SoundMouths

SoundMouths

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This👇🏻👇🏻
It's all about proper lip and tongue posture.
Yes, bringing questions to the table. The American Speech and Hearing Association (ASHA) is OUR gold standard for speech and language milestones not the Center for Disease Control & Prevention (CDC). Some children already have a difficult time getting the services they need and insurance already fights reimbursement for "developmental" delays. This will significantly impact early intervention when it is the most critical time of language development, birth-5. "Wait and see" is not an appropriate approach ever.
Mouth breathing can impact facial growth and development, sleep, and overall health and wellness.
Interesting that our recent norms show a developmental deflation paired with grade infaltion? 🤔 Does that even make sense? ❓❓

The answer should never, ever,
EVER be… “Let’s wait and see!”
After treatment, the tongue can rest on the palate instead of resting down near the lower jaw. When the tongue is resting on the upper palate, it is applying the necessary pressure to support nasal airway growth and expansion. When children have large enough nasal airways to support nasal breathing during sleep, more restful sleep is observed due to enough oxygen flowing through the body. If the tongue is still restricted with a tongue-tie, the tongue cannot meet the upper palate to help shape the nasal airway growth and expansion. Subsequently, the nasal airways will not be wide enough to allow for enough oxygen intake to support the body and the mouth breathing habit will develop. When mouth breathing during sleep, obstructive sleep apnea and less restful sleep occur.
When the tongue is restricted by the tongue-tie, subsequently, chewing and swallowing motions will also be restricted. The tongue will have to work extra hard to move around to gather the food into a cohesive unit and adequately chew the food, as well as working hard to attempt, but often unsuccessful, to meet the top of the mouth to initiate the swallow. Once the tongue is no longer restricted, myofunctional exercises will be implemented to strengthen the tongue and orofacial muscles necessary for safe and effective swallowing and eating.

(Source: Baxter, R., Merkel-Walsh, R., Baxter, B., Lashley, A., Rendell, N. (2020). Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study.)
Our friend and colleague has created two terrific online learning opportunities. Interested in learning more about orofacial myology- she’s your source! Congrats Angie!
The first step to correcting a speech disorder associated with a tongue tie is surgical removal of the restriction. Recent studies have shown that shortly after undergoing tongue-tie division surgery, speech sound improvements happen almost immediately. When tongue exercises and speech training by a speech pathologist are used in conjunction following a tongue-tie division surgery, the greatest improvements were observed.

(Source: Ito, Y., Shimizu, T., Nakamura, T., Takatama, C. (2014). Effectiveness of tongue-tie division for speech disorders in children. Official Journal of the Japan Pediatric Society.)
A recent study observed children with tongue restrictions and speech, feeding, and sleep issues after undergoing tongue-tie division surgery, paired with myofunctional exercises. Overall, speech improved in 89%, solid feeding improved in 83%, and sleep improved in 83% of patients as reported by parents. Fifty percent of speech-delayed children in the study said new words after the procedure, 76% of slow eaters ate more rapidly, and 72% of restless sleepers slept less restlessly. These outcomes support that after tongue-tie releases paired with exercises, most children experience functional improvements in speech, feeding, and sleep. Stay tuned for our next few posts, which will address the WHY behind these particular improvements.

(Source: Baxter, R., Merkel-Walsh, R., Baxter, B., Lashley, A., Rendell, N. (2020). Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study.)
Don’t be a mouth breather and if you are… we can help!
Check out this impressive before and after of orofacial myofunctional therapy being used to address lip closure!

Properly positioned lips are a very important aspect of overall correct oral rest posture. When the lips are at rest, the ideal positioning would be gently sealed lips. Sealed lips act as nature’s orthodontic retainers for the teeth and aid in guiding growth and development via light, constant forces. Various orofacial myofunctional exercises can be used to strengthen and stretch the incompetent lip muscles that may prevent them from having a gentle seal. Botox and surgery may be considered after orofacial myology treatment to address any lingering muscle tension, but it is not often needed.

#orofacialmyology #myofunctionaltherapy #omt #omd #breatheright #lipclosure #openlip #mouthbreathing #nasalbreathing #helpingkids #openbite #myo

(Source: Lehman, Angie. (2019) Lip incompetence: Causes, symptoms, and treatment considerations. Dental Academy of Continuing Education.)

Sounds Mouths provides quality speech and myofunctional therapy with an integrative functional approach to a happy mouth. Our practice works with all ages, toddlers through adults.

