Asistencia Pública, Chile / Intervenção fonoaudiológica em queimados: relato de caso no Hospital de Urgencia Asistencia Pública, Chile

Introducción: En la área de fonoaudiología, una quemadura puede producir secuelas en deglución, comunicación (habla y voz) y motricidad orofacial. La inclusión del fonoaudiólogo en el trabajo con quemados ha sido paulatina y con escasa evidencia científica. El objetivo fue describir la intervención fonoaudiológica en un paciente adulto gran quemado internado en la UCI del Hospital de Urgencia Asistencia Pública (HUAP) en Santiago de Chile. Presentación del caso: Paciente masculino de 44 años, con intento de autolisis, 53% de superficie corporal quemada por fuego, con quemadura orofacial e injuria inhalatoria. Resultados: La evaluación fonoaudiológica evidenció trastorno deglutorio, vocal y de la motricidad orofacial. Posteriormente se inició terapia en estas tres áreas. Luego de dos meses, al momento del alta, paciente recuperó en su totalidad función deglutoria y vocal, con mínimas secuelas en motricidad orofacial. Conclusión: La intervención fonoaudiológica precoz favorece la recuperación de la persona quemada y ayuda a disminuir las secuelas posteriores. Es fundamental la inclusión de este profesional en el equipo de rehabilitación del paciente quemado, tanto a nivel nacional como internacional

Introdução: Na área da fonoaudiologia, uma queimadura, uma queimadura pode produzir sequelas na deglutição, comunicação (fala e voz) e motricidade orofacial. A inclusão do fonoaudiólogo no trabalho com queimados tem sido paulatina e com escassa evidência científica. O objetivo foi descrever a intervenção fonoaudiológica em um paciente adulto grande queimado internado na unidade de terapia intensiva do Hospital de Urgencia Asistencia Pública (HUAP), em Santiago do Chile. Relato do caso: paciente, do sexo masculinho, com 44 anos de idade, com tentativa de autoextermínio, 53% da superfície corporal queimada por fogo, com queimadura orofacial e lesão inalatória. Resultados: Avaliação fonoaudiológica evidenciou alteração na deglutição, vocal e da motricidade orofacial. Foi iniciada terapia nestas três áreas. Após dois meses, na alta hospitalar, o paciente recuperou em totalidade sua função deglutativa e vocal, com mínimas sequelas em motricidade orofacial. Conclusão: A intervenção fonoaudiológica precoce favorece a recuperação da pessoa queimada e ajudana diminuição as sequelas posteriores. Torna-se fundamental a inclusão deste profissional na equipe de reabilitação ao paciente queimado, tanto em nível nacional como internacional.

Introduction: Burns can produce Speech-Language Pathology disorders which can include difficulty in swallowing, communication (speech and voice) and orofacial motricity. The inclusion of speech therapist in burn people intervention has been gradual and with limited scientific evidence. The aim was to describe the speech-language intervention in a adult burn interned in the ICU of Hospital de Urgencia Asistencia Pública (HUAP) in Santiago, Chile. Case report: 444-year old male patient, due to attempt suicide, 53% of body surface burned by fire, with orofacial burn and inhalation injury. Results: A speech-language assessment revealed swallowing, voice and orofacial motricity disorders. Subsequently, therapy was started in these three areas. After two months, at discharge, the patient recovered his entirety deglutory and vocal function, with minimal sequelae in orofacial motricity. Conclusion: Early speech therapy favors the recovery of the burned person and helps to reduce subsequent sequelae. It is fundamental the inclusion of this professional in the burn patient rehabilitation team, both nationally and internationally.

Improvement of mouth opening for a patient with fibrodysplasia ossificans progressiva: a case report.

The aim of this article is to describe the care of a patient with fibrodysplasia ossificans progressiva (FOP) and to provide dentists with a guide for how to safely care for patients with FOP. Treatment improved the patient's limited mouth opening. FOP is a rare autosomal dominant disorder characterized by congenital malformation of the fingers and toes by heterotopic ossification progressiva of the connective tissue. This ossification causes a limitation in osteoradicular mobility, mainly affecting the spine, shoulders, hips, and peripheral joints. The disease can manifest from pregnancy until adulthood, with no greater prevalence associated with race or gender. Although rare, the disease can be easily identified by its clinical features, and diagnosis can be confirmed by a radiographic examination. There is no known effective treatment for this disease. All therapeutic treatment must be conservative to avoid any condition that may cause heterotopic ossification. Guidelines to prevent new ossifications are important for patients with FOP. Dental professionals should be cautious in planning treatment, avoiding anesthesia, especially in the mandible, to prevent ankylosis of the temporo-mandibular joints. The prevention of dental caries is essential to avoid the need for more invasive treatment.

Evaluation of treatment for functional posterior crossbite of the deciduous dentition using Planas' direct tracks.

