CHUBBY LIP

Myofunktional Exercise  Collection

Application:

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The exercise is intended for an insufficient mouth slit closure combined with the lower lip gliding between the incisal edges of the incisivi (Invasive Lower Lip) as well as with habitual Mentalis hypertone  (Anatomy: 1, 1, 4, Page 15)

Contents:

Manipulated hold exercise with a mechanical blocking off of the lower lip; to a certain degree as well tissue stretching.

Materials:

Dentist’s cotton role size 2, chewing gum role.

Procedure:

- Previous exercises:

 Instructions about the (desired) ,L-M’-POSITION.

-Starting position:

Optional, recommended the BASIC-POSITION.

- Step-by-step-Description:

After a detailed instruction about the existing problem and the long-term aim of a not tensed up lip closure the patient gets instructed to deposit a (moistened) cotton role or (possibly more motivating) a little finger thick and about 3 cm long role shaped lump of chewing gum (sugar free) into the inferior part of the vestibulum

and to keep it there as often and as long as possible.

- Timing:

The procedure is only intended to be the an approach to the active training (see above).

As ALTERNATIVE EXERCISE

lip stretching methods should be chosen, for example as contained in the exercises listed up below.

Characteristics:

(Stretching exercise), instruction, motivation, feedback.

Remarks:

The measure is exerting sagittally a retrusive effect on to the mandibular incisor teeth (prior consultation with the orthodontist).

Discussion:

As already stressed before, the method only introduces a muscle function therapy. An alternative may be given through the vestibular plate which can not be seen as muscle function therapeutic in the sense of the word.  From the viewpoint of a stretching effect (or as secondary exercise) it may be referred to the below listed exercises.

The following description may serve as a useful mode of application for a simple and effective measure:

TRAPDOOR:

1.        After having discussed and visualized in a   

hand mirror that and what sort of damage the lower lip may cause

2.        it will be demonstrated insistently where the lip should never glide (between the incisal edges of the front teeth (Maxilla / Mandibula)

3.        and where it is supposed to lie; at first slightly exaggerated, jabbing the upper lip upwards just a bit till the inner surface of the lower lip feels the incisal edges of the upper teeth.

4.        As mostly, caused by the patho-anatomy, the gliding between of the lip rim is fairly not avoidable, as a “first aid measure “the TRAPDOOR is offered:

In Our practice we are cutting out a plastic platelet of ca. 2cm in diameter (depending on the size of the vestibulum) from a plastic folder ( fancy colours, fancy forms, little hearts, cloverleaves, faces etc.) round off the edges, cut in a hole to tie a ribbon fast which the patient may wear around the neck as not to loose or swallow the item and, then, demonstrate how to wear the platelet in the vestibulum and  negotiate to use the TRAPDOOR for the moment as frequently as possible.

List of the exercises with a stretching effect

BALLOON

DUCKBILL

CHERRY MOUTH

CLOWNY

LIPSTRETCH

,O’-EXERCISE

UPPERLIP MASSAGING

UPPERLIP STRETCHING

ORBICULARIS-EXERCISES

PLATELET-HOLDER

TRUNK- CIRCLING

TRUNK-EXERCISE

PULL-THE-TRUNK

SALINEKEEPING

TIED-UP SACK

TUG-OF-WAR