NOT-S is a screening instrument that may be used to identify orofacial dysfunction in children aged three and older, in youths and in adults. The screening comprises a structured interview and a clinical exam and may be conducted by a variety of professional groups in dental and health care.
About NOT-S Development
NOT-S was developed in a joint Nordic project under the auspices of the Nordic Society for Disability and Oral Health (NFH). The work was conducted by a working group consisting of the dentists Merete Bakke, Copenhagen, and Birgitta Begendal, Jönköping, and the speech therapists Anita McAllister, Linköping, Lotta Sjögren, Göteborg and Pamela Åsten, Oslo.
NOT-S includes a structured interview and a clinical examination consisting of six domains each. The interviews contains the domains (I) Sensory function, (II) Breathing, (III) Habits, (IV) Chewing and swallowing, (V) Drooling, and (VI) Dryness of the mouth. The examination includes the domains (1) The face at rest, and tasks regarding (2) Nose breathing, (3) Facial expression, (4) Masticatory muscle and jaw function, (5) Oral motor function, and (6) Speech. One or more 'yes' for impairment in a domain resulted in one point (maximum NOT-S score 12 points).
Content and Ordering
NOT-S consists of an illustrated manual and a screening form that are translated to all Nordic languages as well as English. The illustrated manual can be ordered via the Mun-H-Center’s homepage.
Nordic languages and English
NOT-S in Danish
Responsible translator: Merete Bakke.
NOT-S in English
Responsible translator: Anita McAllister.
NOT-S in Finnish
Responsible translator: Anneli Yliherva.
NOT-S in Icelandic
Responsible translators: Elin Svarrer Wang and Ragnheidur Hansdottir.
NOT-S in Norwegian
Responsible translator: Pamela Åsten.
NOT-S in Brazilian Portuguese
Responsible translator: Marina Severi Leme.
NOT-S in Chinese
Responsible translator: Tailun He.
NOT-S in Czech
Responsible translators: Juraj Traurig and Marietta Tesarova.
NOT-S in Estonian
Responsible translators: Veronika Raudsalu, Inna Marats, Tiiu Soopõld and Anna-Liisa Sutt.
NOT-S in French
Responsible translator: Martine Hennequin.
NOT-S in German
Responsible translator: Frauke Mueller.
NOT-S in Italian
Responsible translators: Claudia Fortuna and Andrea Ruggeri.
NOT-S in Japanese
Responsible translators: Kenichi Goshima, Kumiko Kawashima and Hiroyuki Miura. Backtranslation: Kaoru Oyaizu.
NOT-S in Latvian
Responsible translators: Eva Purina, Lolita Cibule, Andra Greitane, Ija Bauska, Ilze Blumentale and Ilze Klatenberga.
NOT-S in Portuguese
Responsible translator: Rita Santiago.
NOT-S in Romanian
Responsible translators: Carolina Bodea Hațegan and Dorina Talaș
NOT-S in Spanish
Responsible translator: Joaquín Masoliver.
NOT-S in Turkish
Responsible translators: Alev ALAÇAM and Arzu Şükran İNCİOĞLU.
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Åsten P, Skogedal N, Nordgarden H, Axelsson S, Akre H, Sjögreen L.Orofacial functions and oral health associated with Treacher Collins syndrome. Acta OdontolScand. 2013;71:616-625. Epub 2012 Jul 12. Read abstract
Strini PJ, Strini PJ, De Souza Barbosa T, Duarte Gavião MB. Assessment of orofacial dysfunctions, salivary cortisol levels and oral health related qualityof life (ORHQoL) in young adults. Arch Oral Biol 2011;56:1521-1527. Read abstract
Saeves R, Asten P, Storhaug K, Bågesund M. Orofacial dysfunction in individuals with Prader-Willi syndrome assessed with NOT-S. Acta Odontol Scand 2011;69:310-315. Read abstract
Bakke M, Larsen SL, Lautrup C, Karlsborg M. Orofacial function and oral health in patients with Parkinson's disease. Eur J Oral Sci. 2011;119:27-32. Read abstract
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