Operating as usual

04/27/2022

A glimpse into our speech therapy practice

A wonderful memory! We really love what we do and have amazing patients and parents. As our practice grew, and our training in orofacial myology evolved, we decided that it was
time to change our name to incorporate our mission to provide all with a “Sound Mouth”. The name TeachSpeech will always be
part of us and our beginning! ❤️

04/26/2022

Bring back play to school! You can learn through play in every area of academics.

THIS.

And...not just kindergarten...

Can Tongue-Tie Impact Singing and Vocal Quality? - Alabama Tongue-Tie Center | Dr. Richard Baxter | Birmingham, AL 04/20/2022

Can Tongue-Tie Impact Singing and Vocal Quality? - Alabama Tongue-Tie Center | Dr. Richard Baxter | Birmingham, AL

"Many people think that being “tongue-tied” means you trip over your words, or that you have speech difficulties and that’s it......"

Can Tongue-Tie Impact Singing and Vocal Quality? - Alabama Tongue-Tie Center | Dr. Richard Baxter | Birmingham, AL With around 25% of the population affected by a tongue restriction, there are many in the professional singing world who could benefit from releasing a tied-down tongue and probably don’t realize it yet.

03/31/2022

I don't know when things changed where we, the parents, felt like we had to entertain our kids. Did you parents entertain you? Mine didn't. I think this is a wonderful reminder to all of us parents out there!

A good reminder. 💕

03/16/2022

Had a great time on Instagram Live last night with Reneta and Angela from Airway Circle to share our bird’s eye view approach to speech and myofunctional disorders.

03/12/2022

Looking forward to talking with the amazing Airway Circle on Tuesday evening. Come join us! details below 👇🏻 👇🏻👇🏻

🤩 Airway Circle is thrilled to welcome Mary Frances Gonzales, MA CCC-SLP, COM®️! Mary Frances is the owner of Sound Mouths, located in Northern Virginia, and opened the first thumb-sucking clinic in the United States in 2018!

🎤 Tune into IG LIVE on Tuesday, March 15, 2022 at 8:15 pm.

🌀Share this to your social media pages and remember to invite your friends! www.instagram.com/airwaycircle

Become a member of Airway Circle for only $25 per month! www.airwaycircle.com/member

03/10/2022

It looks like our website has not been sending any "contact us" form that you may have filled out this past month.
At this time, our website is completely down at the moment. If you are trying to contact us please send an email to [email protected] or give us a call 571 989 1190. If you have already contacted us and have not received any response with 2 business days, it is for this specific reason and please reach out to us again.
Our apologies, we are working on remediating this issue as soon as possible!

03/09/2022

Since the introduction of electronics.. children never have to be bored. BOREDOM is good for creativity.

It's important to remember that we don't always need to entertain children. ❤

"We are a society afraid of boredom. We are addicted to entertainment and the stimulation of certain neuro centers in the brain. We are losing the ability to just be.

When we deny our children their God-given right to boredom, we are restricting their development.

Do you remember the hours you spent in boredom as a child? We would daydream in the waiting room, stare at the dust motes dancing in the sunlight, invent new games, draw, read, create, research. We were building important neuro pathways. Did we whine to our parents that we were bored? Of course! But we quickly learned that this would only lead to chores or being forced outside regardless of temperature or weather.

When we had a question, there was no Google. We had to ask another person, look it up in a book, or, gasp, ruminate on it until we found the answer within our own brains. We developed common sense and logic, because we were experiencing the world firsthand and engaging our problem solving.

So, don’t be afraid of boredom! Every generation before this one has had to learn to live with it. And they have benefited because of it.

Give your children the gift of boredom." - Homeschooling with the Classics

02/28/2022

This👇🏻👇🏻

The Eiffel Tower

Many providers (and savvy parents) will refer to this kind of a tongue tie as an "Eiffel tower" tie (for good reason). Why does this happen? Well, while it isn't a universal finding, I have only found it to be present when the tongue is tied. So not every tongue tie has an Eiffel component, but every Eiffel component comes from a tongue tie. The tongue tie is #1 in the picture, and the Eiffel part is #2.

I frequently get asked how and where and when I cut the Eiffel part of the tie. My answer is simple: I don't. I'll admit that I used to periodically do it, but as I've done more procedures, I've come to realize that the Eiffel tower isn't the cause of a problem, but rather a visible end result of persistent tongue tie. Treating just the Eiffel part doesn't actually do anything to improve tongue mobility.

