To find: a provider's office hours, search our facility directory. Angle Orthod 1990;60:247253. Precision Diagnostics and Treatments for Snoring and Sleep Apnea. Recent research has shown that myofunctional therapy may reduce the symptoms of sleep disordered breathing (such as snoring), and ameliorate mild to moderate OSA (obstructive sleep apnea). Dr. Zaghi also offers updates to a functional classification for ankyloglossia, including assessment of posterior tongue-mobility and compensation patterns. All procedures were performed by a single surgeon using a scissors and suture technique. Methods: Four hundred twenty consecutive patients (ages 29 months to 79 years) treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and/or myofascial tension were surveyed. All Rights Reserved. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Unauthorized use of these marks is strictly prohibited. government site. Myofunctional therapy may benefit those who suffer from a variety of ailments, including: Mouth breathing can completely alter how your child looks which is the skeletal development of a child, and completely disrupts airway development which affects the amount of oxygen the body requires for proper function. Conclusion: Provider offers services at multiple medical facilities; schedule availability may vary by location. Department, 2620 Las Posas Rd It is caused by collapse and blockage of the upper airway. Clinical interests: Sleep and Breathing Disorders, Tongue-tie, Snoring, Obstructive Sleep Apnea,Nasal Obstruction, Upper Airway Resistance Syndrome, Inspiratory Flow Limitation, Sleep Endoscopy, Deviated Septum, Tonsil Hypertrophy, TMJ Pain, Teeth-grinding, Mouth Breathing, Frenuloplasty, Tonsillectomy, Septoplasty, Turbinate Reduction, Vivaer Nasal Valve Remodeling,Maxillary Skeletal Expansion, MMA Jaw Surgery. The availability of physicians, hospitals, providers, and services maychange. Please refer to Academy of Orofacial Myofunctional Therapy for a more detailed explanation on the impact of maladapative orofacial posturing on maxillofacial growth and development: https://. CI, confidence interval;, MeSH Any time the nasal breathing is impaired, temporarily or chronically, the jaw drops and the tongue positions itself low and forward to open up the upper airways. It is a highly effective . Lowest oxygen saturations, snoring, and sleepiness outcomes improve in adults. and transmitted securely. It is non-invasive, inexpensive, and has no major risks. Carminatti M, Nicoloso GF, Miranda PP, Gomes E, de Araujo FB. | Facility details. Dr Rangzeb and Dr Zaghi from the Breathe Clinic LA. Frenuloplasty-A procedure to correct tongue tie (ankyglossia) byusing suturesto lengthenthe lingual frenulum for patients withrestricted tongue range of motion. Exercise 4:Push Tongue Left - Stick out your tongue and move it as far as you can to the left and hold for 10 seconds, then relax. Release of Tongue-Tie for Sleep and Breathing Issues - Pediatric Functional Frenuloplasty Watch on 2023 Feb 9;12(4):1378. doi: 10.3390/jcm12041378. National Library of Medicine Lack of nasal breathing or sleep disordered breathing may lead to the tongue moving or resting forward and pushing against the teeth (static). Repeat 10 times. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. We do myo. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer-reviewed evidence. The regimen includes: Stanford Sleep Medicine- Myofunctional Therapy Blogspot. , Woodland Hills Meet The Practice Clipboard, Search History, and several other advanced features are temporarily unavailable. Dr. Zaghi is particularly interested in studying the impact of tethered-oral tissues (such as tongue-tie) andoral myofascial dysfunction on maxillofacial development,upper airway resistance syndrome, and obstructive sleep apnea. Deviated Septum- A condition in which the nasal septum -- the bone and cartilage that divide the nasal cavity of the nose in half -- is significantly off center, or crooked, making breathing difficult. "GLOH Education is an ADA CERP Recognized Provider. Want to review your past clinical history? Have a group of 3 or more? Polysomnography snoring decreased from 14.05 4.89% to 3.87 4.12% of total sleep time, P < 0.001, and snoring decreased in all three studies reporting subjective outcomes. Conclusion: To keep up the momentum around education and support of the airway, sleep medicine and health as a whole; We are excited to Collaborate with Dr. Chelsea Pinto to offer this opportunity to continue your professional development. The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review. Epub 2021 Jan 17. Accessibility of medical offices and medical centers in this directory: All Kaiser Permanente facilities are accessible to members. Help is available in your language. Find Dr. Zaghi's phone number, address and more. Our bodies rely on a specific amount of incoming oxygen and outgoing carbon dioxide to remain in a healthy state. Learn from leaders in the field all about the village it takes to optimally support the most vulnerable patient populations and much more, from feeding, to feelings, to function! 