Dysfunctional habitual facial postures











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Most patients with the low and lateral tongue posture habitually use the jaw to create those sounds without even moving the tip of the tongue. This may not be a realistic thought, because if we are changing the position of teeth, is biting our only function that we are considering necessary to adjust. Also there is a huge expectation on behalf of orthodontists, that all muscle dysfunction will 'magically' disappear or the muscles will learn to complement the new position of the teeth. This work is licensed under a Creative Commons Attribution 4. Conclusion It is essential to put the pieces of the puzzle together and start incorporating muscle function as a part of the diagnostic process. Discussion Whether it's the excessive saliva production at a hygiene visit that entails constant use of the suction in some patients or the persistent gagger in your chair, more investigation needs to be done for tongue function. It is therefore absolutely essential for ALL dental treatments to incorporate how each treatment would affect the normal posture or in other words the inherent balance that has to exist in the oral cavity to stay healthy.

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The Tell Tale Tongue

Understanding and diagnosing the reverse swallow is another area that is often missed and underdiagnosed. In children this 'tongue down posture' results in the lack of natural exfoliation of the teeth and interferes with differential eruption [3]. In turn, it finds its comfort on the lower anterior teeth making them crowded in most cases or hangs out between the teeth to act like a splint [2]. Most patients with the low and lateral tongue posture habitually use the jaw to create those sounds without even moving the tip of the tongue. Look out for the relationship of the tongue with the teeth and ask patients to swallow with the lips open if there is an open bite and lips together when there is not.

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Similar situations arise when the maxilla does not grow against the palate, yet again in the case of mouth breathers. Understanding and diagnosing the reverse swallow is another area that is often missed and underdiagnosed. Assessment, Prevention and Treatment. For example every patient with an open bite has a tongue thrust but not every patient with a tongue thrust has an open bite Proffit and Fields The maxilla has no stimulus from the tongue to grow horizontally and therefore literally falls down on the lower jaw preventing its horizontal growth too.

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Description: There is an exercise and awareness regime that is customized for every patient. Although the pressure of the bite is transient, that of the rest posture is more consistent. The constant struggle to stabilize the bite against the force of the tongue and its low and lateral posture is always a challenge. Can this connect with and add to the neuromuscular stresses that we categories as 'general' stress before we put electrodes on and start to find a happy spot for the jaw to make splints and orthotics. Same thing happens when a prosthesis is prescribed. It is also necessary to eliminate any pre -existing muscles dysfunctions like tongue thrusts and reverse swallows before embarking on ideal dental treatment to defer any chances of relapse or recurrence. In turn, it finds its comfort on the lower anterior teeth making them crowded in most cases or hangs out between the teeth to act like a splint [2].
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