http://www.centralvirginiaomt.com/

Angela Richwine RDH, Fredericksburg, VA (2026)

01/05/2023

Tongue thrust
👅
Do you have one?
How would you know?
🤔
There are several signs to look for when it comes to identifying a tongue thrust.
Is there a space between your front, side or back teeth and do not come together?
Is eating a sandwich difficult because when you pull the food out of your mouth, you can only capture the bread and not the insides?
Are you or were you a thumb sucker or extended pacifier user?
Does your tongue push forward to complete a swallow?
Are you able to swallow without moving any muscles of your face and neck, other than your tongue?
Does your tongue rest low and forward in your mouth?
💥
An orofacial myofunctional therapist not only assesses for a tongue thrust, but also works towards training and re-training the facial muscles to function properly. This includes muscles of the tongue, face, and neck.

12/19/2022

👄 Mouth breathing

STOP right where you are!

-Are your lips separated?
-Are you breathing though your mouth?
-Do you have a stuffy nose?
-Do you always have dry lips?
-Are you always thirsty?
-Do you constantly have a sore throat, ear infections, or sinus infections?
-Do you have inflamed gingiva or puffy gums?
-Are you prone to getting cavities?
-Do you have a tongue tie?
-Are you always gassy?
-Did you or do you suck your thumb?
-Do you have crowded teeth?
-Do you have an open bite or a tongue thrust?
-Do you chew with your mouth open?
-How is your sleep, rested or not?
-Do you have orthodontic relapse?

If you answered yes to any of these, reach out and let an orofacial myofunctional therapist help you.
[email protected]
540-369-6044

Our primary source of air should enter into the body through the nose. The mouth is not for breathing, it is for eating and speaking. Yes, it’s a back-up system for breathing, not primary.

10/22/2022

🎉 QOM 🎉
Qualified Orofacial Myologist #174

❤️ It’s official ❤️

🙏 Thank you to the Neo-Health team: Sandra Holtzman, Zohara Nguyen, Becky Ellsworth, and Karen Masters, for instructing me and helping me through the QOM course. Thank you for answering my many FB IM questions. Your guidance has led me to think more deeply while expanding my knowledge in myofunctional therapy.

-health #174

10/21/2022

.slp with .repost
・・・
A healthy airway is wide in diameter and allows you to breathe freely during the day and when you sleep. An obstructed airway is narrow and prevents the proper flow of air in and out of the lungs. This deprives the body and the mind of the oxygen it needs. 💨

The obstruction can vary from acute to chronic, and can be genetic or acquired. Although in most cases it is acquired and develops over time.

When it comes to proper airway development, nasal breathing is crucial. Food sensitivities, allergies, asthma, chronic nasal congestion, and oral restrictions can all contribute to breathing through the mouth rather than the nose. Unfortunately, this affects how the jaw, face and airway develop.

This is usually seen through crowded teeth, high/narrow palates, and a recessed upper & lower jaw. The tongue is a powerful muscle, and when we mouth breathe, it is positioned at the bottom of the mouth. In a developing child, this changes the growth pattern and rate of the jaws and airway because the natural growth stimulant of air flow through the nose is absent.

Airway obstructions also have a huge impact on sleep. Sleep is so crucial and we all need good sleep so our bodies can regenerate and stay healthy. Millions of people suffer from airway sleep disorders - young adults, teenagers, and even children.

✨To prevent airway obstructions to the best of our ability, it’s important that we focus on the basics: developing wide healthy jaws with room for all the teeth, establishing healthy oral habits like nasal breathing and proper tongue resting position.✨

💬Questions? Ask below!

📌SAVE & SHARE this with others!

🦷 FOLLOW for tips regarding functional dentistry (airway, TMJ, orthodontics, etc.)

👄 FOLLOW .slp for speech strategies for your child and myofunctional information!

_

10/04/2022

.pathway with .repost
・・・
By the age of four, 60% of the craniofacial skeleton has reached its adult size.

By the age seven, the majority of the growth and development of the maxilla is complete.

Obstructive sleep apnea is most prevalent among children from ages 2-8 years old.

By the age nine, the majority of the growth and development of the mandible is complete.

By the age of 12, 90% of facial growth has already occurred.

Inflamed adenoid tissue can interferes with normal facial growth. This can impact breathing causing congestion, snoring, mouth breathing, sleep apnea, ear infections, rhino-sinusitis, facial changes, malocclusion, swallowing problems, reduced ability to smell and taste, and speech problems.

In 1872, CV Tomes in 1872 described facial changed from adenoid hypertrophy as adenoid facies. Children were mouth breathers, often exhibited narrow V-shaped dental arches, low tongue tone, dark circles around the eyes and long faces.

Find an ASAP provider at https://www.asappathway.com/ -a-provider

.dorothynelson.wa

10/04/2022

We brought all of the mouth props off the shelf today and walked away with her first Munchee and a bottle of bubbles!

09/27/2022

with .repost
・・・
🥰 Still mesmerized by the amazing week we had at Collaboration Cures!

🤩 This is the Airway Circle Team! (We are missing Ann). They made everything happen.

I hope you got to meet all of us!
🎉 Angela Richwine - Director of Operations
🎉 Tamara Thomas - Creative Director
🎉 Madison Scott - Member Relations
🎉 Kimmie Herrera - Event Coordinator
🎉 Ann Blau (not pictured) - Editor in Chief

🎉 Shannon Greene - Executive Assistant
🎉 Justin Collins - website/branding/design

Thanks for everything you do!!
Best team in the world. 🔥
Renata Nehme.

09/27/2022

with .repost
・・・
🥰 Still mesmerized by the amazing week we had at Collaboration Cures!

🤩 This is the Airway Circle Team! (We are missing Ann). They made everything happen.

I hope you got to meet all of us!
🎉 Angela Richwine - Director of Operations
🎉 Tamara Thomas - Creative Director
🎉 Madison Scott - Member Relations
🎉 Kimmie Herrera - Event Coordinator
🎉 Ann Blau (not pictured) - Editor in Chief

🎉 Shannon Greene - Executive Assistant
🎉 Justin Collins - website/branding/design

Thanks for everything you do!!
Best team in the world. 🔥
Renata Nehme.

09/25/2022

Look what I’m doing tonight! and is now in my armamentarium! Excited to get this going!

09/23/2022

with .repost I share this because she is an AMAZING artist and teacher. Everyone should follow
・・・
This is my soap box. The more mouths I see, analyze, and palpate. The more function I try to build. Structure vs function.

The extrinsic tongue muscles are vital for helping the tongue develop stability, to allow to mobility of the swallow.

Older kids come in my doors and can’t contract their Genioglossus or Hyoglossus. Toddlers come in and can’t even elevate their tongue with a suction sound.

Addressing the structural impediment without properly addressing the dysfunction is just throwing a bandaid on.

Thoughts? Comments? Disagreements? Let’s talk about this.

09/23/2022

Four sessions of myofunctional therapy alone.

Improvements 👏
- tongue position
- posture
- sleeping
- speaking more clearly

Our tongues are connected to our toes. When the tongue is in proper placement, the body follows.

Form follows function.

Angela Richwine RDH

01/05/2023

12/19/2022

10/22/2022

10/21/2022

10/04/2022

10/04/2022

09/27/2022

09/27/2022

09/25/2022

09/23/2022

09/23/2022

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