5, Fuxing Street, Guishan, Taoyuan 333, Taiwan. See this image and copyright information in PMC. Fernando C. Tongue TieFrom Confusion to Clarity: A Guide to the Diagnosis and Treatment of Ankyloglossia. Unable to load your collection due to an error, Unable to load your delegates due to an error. I studied at UCLA for my anesthesiology training and went to USC for a comprehensive pain fellowship. He is very active in clinical research relating to sleep disordered breathing with over 80+ peer-reviewed researchpublications in the fields of neuroscience, head and neck surgery, and sleep-disordered breathing. Saturday. Closed Orofacial myofunctional therapy is also appropriate for adults. Learn the most up-to-date and research-driven protocols in the field of myofunctional therapy, presented by Sarah K Hornsby and the MyoMentor team. Life (Basel). Click the tongue for 15 seconds and then repeat 10 times. Medi-Cal Members: Enhanced Care Management and Community Supports services require prior authorization and are limited to members who meet specific eligibility criteria. Exercise 8: Push the Tongue Against a Spoon -Push the tip of your tongue firmly against a spoon held in front of your lips for 10 seconds. FOIA 2022 Oct-Dec;15(4):515-573. doi: 10.5935/1984-0063.20220083. Dr. Kezirian \"encourage[s] practitioners to perform research\" yet subsequently tries to belittle the 3-year long research project we accomplished alongside an expert team of clinicians and researchers. The Leadership series is a comprehensive training program focused Our goal is to cultivate an awareness of muscle use and develop a therapy program of regular exercises designed specifically to your needs. Lingual frenuloplasty; ankyloglossia; frenectomy; lingual frenum; myofunctional therapy; orofacial myology; tongue and orofacial exercises; tonguetie. Myofunctional therapy and prefabricated functional appliances: An overview of the history and evidence. Results: Murias I, Grzech-Leniak K, Murias A, Walicka-Cupry K, Dominiak M, Golob Deeb J, Matys J. Realize that your attitude determines your altitude, and that you can do anything you. Therapeutic exercises will help the strength and range of motion for your jaw, cheeks, lip and tongue. 2022 Dec 27;12(1):201. doi: 10.3390/jcm12010201. We highly recommend that myofunctional therapyexercises be performed under the supervision of a certified and experiencedmyofunctional, occupational, or speech therapist for proper results. 2022 Jan 15;89(1):3-10. We want to speak to you in the language that youre most comfortable with when you call or visit us. Exercise 6:Roll Tongue - Roll your tongue by folding the edges toward the middle lengthwise, so it looks like the end of a taco shell. In children, establishing this good resting tongue posture is critical for good facial growth and airway development. Myofunctional and dentofacial relationships in second grade children. 2019 Mar 10;2019:3408053. doi: 10.1155/2019/3408053. . - Listen to #71.Audrey.La nutrition artificielle by OrthosPower instantly on your tablet, phone or browser - no downloads needed. The .gov means its official. We are honored to be considered emerging leaders in airway and breathing health, we have an extraordinary responsibility to give our all during tremendous uncertainty. Once your procedure is over, help it find some closure by gaining the confidence to suture. In many instances, a myofunctional disorder develops in response to late jaw growth, worsening of a malocclusion over time, or other reasons such as tooth loss. Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children. CI, confidence interval; MT, myofunctional therapy; SD, standard deviation; Tx, treatment. The https:// ensures that you are connecting to the Baseline images obtained after preparation with preoperative myofunctional therapy, immediately prior to surgical release. Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. Dr Soroush Zaghi - The Breath Institute: Barry: Musikant: Essential Dental Systems: Marty: Nager: No relevant financial relationships to disclose . Would you like email updates of new search results? Such patients may be better suited to dental orthopedic remodeling (orthodontics and/or orthognathic surgery for expansion and advancement of the skeletal framework) to increase the tongue space in addition or prior to treatment with lingual frenuloplasty. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. , Video: Introduction to Orofacial Myofunctional Therapy, Individualswith predominantmouth breathing (or insufficient habitual nasal breathing) often develop maladaptive habits andpatterns oforofacial functionthat may impact various conditions including, Proper diagnosis allows for targeted and effective physical therapy exercises for oral posture retraining to promotebetter health with goals toimprove breathing, reduce pain,and enhance quality of life. Pediatrics Assessment of posterior tongue mobility using lingual-palatal suction: Progress towards a functional definition of ankyloglossia. All Rights Reserved. Resource #3:YouTube.com -- Dr. Audrey Yoon, DDS (Pediatric Dentist andOrthodontist). Toward a functional definition of ankyloglossia: validating current grading scales for lingual frenulum length and tongue mobility in 1052 subjects. Dr. Zaghi also offers updates to a functional classification for ankyloglossia, including assessment of posterior tongue-mobility and compensation patterns. Exercise 5: Push Tongue Right - Stick out your tongue and move it as far as you can to the right and hold for 10 seconds, then relax. In addition, the therapy has been used in other conditions. Objective: The https:// ensures that you are connecting to the The purpose of myofunctional therapy is to retrain the muscles and to obtain a normal resting posture of the tongue, lips and jaw. Please enable it to take advantage of the complete set of features! Myofunctional therapy, functional evaluation of tongue mobility as related to sleep disorders. Posted by Dr. Christian Guilleminault based on Rducation des fonctions dans la thrapeutique orthodontique, 1990-Friday, June 15, 2012. Adult premyofunctional and postmyofunctional therapy outcomes for lowest oxygen saturation (percent). The Effectiveness of Lingual Frenectomy and Myofunctional Therapy for Children: A Randomized Controlled Clinical Trial. Sunday Closed, Home Nearby dentists. Please enable it to take advantage of the complete set of features! Tongue-Tie, Sleep, Breathing, and Myofunctional Therapy: New Research Updates. Exercise 7:Click the Tongue - Make a loud clicking sound with the tongue against the roof of the mouth. Activities and Societies:- Harvard Scholarly Concentration in a Special Field: Brain Stimulation. You can get any drugs covered by Kaiser Permanente at one of these pharmacies. Visit Dr. Robinsons mentor, Dr. Zaghis website to access more educational resources as well as sample myofunctional exercises by clicking on the following link: The content found on this page is in part courtesy of Dr Robinsons mentor Dr Saroush Zaghi. . The Assessments are done in person and look at breathing function, tongue mobility, TMJ function, swallowing patterns, posture, and movement. Thursday 8:00 am - 5:00 pm This site needs JavaScript to work properly. Zhang F, Tian Z, Shu Y, Zou B, Yao H, Li S, Li Q. J Oral Rehabil. Dr. Soroush Zaghi, MD, is a Plastic Surgery specialist practicing in Los Angeles, CA with 13 years of experience. TLDR: Dr. Zaghi lectures for the International Surgical Sleep Society (ISSS) in support of Myofunctional Therapy and Functional Frenuloplasty as a safe and effective treatment methodology for certain sleep and airway issues. Because of the very brief nature of the many arousals triggered by snoring, patients with UARS are typically unaware of these awakenings and generally do not know that they may be snoring if it were not for the witnessed reports from a bed partner or family member. Early Childhood Caries and Sleep Disorders. This is an Tonguetie. (2) Review results from Dr. Zaghi published and un-published data collection for frenectomy in the treatment of sleep and breathing issues. See this image and copyright information in PMC. Careers. Myofunctional therapy is also an important adjunct to numerous orofacial surgeries such as frenuloplasties, and mandibular advancements. Unable to load your collection due to an error, Unable to load your delegates due to an error. Adult premyofunctional and postmyofunctional therapy outcomes