Orofacial Myofunctional Disorders

Orofacial myofunctional disorders (OMD’s) are disorders of the muscles
and functions of the face and the mouth.

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Research has discovered that around 38% of the population has some type of OMD condition

OMD refers to abnormal resting posture of the face and mouth, atypical swallowing patterns, dental malocclusions, blocked nasal airways and speech issues. OMD’s include a wide variety of oral postures, habit patterns and functions which interfere with normal growth and development or function of structures. These disorders can lead to incorrect muscle patterns that can lead to different problems.

Sometimes a single cause can be established for the development of OMD, but many times the result is due to a combination of various factors. These may include structural abnormalities such as being tongue-tied. Another factor can be improper habits such as nail biting, cheek biting, teeth clenching and grinding, or sucking of the thumb or fingers. Deviations in the pharynx or nasal cavity, allergies, or airway restrictions resulting from an enlargement of the tonsils or adenoids may also be part of the cause of OMD. Heredity also plays a factor in determining who might develop some of these conditions.

Research has discovered that around 38% of the population has some type of OMD condition. It has also been found that in children who have speech issues and articulation problems, that 81% of these children have some type of OMD disorder. OMD disorders can also affect:

Breastfeeding
Swallowing
Chewing
Skeletal development of face and mouth
Dental occlusion
Oral hygiene
Jaw movement
Stability of orthodontic treatment
Facial esthetics

Signs and Symptoms

Symptoms of orofacial myofunctional disorders can be very obvious or happen over a period of time and be unclear. Certain habits or conditions can interfere with proper actions of orofacial muscles causing OMD. These muscles include cheeks, jaw, lips and tongue. When these muscles function incorrectly due to habits or conditions, it can lead to improper development. This atypical development causes the muscles to have incorrect adaptations and not work in balance which can cause a variety of problems.

  • Short lingual frenum (tongue tie)
  • Enlarged tonsils and/or adenoids
  • Short upper lip
  • Nail biting
  • Thumb or finger sucking

  • Lip incompetence

  • Drooling

  • Sleep disorder

  • Tongue sucking

  • Lisping during speech

  • TMJ dysfunction

  • Teeth grinding or clenching

Why be concerned?

If not addressed and corrected, consequences of these behaviors can be:

  • Low tongue posture
  • Weak lips
  • Disrupt sleep patterns
  • Improper facial growth patterns (long face)
  • Chronic open mouth positioning

  • Mouth breathing

  • Dental abnormalities such as overjet, overbite or crossbite

  • Dental malocclusions (teeth not closing properly)

  • Jaw pain or dysfunction

  • Speech distortion or mispronunciation of sounds

  • Tongue thrusting (atypical pattern of swallowing)

  • Poor posture

  • Indigestion or difficulty chewing food

Our Program

Our program is appropriate for children, teens and adults. Program goals are individualized and are meant to create new healthy oral habits. The benefit of healthy habits can include nasal breathing, favorable resting tongue position and preserving orthodontic results from a program.  A variety of exercises are assigned each week to be performed daily or multiple times a day. Exercises focus on resting tongue posture, lip strength and swallowing .  A commitment to daily consistent exercise is required to obtain success in our program.  The exercises must be carried out until permanent habits are corrected and proper muscle patterns take place.

Thumb/finger sucking elimination

Our program is appropriate for children, teens and adults. Program goals are individualized and are meant to create new healthy oral habits. The benefit of healthy habits can include nasal breathing, favorable resting tongue position and preserving orthodontic results from the program.  A variety of exercises are assigned each week to be performed daily or multiple times a day. Exercises focus on resting tongue posture, lip strength and swallowing .  A commitment to daily consistent exercise is required to obtain success in the program.  The exercises must be carried out until permanent habits are corrected and proper muscle patterns take place.

Orofacial Myofunctional Program

This is the typical program for children and adults. This program is comprehensive and covers a variety of oral problems. This program helps reverse damaging habits, such as tongue thrust. This program can last from six months to a year. The objective of this program is to eliminate bad habits, demonstrate therapeutic facial exercises, develop proper lip seal and tongue placement and teach chewing and swallowing patterns to reinforce good habits. These goals will help the structures in the mouth stay in balance and habitualizing the learned behaviors is most important for long term success.

Goals of the Program

  • Eliminate habits

  • Find resting tongue position

  • Achieve adequate lip seal at rest

  • Find typical pattern of swallowing

  • Have bilateral chewing

  • Correct drinking habits

  • Encourage nasal breathing

  • Establish good head and neck posture

WHY CHOOSE AN OROFACIAL MYOFUNCTIONAL PROGRAM?

  • Decrease periodontal disease

  • Reduce risk of orthodontic relapse

  • Strengthen muscles to have a positive effect on appearance

  • Reduce head and neck posture problems

  • Affect sleep patterns

  • Help produce more precise speech sounds

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