Orofacial Myofunctional Evaluation

[YOUR COMPANY NAME]

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Date: March 20, 2050

Patient's Information:

Name:

Age:

Gender:

Date of Birth:

Contact Information:

Introduction: The enclosed document provides a structured template for an Orofacial Myofunctional Evaluation. This tool is designed for integral evaluation purposes.

Overview: This evaluation is focused on assessing the function of orofacial muscles and oral habits. The results can be used to guide therapeutic planning and monitor improvement.

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Evaluation Criteria:

1. Lip Function: Assessing lip strength, range of motion, and coordination.

2. Tongue Function: Evaluating tongue strength, mobility, and positioning during rest and movement.

3. Oral Rest Posture: Examining the resting position of the tongue, lips, and jaw.

4. Swallowing Function: Assessing the swallow pattern, including any signs of dysfunction or deviations.

5. Speech Function: Evaluating articulation, phonation, and resonance.

6. Oral Habits: Identifying any deleterious oral habits such as thumb sucking, tongue thrust, or bruxism.

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Instructions:

1. Criteria: Review each criterion listed below to assess various aspects of orofacial myofunctional function.

2. Description: Familiarize yourself with the description provided for each criterion to understand what aspects of orofacial myofunctional function they cover.

3. Score: Assign a score to each criterion based on the individual's performance. Utilize the provided score scale to indicate the level of achievement observed.

4. Comments: Provide any additional comments or observations related to the individual's performance in each criterion. Offer specific feedback to support the assigned score.

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Score Scale:

• 1: Poor

• 2: Below Average

• 3: Average

• 4: Above Average

• 5: Excellent

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Evaluation Table:

Criteria	Description	Score	Comments
Lip Function	Assess lip strength, range of motion, and coordination.
Tongue Function	Evaluate tongue strength, mobility, and positioning.
Oral Rest Posture	Examine the resting position of the tongue, lips, and jaw.
Swallowing Function	Assess swallow pattern and any signs of dysfunction.
Speech Function	Evaluate articulation, phonation, and resonance.
Oral Habits	Identify deleterious oral habits such as thumb sucking or tongue thrust.

Additional Notes and Comments:

Additional notes and comments

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