for Epworth Sleepiness Scale. Qualified interpreter services, including sign language, are available at no cost, 24 hours a day, 7 days a week during all hours of operations at all points of contact. (In many cases eliminating the need for future orthodontics). Flow diagram demonstrating myofunctional therapy for obstructive sleep apnea (OSA) study selection. Repeat 10 times. Case example: 16yearold boy with grade 4 functional ankyloglossia (<25% TRMR) with persistently restricted tongue mobility (grade 3, <50% TRMR) despite initial laser frenectomy (performed elsewhere) who was rehabilitated to grade 1 mobility (>80% TRMR) with lingual frenuloplasty and myofunctional therapy protocol. Myofunctional Therapy with Dr. Audrey Yoon:Video Demonstrations. The site is secure. Obstructive Sleep Apnea A potentially serious sleep disorder in which breathing repeatedly stops and then starts again during sleep. An official website of the United States government. We are unable to complete your request right now. (2) Understand that tongue-tie release may be contraindicated among adult patients with obstructive sleep apnea who have inadequate oral volume. Proper diagnosis allows for targeted and effective physical therapy exercises for oral posture retraining to promotebetter health with goals toimprove breathing, reduce pain,and enhance quality of life. Life (Basel). N, number of articles. Individualswith predominantmouth breathing (or insufficient habitual nasal breathing) often develop maladaptive habits andpatterns oforofacial functionthat may impact various conditions including: Facial skeletal growth (maxillofacialdevelopment), Sleep-disordered breathing (including snoring and sleep apnea). I graduated from Harvard Medical School in 2010 and completed a 5 year residency in Head and Neck Surgery at UCLA from 2010-2015. Current literature demonstrates that myofunctional therapy decreases apnea-hypopnea index by approximately 50% in adults and 62% in children. The measures may include, but are not limited to, HEDIS/CAHPS performance, member/patient complaints, patient safety scores, hospital quality measures, and geographic need. We are unable to switch you to this area of care. Call us for courtesy pricing. Providing in-depth guidance on instrument placement and handling, technique, communication and situational awareness for the critical professionals assisting during surgical procedures. Join Dr. Soroush Zaghi and TBI for a dynamic learning experience covering research, clinical care, and continuing education Lowest oxygen saturations, snoring, and sleepiness outcomes improve in adults. Myofunctional therapy is also an important adjunct to numerous orofacial surgeries such as frenuloplasties, and mandibular advancements. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016 Jun 15. Submit below for more info as soon as registration becomes available! - Katie Romero, RDH, OMT More hands-on learning For those ready to take the next step in providing truly comprehensive care for airway health and sleep disordered breathing. Bookshelf 2023 May;37(5):620-635. doi: 10.1177/02692155221141395. To slow down and appreciate the beauty in every moment. Measuring care quality in our hospitals(PDF). Dr. Zaghi and our team at The Breathe Institute are proud to be continuing to provide online consultations for those suffering from airway issues, nasal obstruction, snoring, sleep apnea, tongue-tie and anyone seeking a healthier roadmap to better breathing and overall wellness. Kaiser Permanente uses the same geographic distribution consideration to select hospitals in Marketplace plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business. To systematically review the literature for articles evaluating myofunctional therapy (MT) as treatment for obstructive sleep apnea (OSA) in children and adults and to perform a meta-analysis on the polysomnographic, snoring, and sleepiness data. so far, just 2 weeks afterwards. Myofunctional therapy rehabilitates the tone of the genioglossus muscle to prevent tongue-base collapse and promotes closed-mouth nasal breathing . Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography. The pre- and post-MT apneahypopnea indices (AHI) decreased from a mean standard deviation (M SD) of 24.5 14.3/h to 12.3 11.8/h, mean difference (MD) -14.26 [95% confidence interval (CI) -20.98, -7.54], P < 0.0001. Note the release of tension from the floor of mouth and attached gingiva, as well as the improved tongue mobility. Epub 2022 May 16. Lingual frenuloplasty with myofunctional therapy for the treatment of mouth breathing, snoring, clenching, and myofascial tension in appropriately selected patient candidates. All Kaiser Permanente Medical Group physicians and network physicians are subject to the same quality review processes and certifications. 