Gabriella Goytia, Orofacial Myofunctional Therapist

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What is an Orofacial Myofunctional Disorder?

Orofacial Myofunctional Disorders or OMDs

Orofacial myofunctional disorders (OMDs) refer to abnormal patterns involving the muscles of the face, mouth, and throat that interfere with normal functions such as breathing, chewing, swallowing, and speaking. 


These disorders often result from improper oral habits (like thumb-sucking or prolonged pacifier use), tongue-tie (ankyloglossia), airway issues (such as chronic mouth breathing due to allergies or enlarged tonsils), or structural imbalances in the jaw and facial muscles. 


Common OMDs include tongue thrust (an improper swallowing pattern where the tongue pushes forward against or between the teeth), open-mouth posture, and difficulty achieving proper lip and tongue positioning at rest. 


OMDs can contribute to dental misalignment, speech challenges, sleep-disordered breathing, and temporomandibular joint (TMJ) disorders. 


Early identification and intervention through orofacial myofunctional therapy can not only help retrain the muscles to function optimally, improving overall oral health and wellness but early intervention is especially crucial during childhood when the facial bones are still developing. 

Could you benefit from Myofunctional Therapy?

Common Signs and Symptoms

  • Mouth breathing (day or night)
  • Snoring or noisy breathing during sleep
  • Poor sleep quality, restlessness, or daytime fatigue
  • Teeth grinding or clenching
  • Jaw pain, facial pain, or headaches
  • Tongue thrust or tongue resting against or between the teeth
  • Difficulty chewing or swallowing
  • Speech concerns (lisps, unclear articulation)
  • Chronic nasal congestion or allergies
  • Enlarged tonsils or adenoids

Dental & Orthodontic Concerns

  • Crowded or crooked teeth
  • Open bite, overbite, or underbite
  • Relapse after orthodontic treatment
  • Prolonged thumb sucking or pacifier use
  • Difficulty tolerating orthodontic appliances


Airway & Sleep-Related Concerns

  • Pediatric sleep-disordered breathing
  • Suspected or diagnosed sleep apnea
  • Bedwetting, night waking, or behavioral concerns in children
  • ADHD-like symptoms linked to poor sleep quality

Facial Growth & Development (Children)

  • Long, narrow face or recessed jaws
  • Low tongue posture
  • Poor lip seal
  • Delayed or altered oral development
     

Benefits of Myofunctional Therapy

  

Myofunctional Therapy can help by:


  • Training proper tongue posture and function
  • Establishing nasal breathing patterns for better oxygen intake and overall health.
  • Improving swallowing and chewing mechanics
  • Supporting healthy facial growth and airway development which may help with snoring or mild sleep apnea.
  • Enhancing orthodontic stability and outcomes
  • Improving sleep quality and overall wellness
  • Reducing strain on the jaw joint by improving muscle coordination.
  • Increased energy and alertness
  • Reduced clenching/grinding
  • Increasing tone and mobility of oral structures
  • Establishing symmetry to the face

Myofunctional therapy is beneficial for children, teens, and adults and is often used alongside:

  • Orthodontic treatment
  • Pediatric and adult airway care
  • ENT and sleep medicine evaluation
  • Dental and craniofacial treatment plans
     

Early intervention can guide proper growth in children, while adults can improve symptoms and prevent progression of airway and functional concerns.

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