Tongue dysfunction screening: assessment protocol for prescribers

Gil, Hyo-wook; Fougeront, Nicolas

doi:10.1051/odfen/2015026

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…This may further reflect the requirement of accurate placement of the tongue during its different functions with no visual feedback, and as such constitutes an accurate measurement of the tongue motor control. This relatively simple and objective measurement could also complete the clinical protocols used to investigate the tongue function (Gil & Fougeront, 2015 ), or the ultrasound measures to analyze tongue motion during its function (Stone, 2005 ), and be used as a tool to monitor the effect of rehabilitation (La Touche et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…To achieve these roles, the tongue musculature allows myriad changes in the tongue shape enabled by arrangements of tongue muscle fibers in multiple axes, involving extrinsic and intrinsic muscles (Gaige et al, 2007 ; Takemoto, 2001 ). The movements of the tongue are essentially intrabuccal, thus not directly seen, and protocols have been established to screen tongue dysfunction (Gill & Fougeront, 2015 ) but remain subjective in nature (Youmans & Stierwalt, 1971 ). Tongue strength has been widely considered as an objective assessment of tongue function, including swallowing in healthy or elderly persons (Adams et al, 2014 , 2015 ).…”

Section: Introductionmentioning

confidence: 99%

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Impaired tongue motor control after temporomandibular disorder: A proof‐of‐concept case‐control study of tongue print

Alvarado

Arminjon

Damieux-Verdeaux

et al. 2022

Clinical & Exp Dental Res

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Background Temporomandibular disorder (TMD) perturbs the tongue motor control and consequently impairs oral function, but strength training reduces this impairment. However, tongue motor control is widely reduced to a matter of strength. Objectives To investigate the accuracy of the tongue placement as a measure of tongue motor control in patients with TMD compared with age‐ and sex‐matched healthy participants. Material and Methods This proof‐of‐concept case‐control study was prospective, observational, and part of the TMIQ study (NCT04102306). After pointing against a wood stick while maintaining the tongue as sharp as possible, the examinator drew the contour of the tongue print on the wood stick, which was then scanned for image analyses to compute the area for each participant using ImageJ. Results A total of 94 participants were included, all patients with TMD ( n = 47) diagnosed with myalgia, 61% with intra‐articular joint disorder accordingly to the DC/TMD. The median (IQR) tongue print area was 117 (111) mm 2 for the TMD group and 93.5 (76.2) mm 2 for the control group ( V = 352, p = .04) and the median [95% confidence interval] difference was 25.4 [1.3; 51.0] mm². Overlapping of the 95% confidence intervals of the area evidenced no significant difference between the categories of the DC/TMD. The corrected each area–total correlation ( r = .24) suggests a reasonably homogenous thus valid measure. Conclusion The results suggest that TMD impairs the motor control of the tongue. Therefore, the sharpest tongue pointing test may constitute a simple and accessible clinical tool to assess the accuracy of tongue placement in TMD patients. The study was registered on ClinicalTrial.gov with identification number NCT04102306.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impaired tongue motor control after temporomandibular disorder: A proof‐of‐concept case‐control study of tongue print

Alvarado

Arminjon

Damieux-Verdeaux

et al. 2022

Clinical & Exp Dental Res

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“…17 Furthermore, children with tongue adaptation show greater lower lips activity. 18 The tip of the tongue slightly overlays the lower incisors when it is at rest and protrudes beyond it during the “s” production in defective speakers. 19 Therefore, the adaptation capacity of the oropharyngeal structure contributes fundamentally.…”

Section: Discussionmentioning

confidence: 99%

Cephalometric Analysis, Severity Malocclusion, and Orthodontic Treatment Need Using IOTN in Deaf Children

et al. 2021

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Objectives Studies associated with deaf children's malocclusion and their treatment need are still very rare. Therefore, cephalometric analysis with the ability to access the skeletal, dental, and soft tissues can be used to score the severity of malocclusion and index of orthodontic treatment need (IOTN) in deaf children. This study examined the use of cephalometric analysis, severity malocclusion, and orthodontic treatment need in deaf students at special need school type B (SLB-B) Tunarungu Karya Mulia in Surabaya using IOTN along with investigating IOTN correlation with the result of dental cephalometric analysis and dental health component (DHC) and aesthetic component (AC) in IOTN index. Material and Methods Sample data consisted of 33 students between the ages of 8 to 12 years old and never had any orthodontic treatment. This investigation applied the indices from IOTN, in which DHC had 10 malocclusions, and AC with the aesthetic anterior dentition comprising 10 color photographs and different dental attractiveness levels. In addition, scores were chosen from the worst feature, with the data analyzed at a significant correlation test of 0.05%. Result There was no skeletal abnormality in deaf children. It displayed the highest number of malocclusion severity scores, while the DHC assessment showed the moderate and severe categories. Based on AC evaluation, the highest numbers of malocclusion severity were found in good and moderate category in terms of teeth arrangement and aesthetic. Conclusion There was a correlation between the dental cephalometric analysis in deaf children and treatment need using IOTN with AC and DHC.

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“…Cayley et al determined that children with an incorrect swallowing pattern may rarely touch the anterior part of the palate with the tip of the tongue [13]. In addition, lingual muscle action is interrelated with mandibular motility and position [14]. Patients with skeletal class III malocclusion have the highest rate of abnormal swallowing, as Fuhrmann and Diedrich in 1994 evaluated by using video-based B-mode ultrasound methods [15].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Tongue Function from the Orthodontist’s Point of View: Not Only a Matter of Deglutition

et al. 2021

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Many studies report that maxillofacial growth is influenced by genetic and environmental elements and that incorrect breathing, chewing, sucking, and swallowing are promoting factors of malocclusion. This study aims to evaluate the function and the influence of the tongue positions in patients with Angle class III malocclusion, maxillary hypoplasia, and posterior crossbite. One hundred patients, aged between 6 and 12 years old, were enrolled for the study. In the first group, patients with a diagnosis of class III malocclusion, affected by maxillary hypoplasia, skeletal class III, and posterior dental crossbite were recruited. In the control group, not treated patients with no malocclusion, skeletal class I, and without posterior dental crossbite were selected. Regarding atypical deglutition, no statistical differences were reported between the two groups, and 14% of patients reported ankyloglossia. Statistical differences were found in tongue rest position and during the execution of “hold and pull” and “chuck” exercises. Results obtained in this observational study showed that the clinician (orthodontist or general dentist) should analyze the presence/absence of atypical swallowing, the anatomical and functional aspects, and the tongue behavior in the rest position.

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Tongue dysfunction screening: assessment protocol for prescribers

Cited by 4 publications

References 17 publications

Impaired tongue motor control after temporomandibular disorder: A proof‐of‐concept case‐control study of tongue print

Impaired tongue motor control after temporomandibular disorder: A proof‐of‐concept case‐control study of tongue print

Cephalometric Analysis, Severity Malocclusion, and Orthodontic Treatment Need Using IOTN in Deaf Children

Analysis of Tongue Function from the Orthodontist’s Point of View: Not Only a Matter of Deglutition

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