Orofacial Myofunctional Evaluation Protocol With Scores (OMES) Date fT Name: cel . Birthday: Age: Adress: APPEARANCE AND POSTURE | Lips Posture Norma! lips closure Normal — Lips closure with effort Activity increased of ips and Mentaiis Muscle ‘Absence of the lips closure (lips Light dysfunction _ incompeten : | Severe dysfunction Vertical Mandibular Posture Normal posture With freeway space @) Occlusion of the teeth (or) Without freeway space @) ‘Open mouth Light dysfunction 2) Excessive Open mouth Severe dysfunction (i) Checks Appearance | ] ‘Scores Normal (3) Increased volume or Flaccid/drooping [Light dysfunction 2) ___ [Severe dysfunction | (a) Face Appearance ‘Symmetry between right and lefl side Normal Asymetry Light dysfunction ‘Severe dysfunction (i) Tongue Posture — ‘Scores ‘Contained in the oral cavity Normal @) Between dental arches. ‘Adaptation or dysfunctibn Q) Excessive protrusion a, Palate Appearance Normal Decreased Width [Light Severe[ROBILITY precision in the movement, tremor, associated movements of oth {e.g., lips accompanying the movements of the tongue) and inablity r components to perform (Dysfuntions or alterations were considered to be present fo lack of the movement were observed.) Performance | LIPS MOVEMENTS ‘ Protrusion Retrusion | Lateral to Right | [Lateral to Left Precise @ = 3) [Lack of precision | (2) “Tay Severe Inability | (1 lay Resuil (sum) Performance | TONGUE MOVEMENTS a Profrusion | Retrusion | Lateral to Right "Lateral to Left To raise | To down | | Precise @ 1) = z 3) G) Lack of precision | (2) 12) 2) lay Tey [Severe Inability —[(1) 1) Tay a) i) TResuit um) Performance ‘JAW MOVEMENTS = ‘Opper osin Right Laterality Lett Laterpity | Prowusion | Precise (3) (3) (3) (3) 43) Lack of precision, (2) 2) 2) (2) (2) deviation ot ‘Severe Inability (1) a @ @ TO) Result. Performance _CHECKS MOVEMENTS: Toinfiate Te Toretract | fo ransfer the air |__ |trom right to teft Precise 3 @) 9) [Lack of precision — (2) @ @) Severe Inability (1) 0) a) ia [Result (gum) a FUNCTIONS [Breathing E : 0 | Nasal breathing [Normal Oral breathing 2 " Ligth dysfunction 2 [Severe dysfanction IT oo lips behavior aa ‘Scores: ‘Normal lips dosure : [Without effort _ a ae Lips closure with effort Ligth dysfunction 2) Moderate dysfunction a) ‘Absence Of ips Closure. ‘Severe dystunction (0) Result[Deglutition: tongue behavior ‘Contained in the oral cavity [Rermar o ‘Between dental arches [Adaptation or dysfunction @ Resut | Excessive protrusion w Head Mowiments Deglutition: others behavior and changes signals ‘Absent Present Sebs Facial muscles tension Food escape Result Total Dagiutition Reeuit (Sum) ‘Compiomontary itom - Dogiutition Efficioncy Solid Bolus ‘Don't repeat f the deglutition One repetition Multiple degiton iquid Bolus One repetition /Multple degiuttion Result | Don't repeat f the deglutition = Wastication Bilateral Unilateral (realize the function ‘on the same side of the oral Preference (66% on the same —— == ‘Chronic (95%) ~ | Trituration on the incisives ‘Don't realize the function Result Wastication: others behavior and changes signals Head Moviments ‘Absent Present Allerated posture Food escape ResultTotal Mastication Result (Sum) ‘Chewing time (secs)= Food used = EVALUATION OF THE FUNCTIONAL OCCLUSION Left Median Line | Normal — Devation toright | Measure (mm) | Deviation tole | Measure ! I I MANDIBULAR MOVIMENTS: AO fn pas mM Pain) Deviation |”” Gverjet linterincisives | “Total Distance Oppening RR UCTRTL . [Closing Rot TRIC Laterality Anerference, . . Pain | Occlusal guidance | Working Side Balance Side | Measures {lterotnsion) _ {nonjworking) Right Rt Left Rit | Protrusion Measures (mm) Joint Noise | Opening | Closing | Protrusion Right Laterdlly | Left Lateralty | Right | { t | {