11/06/2025
Oral Myofunctional Theraphy (OMT)
OMT is specialized treatment that treat Orofacial Myofunctional Disorders (OMD).
OMT focuses on retraining the muscles of the face and mouth to improve function and balance, particularly related to breathing, chewing, swallowing and speaking.
What are Orofacial Myofunctional Disorders?
In order to properly speak, breath, and swallow, the muscles in our face, mouth, and throat need to be structured in the correct position and coordinate as they move together.
Orofacial myofunctional disorders (OMDs), according to the American Speech-Language and Hearing Association, are “patterns involving oral and orofacial musculature that interfere with normal growth, development, or function of orofacial structures, or call attention to themselves.”
Here are a few examples of Orofacial Myofunctional Disorders:
Tongue thrust (tongue between the teeth while swallowing)
Mouth breathing (lips apart/mouth open at rest)
Jaw malocclusions (such as an overbite, underbite, or open bite)
Tongue tie
Lip tie
OMDs can be caused by a combination of a physical difference in the structure of the mouth/facial muscles and patterns of behaviors over time.
Causes include:
Genetics
Orthodontic issues
Thumb or finger sucking
Prolonged use of sippy cups/pacifiers
Structural abnormalities
Neurological disorders
Obstructed nasal passages (for example, due to enlarged tonsils or adenoids, or allergies), causing the tongue to be in an improper position.
Signs of Orofacial Myofunctional Disorders
What are some signs that a child may have an Orofacial Myofunctional Disorder?
He or she may have trouble with speech, swallowing, or breathing. More specifically, some signs and symptoms of OMDs include:
Speech articulation difficulties (such as lisp, where the child produces the “S” and “Z” sounds with his or her tongue forward and between the teeth).
Drooling or an open-mouth posture.
Disordered sleep (such as Obstructive Sleep Apnea) or sleep disordered breathing (such as snoring).
Difficulty swallowing with the lips closed.
How Orofacial Myofunctional Therapy can Help
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