{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:24:13Z","timestamp":1788956653212,"version":"build-2803163510"},"reference-count":40,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Aim: The aim of this retrospective study is to explore the introduction of edible spread cream and small candies as tools to improve motivation and compliance in young children undergoing myofunctional therapy, with the purpose of optimizing oral functions, including swallowing. Methods: Six patients, one female and five males, between the ages of 7 and 14 years, presenting with atypical swallowing, were evaluated and treated at the clinic of the University of L\u2019Aquila. The patients included in the study were randomly divided into two groups and were treated with two different treatment protocols: Group A: traditional myofunctional therapy and traditional tools; Group B: same exercises as group A, but with edible tools (spreadable cream and small candies). Results: As expected, the two patients who used edible tools demonstrated increased motivation and collaboration during myofunctional therapy. Conclusions: Patient compliance, especially in very young patients, limits the effectiveness of myofunctional therapy; therefore, creative solutions are needed to achieve greater cooperation, and edible tools can play a significant part in retraining correct swallowing. Although the sample of this pilot study is small, the results suggest that using actual edible tools in myofunctional therapy could increase compliance and provide better results in myofunctional therapy.<\/jats:p>","DOI":"10.3390\/diagnostics14030251","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T09:57:42Z","timestamp":1706090262000},"page":"251","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Use of Edibles as Effective Tools in Myofunctional Therapy: A Pilot Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Sabina","family":"Saccomanno","sequence":"first","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3184-6899","authenticated-orcid":false,"given":"Vincenzo","family":"Quinzi","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8535-0154","authenticated-orcid":false,"given":"Federica","family":"Santori","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Pisaneschi","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9951-8595","authenticated-orcid":false,"given":"Simone Ettore","family":"Salvati","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Licia Coceani","family":"Paskay","sequence":"additional","affiliation":[{"name":"Academy of Orofacial Myofunctional Therapy (AOMT), Pacific Palisades, CA 90272, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Marci","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9088-7749","authenticated-orcid":false,"given":"Giuseppe","family":"Marzo","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences, University of L\u2019Aquila, 67100 L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"ref_1","unstructured":"Enlow, D.H. (1990). Facial Growth, WB Saunders Co."},{"key":"ref_2","first-page":"332","article-title":"Myofunctional Therapy Part 4: Prevention and Treatment of Dentofacial and Oronasal Disorders","volume":"22","author":"Saccomanno","year":"2021","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_3","unstructured":"Proffit, W.R., Fields, H.F., and Sarver, D.M. (2008). The Etiology of Orthodontic Problems, Elsevier. [3rd ed.]."},{"key":"ref_4","unstructured":"Garliner, D. (1974). Myofunctional Therapy in Dental Practice Abnormal Swallowing Habits: Diagnosis, Treatment: A Course of Study for the Dental Practitioner and Speech Pathologist, Bartel Dental Book Co.. [2nd ed.]."},{"key":"ref_5","first-page":"1","article-title":"Adenoids: Their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. A biometric, rhino-manometric and cephalometro-radiographic study on children with and without adenoids","volume":"265","year":"1970","journal-title":"Acta Otolaryngol. Suppl."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s00455-011-9383-8","article-title":"Coordination of tongue activity during swallowing in mouth-breathing children","volume":"27","author":"Klein","year":"2012","journal-title":"Dysphagia"},{"key":"ref_7","first-page":"234","article-title":"Radiographic Position of the Hyoid Bone in Children with Atypical Deglutition","volume":"29","author":"Crespo","year":"2007","journal-title":"Eur. J. Orthod."},{"key":"ref_8","first-page":"217","article-title":"Atypical Swallowing: A Review","volume":"63","author":"Maspero","year":"2014","journal-title":"Minerva Stomatol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2501","DOI":"10.1007\/s00405-020-05994-w","article-title":"The Efficacy of Myofunctional Therapy in Patients with Atypical Swallowing","volume":"277","author":"Begnoni","year":"2020","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_10","first-page":"80","article-title":"Paediatric Orthodontics Part 1: Anterior open bite in the mixed dentition","volume":"20","author":"Rosa","year":"2019","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1093\/ejo\/cjm065","article-title":"Follow-up Study of Functional and Morphological Malocclusion Trait Changes from 3 to 12 Years of Age","volume":"29","author":"Ovsenik","year":"2007","journal-title":"Eur. J. Orthod."},{"key":"ref_12","first-page":"184","article-title":"Case report of patients treated with an orthodontic and myofunctional protocol","volume":"15","author":"Saccomanno","year":"2014","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"38","DOI":"10.52010\/ijom.2012.38.1.5","article-title":"MBGR protocol of orofacial myofunctional evaluation with scores","volume":"38","author":"Marchesan","year":"2012","journal-title":"Int. J. Orofac. Myol."},{"key":"ref_14","first-page":"241","article-title":"Patients treated with orthodontic-myofunctional therapeutic protocol","volume":"13","author":"Saccomanno","year":"2012","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/0889-5406(86)90070-3","article-title":"Pressure from the Lips on the Teeth and Malocclusion","volume":"90","author":"Ingervall","year":"1986","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1007\/s00455-013-9451-3","article-title":"A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI)","volume":"28","author":"Adams","year":"2013","journal-title":"Dysphagia"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/2196-1042-14-32","article-title":"Three-dimensional methodology for photogrammetric acquisition of the soft tissues of the face: A new clinical-instrumental protocol","volume":"14","author":"Deli","year":"2013","journal-title":"Prog. Orthod."