The Eiffel is there because the tongue is still pulling on the inside of the jawline. If someone does a procedure correctly, that Eiffel part should disappear. If your child has that Eiffel right after a procedure, then I'd argue they've had an incomplete release. If the Eiffel forms after a procedure has been done, then the tongue has reattached. So what's important is that you retreat the CAUSE of the Eiffel rather than the visual symptom of the persistent tension.

02/22/2022

It's all about proper lip and tongue posture.

Facial postures are often a give away of how the dental arch is or has developed.

That means we can spot the signs of crooked teeth early and intervene if necessary.

One muscle that is a sure give away is the mentalis muscle.

The mentalis muscle is the only elevator of the lower lip and the chin, and it provides the major vertical support for the lower lip.

It raises and pushes up the lower lip, causing wrinkling of the chin.

Hyperactivity of the mentalis muscle is most commonly found in patients with an incompetent lip or patients with upper incisor protrusion.

The name mentalis comes from the idea that only people in deep thought or severe emotional angst will activate this muscle.

As a muscle of facial expression it should only be activated during these mental stimulations.

Lip incompetence, also known as mentalis strain, refers to a condition characterized by an inability to easily hold the lips together while at rest.

Other common features of lip incompetence include protruding lips, and strain in the lower facial region when you try to seal your lips.

Many people with this condition also present with an elongated face, short upper lip, and dimpling of the chin.

The severity of mentalis strain can vary widely. Although it may result in exposed front teeth, lip incompetence is not the same as having buck teeth. A famous example of lip incompetence is demonstrated by the character Napoleon Dynamite, from the 2004 film of the same name.

• Lip incompetence can cause a wide range of craniofacial anomalies, such as “Long-Face Syndrome,” gummy smile, dimpled chin, disproportionate profile, asymmetry, etc.

• Tooth Eruption: The jaw misalignment that may be caused by lip incompetence can also cause issues relating to tooth eruption.

• Issues With Jaw Joints: Lip incompetence commonly results in unusual resting positions of the jaw. This may cause damage to the jaw joints.

• Tongue Thrusting: Unusual resting positions of the mouth caused by lip incompetence may result in tongue thrusting.

• Swallowing Issues: Poor resting position of the jaw, diminished muscle tone, and tongue thrusting caused by lip incompetence can result in issues related to swallowing.

A good analysis of the patient’s lips is done at rest position or with the upper and lower lips lightly touching. Indications of any muscle strain on lip closure should be noted. Upper and lower lip lengths can be assessed in the frontal and profile views.

How to deactivate? Improve your tongue posture!

Removing the lips in creating seal at the front of the mouth is critical stopping mentalis activation.

Have you noticed anyone with open mouth posture?

02/22/2022

Yes, bringing questions to the table. The American Speech and Hearing Association (ASHA) is OUR gold standard for speech and language milestones not the Center for Disease Control & Prevention (CDC). Some children already have a difficult time getting the services they need and insurance already fights reimbursement for "developmental" delays. This will significantly impact early intervention when it is the most critical time of language development, birth-5. "Wait and see" is not an appropriate approach ever.

Dear ASHA Members:

ASHA is in the process of analyzing the recent revisions to the developmental milestones used in the CDC’s Learn the Signs. Act Early. initiative. This process includes a comprehensive comparison of the previous vs. new guidelines, as well as a comparison to ASHA-specified milestones. ASHA is also conducting an extensive review of published scientific literature.

ASHA has reached out to CDC, expressing its concern about inconsistencies and urging the agency to utilize the expertise of SLPs when making changes to developmental milestones in speech, language, feeding, and social communication. In general, ASHA is supportive of efforts to help identify children earlier, but the milestones presented to parents must be evidence-based in order for families to make well-informed decisions about their children's care.

ASHA will provide members with an update once its review process is completed and correlating action steps are determined.

The American Speech-Language-Hearing Association
https://on.asha.org/342WAaL

02/18/2022

Mouth breathing can impact facial growth and development, sleep, and overall health and wellness.