8600 Rockville Pike Background: 2021 Jun;48(6):692-700. doi: 10.1111/joor.13144. Case example: 19yearold man presenting, Case example: 19yearold man presenting with mumbling, drooling, unrefreshing sleep, fragmented sleep, and, Case example: 6yearold girl with restless sleep, nail biting, dental grinding, and open, Case example: 16yearold boy with grade 4 functional ankyloglossia (80% TRMR) with25%>, Use of computed tomography imaging to assess for tongue space in the assessment, MeSH Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse cohort of patients with restricted tongue mobility. Review methods: sharing sensitive information, make sure youre on a federal Arena M, Micarelli A, Guzzo F, Misici I, Jamshir D, Micarelli B, Castaldo A, di Benedetto A, Alessandrini M. Acta Otorhinolaryngol Ital. Heis an invitedlecturer, author, and journal reviewer for topics relating to the diagnosis and management ofsleep-disordered breathing and tongue-tie disorders. Fill out an online application to be admitted to the course. Govardhan C, Murdock J, Norouz-Knutsen L, Valcu-Pinkerton S, Zaghi S. Case Rep Otolaryngol. , CA . Navigation Menu - Opens a Simulated Dialog, Camarillo 2620 Las Posas Road Medical Offices, Pain Management Lingual frenuloplasty and myofunctional therapy are considered to be less effective in patients without adequate oral volume for tongue space. Purse your lips tightly and pull out on the string, not letting it to slip out. Repeat 10 times. . Repeat 10 times. Lack of nasal breathing or sleep disordered breathing may lead to the tongue moving or resting forward and pushing against the teeth (static). Outcomes of tongue-tie release by means of tongue and frenulum assessment tools: a scoping review on non-infants. Any time the nasal breathing is impaired, temporarily or chronically, the jaw drops and the tongue positions itself low and forward to open up the upper airways. Register. Kaiser Permanente may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently. Kaiser Permanente uses the same quality, member experience, or cost-related measures to select practitioners and facilities in Marketplace Silver-tier plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business. Exercise 1:Push Up the Tongue - Place the tip of the tongue against the hard palate on the roof of the mouth, just behind the top teeth, and push upwards and hold for 5 seconds. Orofacial Myofunctional Disorders (OMDs)affect the functions and muscles of the mouth and face. Lip strain with flattening or wrinkling of chin when lips are closed, Accentuated cupids bow appearance of upper lip, One or both jaws recessed from ideal position. 2022 Soroush Zaghi, M.D. Myofunctional therapy may be an attractive alternative treatment for sleep apnea. This much anticipated educational experience was created to guide, educate, and empower healthcare professionals on how to better help parents get their little ones to finally put down the thumb for good. Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines. Accessibility OMDs can cause a variety of effects either directly or indirectly. Exercise 9: Hold a Spoon -Place the handle of a metal spoon between your lips and hold it in place with only your lips for 10 seconds. From square nots to horizontal mattresses and more, join Dr. Kevin Coppelson (Oral Maxillofacial Surgeon) for this engaging program designed for anyone wanting to improve their needlework. Would you like email updates of new search results? Web of Science, Scopus, MEDLINE, and The Cochrane Library. 2022 Soroush Zaghi, M.D. Do not place the handle between your teeth. -----------Dr. Zaghi was recently invited to present and contribute to a debate about the pros and cons of myofunctional therapy and frenuloplasty as part of a series of online lectures developed for the International Surgical Sleep Society (ISSS).For those who are not aware of the ongoing controversy, a previous blog post by Dr. Eric Kezarian claimed that: There is no proven benefit to oral myofunctional therapy or frenuloplasty for the treatment of obstructive sleep apnea in adults as it is commonly practiced in the United States. Federal government websites often end in .gov or .mil. The exercises prescribed are often modified and individually-tailored as appropriate