The 12-year-old patient, presented with complex myofunctional disorders, including a Class 4 Tongue Tie and a Malampati score of 4, indicating severe restrictions in tongue movement and airway space.
His condition was complicated by the presence of lip and buccal ties, contributing to significant difficulties in breastfeeding, eating, sleeping, and breathing.
The patient’s history of snoring, open-mouth breathing, constant congestion, and dry mouth upon waking underscored the need for a comprehensive treatment approach.
Our clinic adopted a holistic treatment strategy, focusing on myofunctional therapy complemented by clinical oral facial massage to address the patient’s complex needs.
Myofunctional Therapy: He underwent extensive myofunctional therapy over almost two years, focusing on exercises designed to improve tongue mobility, breathing patterns, and swallowing functions.
Frenectomy: All of his restricted frenums were released through frenectomy procedures, aiming to alleviate the physical barriers to tongue movement and oral function.
Clinical Oral Facial Massage: These sessions were integrated into the treatment plan to enhance facial muscle function and support the changes brought about by the myofunctional therapy and frenectomies.
