MYONET - Atlas Musculature Orofacial System

Atlas Musculature: Faulty Actions, I,5,6,12,13

Erhard Thiele     017e

Atlas Musculature Inventory

MYONET.TOTAL PROGR CONTENTS

I/5. (Mm. Buccinator und Risorius) It has already been described that the distinctive construction of the muscle fibre path enables them to form a bulgy torus in the inside of the Vestibulum which is oriented in a parallel way to the plane or line where the mastication plane of the upper and lower jaw meet. In a physiological manner, as we discussed before, this bulge helps to lead the food between the mastication surfaces for mastication - as the counterpart for the tongue margin at the inside. The pathological scope is covered when under hypotension the centrifugal component surpasses or, in hypertension, centripetally, the hard tissues (dental arch, alveolar process) is tilted inward or the bulge gets between the dental arches as during the vertical pressing intrusion)or with gnawing on the mucosa. This will happen in every dimension of length, from a single tooth or interdental space up to the whole arch or the length of the "belt".

Muscle training: As the respective exercise for the molar region might be recommended: stretching for hyper- and tensioning for hypotonicity. Both is offered through the exercise ,BALLOON', which presents many different training possibilities. It is advisable here, too, to make the patient the respective musculature aware. As a harmonising exercise the lateral TEETHRINSING can be recommended (pressing water into the cheek pouch and out again, left, right, which can also be done without water and with air only.)

I/6. (M. zygomaticus) This muscle has a long pull same as the muscles 8, 9, 10 and 11(upper lip and moth corner lifters and depressors) through which it is able to shift the mouth corner. We have discussed this variability already. This capability enables it to shift the onwards pressure on the hard shell (dental arches and jawbone) and, thus, also getting nonphysiological, for example upwards as with the frozen grin or downwards with the hanging corners of the mouth (senile face) the latter frequently noticed, of course, on old humans. The teeth start tilting, outwards, resulting in especially severe (gnathological) consequences for the whole function of the masticatory system, further we see negative symptoms as salivation and soreness.  

Muscle training:

These cases, too, require the lip exercises (as described -ORBICULARIS-EXERCISES). Among these are the exercises to form a sound as [l] and [m]. As an additional remark to the muscle exercises for sound formation:

These are only MNEMONICS for training specific muscle tracks. They do have no relation to articulation in phonetics as, here, the patient will have to get conscious of the movement of specific muscle tracks these to be carried out under this aspect during treatment. For example the "Eeee" (E'-EXERCISE) as a counter movement for Mentalis hyperactivity has to be shown in its muscle action as displaying disgust with baring the lower incisors. This makes to chin region move down. The  "Oooo" has to be executes quite pointed which means that only the two arches of the Orbicularis are performing to make the mouth slit a point-form opening in order to retrain this muscle and relax the radial running tracks. The "Mmm"( ,M’-POSITION ) is very beneficial to lead the whole mouth slit musculature (Rima oris) into a resting tone when minding that the M is formed very slightly and just at the lips touch position - without tooth contact. (This is shared with the softly hinted "Lll" (,L’-POSITION ) within the mouth hole (Cavum oris) i.e. with the tongue tip at the incisal papilla. With the ,L-M’-POSITION we convey the patient an orientation for the resting position of the whole stomatognathic system.

Muscle training: (see text)

I/12. (M. mentalis) As repeatedly mentioned this muscle is a special cause of problems. Through its upward push it is not only shifting the muscle tissue above it together with the inward directed force in cranial direction but simultaneously lifts it off from its underground through that shove. More directly it pushes the lower lip soft tissues against the lower front region and, thus, cause an immediate damage with mucosa and bone lesions, but as well, like the other muscles, impairment through a long time bending pressure. A swabbing of the inside of the Vestibulum wall induces, as  described, the positioning of a pad of soft tissue between the frontal arches.

Muscle training: Monitoring the movements in front of a mirror. Helpful: ,E'-EXERCISE.

I/13. (M. platysma myoides) This muscle is rather effecting indirectly via the lower face musculature its fibres leading into them. Typical patients are noticeable through the characteristical, visible tensing of the skin structure of the neck. Inhaling deeply and breath holding involves its tensioning showing reactions far up till the muscles if the forehead. - This sometimes typical wrinkling of the skin rouses a comment about the discrepancy between surgical measures and Myofunctional Therapy: The aged face, referred to in the exercise ,MOI', can well be prevented or regenerated trough myofunctional exercises applied in time. Surgical methods in cases of muscle dysfunctions may lead short term to the desired success in appearance (possibly) over the long run the respective muscle will possible remain in its nonphysiological tone making the gained result disappear. In these cases success is gained only from the retraining of the muscle respectively the deliberate schooling of the patient with the repeatedly described scheme: Sensitation - Orientation ... etc. This, of course, is also true for the forehead musculature  [M. frontalis, M. procerus, M. corrugator supercilii, M. corrugator glabellae] (For the particular anatomy and function see link:

http://www.iatrum.de/muskeln/gesichtsmuskeln.html 

Presumably the Platysma muscle will not act on the orofacial region but rather the nuchal field. (VI); see discussion in this connection.

The further classification into the following areas is rather arbitrarily and just used as schematic aid. Mostly an arrangement in two fields is sufficient resulting in the supra- and subhyoidal musculature. As in our special field of classification the tongue and oral diaphragm are of particular interest these two regions will be discussed in special chapters making overlapping unavoidable. This is especially true for the suprahyoid muscles which are as well an essential part of the tongue but at the same timing forming part of the diaphragm or are responsible for fixation and moving the Os hyoides. An example for this is the "scheme bursting"  Omohyoideus demonstrating that the mandible respectively the tongue is directly muscularly connected with the  Scapula  Unavoidably, so, with tongue or mandible movements muscle reactions will go off within the pectoral girdle. Hesitant readers may be reminded that view people are able to move a single finger without showing a jerk in another. Many people draw a face during manual actions especially in strain or high concentration: