case_images: PMC3808727_01
case_images: Pretreatment palatographic analysis showing impression material smeared over the maxillary and mandibular anteriors indicating abnormal tongue posture during swallowing.
case_images: CRIM.DENTISTRY2013-647649.003.jpg
case_images: PMC3808727_01_CRIM.DENTISTRY2013-647649.003.jpg
case_images: fig3
case_images: Functional examination suggested that she had tongue thrusting habit which was confirmed by palatography (Figure 3) (palatography involves recording the contact surface of the tongue with the palate and teeth while the patient produces speech sounds such as S or while swallowing).
case_images: pre-treatment cephalogram showing low positioning of tongue at rest position.
case_images: CRIM.DENTISTRY2013-647649.004.jpg
case_images: PMC3808727_01_CRIM.DENTISTRY2013-647649.004.jpg
case_images: fig4
case_images: The abnormal position of the tongue was also confirmed by tracing the pretreatment lateral cephalogram (Figure 4).
case_images: Palatographic analysis six months after the placement of HHCA showing impression material smeared over the maxillary rugae area missing the crown of the incisors indicating that the patient has attained a somatic swallow.
case_images: CRIM.DENTISTRY2013-647649.005.jpg
case_images: PMC3808727_01_CRIM.DENTISTRY2013-647649.005.jpg
case_images: fig5
case_images: Functional examination showed that the patient had changed her swallowing from an infantile to mature pattern, which was confirmed by palatography (Figure 5).
case_images: Cephalogram after 6 months of HHCA therapy showing low positioning of tongue at rest position.
case_images: CRIM.DENTISTRY2013-647649.006.jpg
case_images: PMC3808727_01_CRIM.DENTISTRY2013-647649.006.jpg
case_images: fig6
case_images: The dorsal part of the tongue was resting on the palate and the tip was place behind the upper incisor in the area of the incisive papilla (Figure 6).