Thumb sucking and mouth breathing 😮‍💨
It’s a thing!! 😀😀
And those of us who work with kids with oral habits look for this problem in your child if they have a thumb or finger sucking habit FIRST 😇
The thing with mouth breathing is it can really affect how your child grows and develops….
Not just on the outside, but on the inside too. 🤓
Some of the things that are concerning about mouth breathing includes:

Mouth and face development 😁
Mouth breathing increases the risk of:

✨developing small jaws without room for all the permanent teeth 💀
✨crowding of teeth🦷
✨recessed jaw/chin putting them at risk for sleep apnoea later in life
✨unfiltered air irritation causing irritation of throat and lungs 💨
✨sunken cheeks ☹️
✨long face appearance😱
✨mid-face deficiency🤥

🔥as well as a higher risk of:

😬Concentration problems
🥵ADD/ADHD symptoms
🛏sleep disordered breathing problems
😴developing sleep apnea

And as someone who has these problems throughout my whole family in in myself (check out my blog!) I can attest to all of this!
It’s a matter of health to nasal breathe. 👃



Photos from Cari Ebert Seminars's post 02/16/2022

Interesting that our recent norms show a developmental deflation paired with grade infaltion? 🤔 Does that even make sense? ❓❓

The answer should never, ever,
EVER be… “Let’s wait and see!”

Timeline photos 02/09/2022

After treatment, the tongue can rest on the palate instead of resting down near the lower jaw. When the tongue is resting on the upper palate, it is applying the necessary pressure to support nasal airway growth and expansion. When children have large enough nasal airways to support nasal breathing during sleep, more restful sleep is observed due to enough oxygen flowing through the body. If the tongue is still restricted with a tongue-tie, the tongue cannot meet the upper palate to help shape the nasal airway growth and expansion. Subsequently, the nasal airways will not be wide enough to allow for enough oxygen intake to support the body and the mouth breathing habit will develop. When mouth breathing during sleep, obstructive sleep apnea and less restful sleep occur.

Timeline photos 02/02/2022

When the tongue is restricted by the tongue-tie, subsequently, chewing and swallowing motions will also be restricted. The tongue will have to work extra hard to move around to gather the food into a cohesive unit and adequately chew the food, as well as working hard to attempt, but often unsuccessful, to meet the top of the mouth to initiate the swallow. Once the tongue is no longer restricted, myofunctional exercises will be implemented to strengthen the tongue and orofacial muscles necessary for safe and effective swallowing and eating.

(Source: Baxter, R., Merkel-Walsh, R., Baxter, B., Lashley, A., Rendell, N. (2020). Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study.)

01/28/2022

Our friend and colleague has created two terrific online learning opportunities. Interested in learning more about orofacial myology- she’s your source! Congrats Angie!

I am so proud to announce my newest course, About Face! 🙌

Have you been working in Orofacial Myology for a long time and still not seeing results in your patients? Or, maybe no matter how much research you do, you still can’t figure out the order to teach your ?

I’m here to tell you I get it, and I can help.

Clinicians like you are the reason I developed this NEW course. Rather than take years to learn everything on your own, I’ve condensed all of the information and science you need into one, simple course.

By the end of , you will understand the purpose behind the exercises you already know, have the confidence to collaborate with other professionals, and most importantly, see results in your patients.

I don't want to spoon-feed you information - I want to teach professionals like you to understand how to learn better. I'm here to teach you how to think for yourself and be the best therapist you can be.

And yes, I put it into 😎

About Face is a 180° turn from the courses you’ve already taken – check it out on my website TODAY!
https://angielehman.com/about-face/

Timeline photos 01/26/2022

The first step to correcting a speech disorder associated with a tongue tie is surgical removal of the restriction. Recent studies have shown that shortly after undergoing tongue-tie division surgery, speech sound improvements happen almost immediately. When tongue exercises and speech training by a speech pathologist are used in conjunction following a tongue-tie division surgery, the greatest improvements were observed.

(Source: Ito, Y., Shimizu, T., Nakamura, T., Takatama, C. (2014). Effectiveness of tongue-tie division for speech disorders in children. Official Journal of the Japan Pediatric Society.)

About Our Practice:

We are a therapist-owned, private practice that provides speech, language and myofunctional therapy to children and adults in Loudoun County, Virginia.

We believe that parents are their child’s first and best teacher, that is why we empower our parents with training and support to carry over the skills learned in the session. Home is where the magic really happens!

We believe that in this busy world, sometimes we just need to stop, take a breathe and get back to the basics. Interaction, connection and play are where it all starts.

We believe our clients thrive in therapy when they connect with their therapist.

Videos (show all)

MyoMythBusters
Just finished filming our first MYO MYTHBUSTERS with my partner in crime Angie of Oral Myofunctional Therapy of York. We...
Thumbs up 👍🏻 for a client today who’s ready to QUIT their habit for GOOD. All done via telehealth! Now that everyone is ...
The necessary building blocks for expressive language development #fridayfind #helpingkids #languagedevelopment #ASHAige...
Kids are sooo smart! My friend moved so quickly that this SLP is practicing his targeted word 😂#slpproblems #iamontohim ...

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