COM COM Pediatric & Developmental Considerations

Question 1

What is the generally accepted minimum age for initiating structured orofacial myofunctional therapy?

Accepted Answer

6 years

Answer

4 years

Answer

9 years

Answer

12 years

Question 2

Which condition is the most common structural cause of chronic mouth breathing in pediatric patients?

Accepted Answer

Enlarged tonsils and adenoids

Answer

Deviated nasal septum

Answer

Cleft palate

Answer

Nasal polyps

Question 3

What craniofacial growth pattern is associated with habitual mouth breathing during childhood?

Accepted Answer

Long face syndrome with narrow arches

Answer

Wide, low facial structure

Answer

Prognathic mandibular growth

Answer

Brachycephalic skull pattern

Question 4

Which approach best supports engagement and compliance in young pediatric patients during orofacial myofunctional therapy?

Accepted Answer

Play-based and reward-focused activities

Answer

Lengthy written homework assignments

Answer

Adult-level explanations of the disorder

Answer

Scheduling two-hour sessions weekly

Question 5

What is ankyloglossia and why is it relevant to orofacial myofunctional therapy?

Accepted Answer

A restricted lingual frenulum that limits tongue mobility

Answer

Abnormal tongue size requiring surgical reduction

Answer

Tongue paralysis from cranial nerve damage

Answer

Excessive tongue muscle tone causing speech errors

Question 6

When should a COM prioritize referring a pediatric patient to an ENT physician?

Accepted Answer

When structural airway obstruction is suspected as the cause of mouth breathing

Answer

After all myofunctional therapy sessions are completed

Answer

Before evaluating the patient's swallowing pattern

Answer

When the patient has dental crowding