according to a step-by-steptreatment plan under the guidance of an experienced therapist. It involves strengthening of the tongue and orofacial muscles by teaching individuals how to engage the muscles to the appropriate position. TMJ & Sleep Therapy Centre of New England . CI, confidence interval; MT, myofunctional therapy; SD, standard deviation; Tx, treatment. Sleep expert Dr. Zaghi taking questions! Laryngoscope Investigative Otolaryngology Zaghi et al. The second study evaluated children who were cured of OSA after adenotonsillectomy and palatal expansion, and found that 11 patients who continued MT remained cured (AHI 0.5 0.4/h), whereas 13 controls had recurrent OSA (AHI 5.3 1.5/h) after 4 y. Los Angeles Video: Experts discuss research on myofunctional therapy to treat obstructive sleep apnea. exercise therapy/methods; myofunctional therapy/methods; obstructive sleep apnea; sleep apnea syndromes. Functional Approach to ENT - Sleep and Breathing: Please Note: The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. Having a myofunctional therapist assist during surgery, as well as preparing the patient for surgery and then post-op as well, is just an excellent way to practice. Case study 3 year-old girl with sleep-disordered breathing, swallow, and speech issues treated with myofunctional therapy and minor surgical procedure (tongue-tie and lip-tie release). Marzouqah R, Huynh A, Chen JL, Boulos MI, Yunusova Y. Clin Rehabil. Correa EJ, O'Connor-Reina C, Rodrguez-Alcal L, Benjumea F, Casado-Morente JC, Baptista PM, Casale M, Moffa A, Plaza G. J Clin Med. If you request it, your request for hard copies of the provider directory remains until you leave Kaiser Permanente or request that hard copies be discontinued. Current literature demonstrates that myofunctional therapy decreases apnea-hypopnea index by approximately 50% in adults and 62% in children. Note the compensation patterns of floor of mouth elevation and tension on the attached gingiva due to the restrictive lingual frenulum. : Lingual Frenuloplasty With Myofunctional Therapy 4 3.3 2.6 days with seve rity rating of 6.5 1.9 ( VAS: 0 - 10, We as an Institute wholeheartedly believe that studying this topic systematically will benefit everyone(VISIT: https://www.thebreatheinstitute.com/blog/in-support-of-myofunctional-therapy-and-lingual-frenuloplasty-open-access-lecture TO CONTINUE READING) -Studied role of innate immunity in Alzheimer's disease in a basic sciences research lab under Dr. Milan Fiala. He is a member of the Academy of Applied Myofunctional Sciences (AAMS), and has taken courses with the American Laser Study Club, taught by pioneers in the tongue-tie field. Request for confidential communications forms, Learn more about link terms and conditions, 711 (TTY for the hearing/speech impaired). Nasal Valve Collapse- A relatively common cause of nasal obstruction characterized by collapse of the cartilaginous part of the nasal tip with inspiration. In children, establishing this good resting tongue posture is critical for good facial growth and airway development. An official website of the United States government. Dans cet pisode consacr la nutrition artificielle chez l'enfant, nous voquerons avec Audrey les objectifs orthophoniques qui peuvent tre poursuivis en parallle de la mise en place de ce disposi. make the centerfold #ENTToday #Literaturereview #otolaryngolog . Myofunctional therapy may benefit those who suffer from a variety of ailments, including: A low tongue rest position (or posture) is either a necessity or a habit. Does Frenotomy Modify Upper Airway Collapse in OSA Adult Patients? Repeat 10 times. The image on the right shows 50%80% mobility (grade 2), however, the patient exerts extensive strain from the floor of mouth and muscular neck to compensate for the restricted tongue mobility. Pull for 10 seconds, then relax. Repeat 10 times. Follow us on these external social media sites that will open in a new browser window. The results of this therapy is proper function which helps grow and develop the jaws, the face and most importantly the AIRWAY! Two pediatric studies (25 patients) reported outcomes. By training the muscles in the face to act in their optimal biological way, muscle memory can keep the teeth and jaw in alignment as we grow and develop. Repeat 10 times. Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review. Dr Ankita Shah, directly trained under Dr. Zaghi in Los Angeles and is The Breathe Institute's Only Indian Ambassador.
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