BACKGROUND: Functional posterior crossbites are a common finding in children with deciduous teeth and must be treated as soon as they are diagnosed in order to avoid unwanted changes in normal growth and development patterns. OBJECTIVE: This study objective was to evaluate the changes caused by Planas' direct tracks treatment on the arch dimensions of patients with functional posterior crossbite in first dentition. MATERIALS AND METHODS: The sample consisted of 20 children, 4 to 6 years old, divided into two groups, paired up according to age and gender. Group test was composed of 10 patients with functional posterior crossbite treated with PDT. Group control consisted of 10 children with normal occlusion. The evaluation criteria were intercanine and intermolar distances and Carrea's analysis (arch perimeter). All data were collected by a pre-calibrated examiner on study casts obtained at baseline and after 4 months of treatment. The statistical analysis of the data was achieved using GraphPad InStat software, version 3.05 for Windows, with the level of significance set at 0.05. For the comparison between intercanine and intermolar distances, the Tukey-Kramer Multiple Comparisons test was used. When Carrea's analysis was considered, the Mann-Whitney test was used. RESULTS: At the beginning of the study, all the evaluated criteria showed lower mean values in patients with posterior crossbites, and significant differences between test and control groups were noticed (P<0.05). After the end of follow-up period, these differences could not be verified (P>0.05). CONCLUSIONS: Within the limits of the present study, it is possible to conclude that the treatment with Planas' direct tracks was able to give back the normal dimensions of deciduous arch in patients with unilateral functional posterior crossbites, thus making it possible a better growth pattern.

Non-invasive 3D facial analysis and surface electromyography during functional pre-orthodontic therapy: a preliminary report.

OBJECTIVES: Functional orthodontic devices can modify oral function thus permitting more adequate growth processes. The assessment of their effects should include both facial morphology and muscle function. This preliminary study investigated whether a preformed functional orthodontic device could induce variations in facial morphology and function along with correction of oral dysfunction in a group of orthodontic patients in the mixed and early permanent dentitions. MATERIAL AND METHODS: The three-dimensional coordinates of 50 facial landmarks (forehead, eyes, nose, cheeks, mouth, jaw and ears) were collected in 10 orthodontic male patients aged 8-13 years, and in 89 healthy reference boys of the same age. Soft tissue facial angles, distances, and ratios were computed. Surface electromyography of the masseter and temporalis muscles was performed, and standardized symmetry, muscular torque and activity were calculated. Soft-tissue facial modifications were analyzed non-invasively before and after a 6-month treatment with a functional device. Comparisons were made with z-scores and paired Student's t-tests. RESULTS: The 6-month treatment stimulated mandibular growth in the anterior and inferior directions, with significant variations in three-dimensional facial divergence and facial convexity. The modifications were larger in the patients than in reference children. In several occasions, the discrepancies relative to the norm became not significant after treatment. No significant variations in standardized muscular activity were found. CONCLUSIONS: Preliminary results showed that the continuous and correct use of the functional device induced measurable intraoral (dental arches) and extraoral (face) morphological modifications. The device did not modify the functional equilibrium of the masticatory muscles.

Non-invasive 3D facial analysis and surface electromyography during functional pre-orthodontic therapy: a preliminary report

OBJECTIVES: Functional orthodontic devices can modify oral function thus permitting more adequate growth processes. The assessment of their effects should include both facial morphology and muscle function. This preliminary study investigated whether a preformed functional orthodontic device could induce variations in facial morphology and function along with correction of oral dysfunction in a group of orthodontic patients in the mixed and early permanent dentitions. MATERIAL AND METHODS: The three-dimensional coordinates of 50 facial landmarks (forehead, eyes, nose, cheeks, mouth, jaw and ears) were collected in 10 orthodontic male patients aged 8-13 years, and in 89 healthy reference boys of the same age. Soft tissue facial angles, distances, and ratios were computed. Surface electromyography of the masseter and temporalis muscles was performed, and standardized symmetry, muscular torque and activity were calculated. Soft-tissue facial modifications were analyzed non-invasively before and after a 6-month treatment with a functional device. Comparisons were made with z-scores and paired Student's t-tests. RESULTS: The 6-month treatment stimulated mandibular growth in the anterior and inferior directions, with significant variations in three-dimensional facial divergence and facial convexity. The modifications were larger in the patients than in reference children. In several occasions, the discrepancies relative to the norm became not significant after treatment. No significant variations in standardized muscular activity were found. CONCLUSIONS: Preliminary results showed that the continuous and correct use of the functional device induced measurable intraoral (dental arches) and extraoral (face) morphological modifications. The device did not modify the functional equilibrium of the masticatory muscles.

Development of an intraoral device for facial muscle retraining and its clinical application.