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"17471","DOI":"10.3390\/s140917471","article-title":"Calibration of action cameras for photogrammetric purposes","volume":"14","author":"Balletti","year":"2014","journal-title":"Sensors"},{"key":"ref_19","unstructured":"Garliner, D. (1976). Myofunctional Therapy, W.B. Sounders Co."},{"key":"ref_20","first-page":"11082","article-title":"Caries prevention and treatment in early childhood: Comparing strategies. A systematic review","volume":"27","author":"Inchingolo","year":"2023","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1017\/S1368980011001571","article-title":"Relationship between ultra-processed foods and metabolic syndrome in adolescents from a Brazilian Family Doctor Program","volume":"15","author":"Tavares","year":"2012","journal-title":"Public Health Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/j.1440-1843.2011.02081.x","article-title":"Obesity, obstructive sleep apnoea and metabolic syndrome","volume":"17","author":"Lam","year":"2012","journal-title":"Respirology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s13098-015-0018-3","article-title":"The impact of sleep disorders on glucose metabolism: Endocrine and molecular mechanisms","volume":"7","author":"Weiszenstein","year":"2015","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_24","first-page":"239","article-title":"Obesit\u00e0 e sindrome metabolica in et\u00e0 pediatrica","volume":"39","author":"Bona","year":"2009","journal-title":"Prospett. Pediatr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"298","DOI":"10.5005\/jp-journals-10005-1926","article-title":"Orofacial Myofunctional Therapy in Tongue Thrust Habit: A Narrative Review","volume":"14","author":"Bendgude","year":"2021","journal-title":"Int. J. Clin. Pediatr. Dent."},{"key":"ref_26","unstructured":"(2018, April 01). Available online: https:\/\/www.fda.gov\/food\/food-additives-petitions\/questions-and-answers-monosodium-glutamate-msg."},{"key":"ref_27","first-page":"e04426","article-title":"Risks for human health related to the presence of 3-and 2-monochloropropanediol (MCPD), and their fatty acid esters, and glycidyl fatty acid esters in food","volume":"14","author":"Wallace","year":"2016","journal-title":"EFSA J."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"EFSA Panel on Contaminants in the Food Chain (CONTAM), Knutsen, H.K., Alexander, J., Barreg\u00e5rd, L., Bignami, M., Br\u00fcschweiler, B., Ceccatelli, S., Cottrill, B., Dinovi, M., and Edler, L. (2018). Update of the risk assessment on 3-monochloropropane diol and its fatty acid esters. EFSA J., 16, e05083.","DOI":"10.2903\/j.efsa.2018.5083"},{"key":"ref_29","first-page":"307","article-title":"Prevalence of cross-bite in a sample of Italian preschoolers","volume":"17","author":"Ferro","year":"2016","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_30","first-page":"307","article-title":"Rapid maxillary expansion for pediatric obstructive sleep apnea: A systematic review and meta-analysis","volume":"17","author":"Camacho","year":"2017","journal-title":"Laryngoscope"},{"key":"ref_31","first-page":"463","article-title":"Volumetric upper airway changes after rapid maxillary expansion: A systematic review and meta-analysis","volume":"39","author":"Buck","year":"2017","journal-title":"Eur. J. Orthod."},{"key":"ref_32","first-page":"67","article-title":"The impact of rapid palatal expansion on children\u2019s general health: A literature","volume":"15","author":"Eichenberger","year":"2014","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1007\/s10865-009-9239-y","article-title":"Using self-determination theory to promote physical activity and weight control: A randomized controlled trial in women","volume":"33","author":"Silva","year":"2010","journal-title":"J. Behav. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1044\/1092-4388(2009\/08-0062)","article-title":"Effects of directional exercise on lingual strength","volume":"52","author":"Clark","year":"2009","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1007\/s00455-009-9215-2","article-title":"Maximal tongue strength in typically developing children and adolescents","volume":"24","author":"Potter","year":"2009","journal-title":"Dysphagia"},{"key":"ref_36","first-page":"5","article-title":"Interceptive orthodontics: Awareness and prevention is the first cure","volume":"24","author":"Paglia","year":"2023","journal-title":"Eur. J. Paediatr. Dent."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Inchingolo, A.D., Ferrara, I., Viapiano, F., Netti, A., Campanelli, M., Buongiorno, S., Latini, G., Carpentiere, V., Ciocia, A.M., and Ceci, S. (2022). Rapid Maxillary Expansion on the Adolescent Patient: Systematic Review and Case Report. Children, 9.","DOI":"10.3390\/children9071046"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jsmc.2007.05.004","article-title":"Childhood Obstructive Sleep Apnea: One or Two Distinct Disease Entities?","volume":"2","author":"Dayyat","year":"2007","journal-title":"Sleep Med. Clin."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1001\/jamaoto.2020.0133","article-title":"An Atypical Cause of Difficulty Swallowing","volume":"146","author":"Devries","year":"2020","journal-title":"JAMA Otolaryngol. Neck Surg."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Scoppa, F., Saccomanno, S., Bianco, G., and Pirino, A. (2020). Tongue Posture, Tongue Movements, Swallowing, and Cerebral Areas Activation: A Functional Magnetic Resonance Imaging Study. Appl. Sci., 10.","DOI":"10.3390\/app10176027"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/3\/251\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:48:40Z","timestamp":1760104120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/3\/251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,24]]},"references-count":40,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["diagnostics14030251"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14030251","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,24]]}}}