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The patient has not yet discovered secondary swallowing
This is normal and occurs in 95% of patients at this stage due to the Froggymouth device preventing a proper lip seal, leading to compensatory methods:
Forward Tongue Projection:
The patient, accustomed to making contact with the anterior labial mucosa, has the tip of the tongue touching the inside of the lip.
Sucking:
Sucking in saliva, noticeable by noise.
Absence of Swallowing:
When usual swallowing becomes imposible, the patient may try to find an alternative method or simply stop attempting to swallow.
What to do?
Allow 5 minutes for the patient to adjust. Use this time to explain the importance of rehabilitation. After 5 minutes, ask the patient to swallow saliva twice and observe:
Secondary Swallow Observed
Skip
and then to
No Secondary Swallow
Instruct "Close your teeth together" and ask them to swallow twice again.
If success: Proceed to
If the patient is still using compensatory methods: Move to
While only 45% of patients reach step 3 within 5 weeks, most achieve it within 10 to 15 weeks.
Step 2: Searching for Engram