The aim of this work was to develop a facial neuromuscular retraining technique for cases of facial palsy, involving an easy-to use intraoral device that allows correcting abnormal neuromuscular patterns and improving esthetics. Facial palsy is a motor alteration of multiple origin that results in facial asymmetry. Treatment remains controversial to date and includes, surgical anastomosis and decompressive and plastic surgery, corticosteroids therapy, injection of botulinum toxin, and administration of other medicinal drugs. Physical therapy involving electrical stimulation and feedback are also used to retrain facial muscles. A removable thermopolymerized acrylic intraoral device with wrought wire clasps was developed and constructed. The device was used on a patient with facial palsy who was instructed to wear it 4 times a day during 20 minutes and perform exercises in front of the mirror, trying to coordinate the action of the device with the smile movement on the unaffected side of the face. Digital photographs of the patient were taken during smile movement and at rest with and without the device, and movements of the oral commissures were compared using specific software. Results showed anatomic and nonanatomic indices of facial motion for the lower part of the face with the device to be 1.77 and 0 respectively. The device improved facial symmetry during rest by opposing traction forces of the contralateral muscles, resulting in a better position of the filtrum during rest, and allowed the patient to exercise smile movements at home.

Proposta de documentação fotográfica em motricidade oral / Oral motricity photographic registration proposal

Objetivo: propor um protocolo específico para documentação fotográfica do paciente na área deMotricidade Oral. Método: foi utilizada uma câmera digital fixada em um tripé e foram realizadasfotografias padronizadas corporais e de face. Realizou-se ainda, a teleradiografia lateral contrastadacom bário sobre a língua. Resultados: as fotografias facilitaram a visualização dos nossos resultadosterapêuticos. Conclusão: concluiu-se que a documentação proposta auxilia no diagnóstico e no estudodo prognóstico do paciente, bem como, pode ser utilizado como material auxiliar nas orientaçõesaos responsáveis e ao paciente.

Purpose: to propose a specific protocol for photographic register of Oral Motricity patients. Methods:a digital camera mounted on a tripod was used. Standardized photos of body and face were taken. Atele-radiography modified by using contrast with barium which was spread over the patient’s tonguewas taken. Result: the pictures made easy the visualization of our therapeutic results. Conclusion:so far it is possible to conclude that the proposed documentation helps in the diagnosis process andprognosis analysis, and it may be used as supplementary material for guiding patients and parents onthe best treatment to follow.

Dynamic presurgical nasal remodeling in patients with unilateral and bilateral cleft lip and palate: modification to the original technique.

OBJECTIVE: To present technical modifications to the original presurgical nasal remodeling appliance introduced in 1991. The purpose of the modifications is to improve the cleft nasal deformity before unilateral and bilateral cleft lip repair. METHOD: The principle behind this technique, known as dynamic presurgical nasal remodeling (DPNR), is the use of the force generated during suction and swallowing. A conventional intraoral plate is built with a nasal extension added to the labial vestibular flange. The nasal extension was modified and consists of three components. The palatal plate is left loose in the mouth to generate a discontinuous but controlled impact directed to the affected nasal structures during suction and swallowing. The principle aim of the DPNR technique in unilateral cases is to improve the deformation of nasal structures by straightening the columella, elevating the nasal tip, and remodeling the depressed cleft side alar cartilages. In bilateral cases, the aims are to elongate the columella and to obtain nasal tip projection. CONCLUSIONS: The modifications introduced in the appliance enhance the original DPNR technique and are effective in ameliorating the initial cleft nasal deformity. This facilitates primary surgical cleft lip and nose correction and improves surgical outcomes in patients with complete unilateral and bilateral cleft lip and palate.

Aparelho miofuncional para guia de erupção / Myofunctional appliance for eruption guide

O objetivo deste artigo é oferecer informações e relatar casos clínicos de pacientes que usaram o aparelho miofuncional de guia de erupção chamado Occlus-O-Guide©.

Uso do exercitador labial: estudo preliminar para alongar e tonificar os músculos orbiculares orais / Labial exerciser: preliminary study for enlarge the oral orbicular muscle

O Exrcitador Labial foi idealizado na intençäo de concentrar e aumentar a eficácia dos exercícios propostos para a reeducaçäo dos músculos orbiculares orais, propiciando sua tonoficaçäo e alongamento. Por tratar-se de um aparelho elaborado exclusivamente para esse fim, facilita a prática fonoaudiológica mioterápica, reduzindo o número de exercícios e a grande variedade de materiais adaptados e "emprestados", nem sempre adequados e funcionais. Nesse estudo preliminar, 10 crianças passaram a usar o Exercitador Oral, tanto em terapia, como em seus lares, durante 6 meses, com o uso diário por 3 meses e nos meses seguintes, 3 vezes por semana, obtendo modificaçöes significativas nos músculos em questäo