Living with Xerostomia - Mouth Care and Gum Health

Posted by Sarah Schuman, MS, CCC-SLP on 1/16/2019 to Dysphagia & Oral Motor Control
Living with Xerostomia? Tried and true tips from cancer survivor Speech Pathologist, Marcy Maksail, for Saliva Substitutes, Mouth and Gum Health.

IMPORTANT HPV VACCINATION UPDATE!!!

Posted by Sarah Schuman, MS, CCC-SLP on 12/17/2018 to General Medical and Dental Information
On October 5, 2018, the U.S. Food and Drug Administration (FDA) approved the administration of the Gardasil 9 vaccine for women and men between the ages of 28-45 years. Previously the vaccine was indicated for individuals up to the age of 27 years. "Gardasil 9 prevents certain cancers and diseases caused by the nine HPV types covered by the vaccine". Human Papilloma Virus (HPV) can cause head and neck cancer in men and women. It is the cause of most oropharyngeal cancers in United States. These cancers and their treatment may lead to trismus (limited mouth opening) and dysphagia (difficulty swallowing). 

The expansion in vaccination ages follows a study in which 3,2000 women between the ages 27-45 years were followed for approximately 3.5 years and it was found that Gardasil was 88% effective in preventing certain HPV related infections and cancers. The results were inferred to apply to men as well.

For further information, please see the complete FDA News Release at: https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm622715.htm

Swallowing Difficulties and the Holidays

Posted by Sarah Schuman on 12/14/2018 to Dysphagia & Oral Motor Control
Difficulty swallowing, dysphagia, may cause the sufferer to feel embarrassment eating and drinking around friends and family. This may lead to lack of participation during holiday celebrations. With some adjustments it is possible to make celebrations inclusive and enjoyable for all. We, at CMR, wish you and yours a very happy holiday season. 

When to order a Jaw Motion Rehab System for Trismus Prevention from Radiation Therapy.

Posted by Rob Christensen on 11/1/2018 to Dysphagia & Oral Motor Control
When to order a Jaw Motion Rehab System for Trismus Prevention from Radiation Therapy.
When should you recommend using a jaw motion rehab system like the OraStretch press to prevent trismus after radiation therapy?  Who is most at risk for developing trismus from radiation treatment? We provide research and a decision tree to help you prevent trismus in head & neck cancer patients. 

Trismus in Head & Neck Cancer

Posted by Sarah Schuman, MS, CCC-SLP on 5/25/2018 to Head & Neck Cancer, Radiation Therapy
Trismus, or restriction to mouth opening, has many implications including difficulty speaking, eating, maintaining oral hygiene, receiving dental procedures and may even affect intubation. Typical measure of mouth opening is 50 mm and highly correlated to body size. An opening of 35mm or less is considered trismus. Trismus is preventable and treatable by engaging in exercise therapy and treatment using jaw motion rehab systems such as the OraStretch® press. 

Article Review “The incidence of trismus and long-term impact on health-related quality of life in patients with head and neck cancer” (2013)

Posted by Sarah Schuman, MS, CCC-SLP on 2/5/2018 to Head & Neck Cancer, Radiation Therapy
Article Review “The incidence of trismus and long-term impact on health-related quality of life in patients with head and neck cancer” (2013)
This study assesses the negative impact of trismus (restricted mouth opening) on head and neck cancer patients daily life activities. 6-12 months post-treatment trismus was found to impact quality of life with decreased mouth opening, jaw related problems, eating limitations, muscular tension, dry mouth, swallowing and pain as well as anxiety and depression both pre- and post-treatment.

Article Review "Exercise intervention for the treatment of trismus in head and neck cancer – a prospective two-year follow-up study" (2016)

Posted by Sarah Schuman, MS, CCC-SLP on 1/29/2018 to Head & Neck Cancer, Radiation Therapy
Article Review
Investigation into long term effects of exercise intervention utilizing jaw mobilizing device on trismus in HNC patients. Concluded that jaw mobilizing devices produce positive outcomes that persist over time. 

New Research "Impact of Exercise with TheraBite device on trismus and health-related quality of life: A prospective study" (2017)

Posted by Sarah Schuman, MS, CCC-SLP on 1/17/2018 to Head & Neck Cancer, Radiation Therapy
New Research
The TheraBite's positive effects on maximum interincisal opening and health-related quality of life factors.

OraStretch Press vs. Therabite. A Testimonial from Dave Y.

Posted by Rob Christensen on 1/3/2018 to OraStretch Press
We received a really nice testimonial about our service and the OraStretch press from Dave Y. Dave recently switched to the OraStretch press, and says, compared to the TheraBite, he really prefers the OraStretch press because it is smaller and easier to use. He also wrote us to commend our billing staff as being "kind and empathizing with the customer." Thanks Dave!

Trismus Prevention and Treatment for Head & Neck for Cancer and Radiation Patients - Presentation at ASHA 2016

Posted by Rob Christensen on 11/21/2016 to Head & Neck Cancer, Radiation Therapy
At the 2016 national ASHA convention, we presented on "Trismus Prevention and Treatment for Head & Neck for Cancer and Radiation Patients." Here we provide a copy of the slides for the presentaion and the handout from the session.

Webinar on Trismus and Xerostomia for the Head & Neck Cancer Patient

Posted by Rob Christensen on 1/29/2015 to Dysphagia & Oral Motor Control
We have posted our first user-controlled webinar presentation about Head and Neck Cancer Rehabilitation Webinar, including information on trismus, xerostomia, the OraStretch press and TheraBite system.

Learn about diagnosing trismus, when to order a jaw motion rehab system for prevention of trismus, how to order, treatment options for xerostomia and more.

Cleaning Tips for the OraStretch press and Therabite Jaw Motion Rehab Systems

Posted by Rob Christensen on 8/2/2011 to OraStretch Press
Tips for keeping the OraStretch press and Therabite system clean.