Myofunctional Therapy

Signs & Conditions

What to look for

Most people have never heard the term orofacial myofunctional disorder. They have noticed something else, like a child who sleeps with their mouth open, or a jaw that aches every morning.

Signs you may have noticed

These show up differently at different ages. A few items on either list is reason enough to ask us about an evaluation.

In children

  • Sleeps with the mouth open
  • Snores or breathes loudly at night
  • Restless sleep, or wakes up tired
  • Dark circles under the eyes
  • Thumb, finger, or pacifier use past age four
  • Eats slowly, messily, or is very selective
  • Chapped lips, or lips apart at rest
  • Speech that is hard to understand
  • Crowded teeth, or an open bite
  • Trouble settling or focusing during the day

In adults

  • Waking with a dry mouth or sore throat
  • Snoring, or a partner who notices pauses in breathing
  • Morning headaches or jaw soreness
  • Clenching, grinding, or worn-down teeth
  • Jaw clicking, popping, or limited opening
  • Teeth that shifted after braces
  • Scalloped edges along the sides of the tongue
  • Ongoing neck and shoulder tension
  • Tired during the day despite a full night of sleep
  • Difficulty breathing through the nose

The concerns behind those signs

Mouth breathing

Breathing through the mouth instead of the nose, during the day, at night, or both.

Why it matters. Nasal breathing filters and humidifies air and supports how the face and jaws grow. Long-term mouth breathing is linked to dry mouth, gum irritation, disrupted sleep, and changes in facial development in children.

How therapy helps. We work on lip seal, nasal breathing, and tongue position so the nose becomes the default again. If something is physically blocking the airway, we refer to ENT first.

Tongue thrust and atypical swallowing

The tongue pushes forward or sideways against the teeth when swallowing, instead of lifting to the roof of the mouth.

Why it matters. You swallow hundreds of times a day. That repeated pressure can move teeth, contribute to an open bite, and undo orthodontic work.

How therapy helps. We retrain the swallow pattern and resting tongue posture so the pressure stops working against the teeth.

Restricted tongue mobility (tongue-tie)

A tight band of tissue under the tongue limits how far it can lift, extend, or move side to side.

Why it matters. If the tongue cannot reach the roof of the mouth, correct resting posture and swallowing are difficult no matter how much someone practices.

How therapy helps. Therapy is often done before and after a release. Preparation improves function beforehand, and follow-up supports healing and helps prevent reattachment. The release itself is performed by a dentist, ENT, or surgeon.

Clenching, grinding, and jaw pain

Tension in the jaw, face, and neck, often with worn teeth, clicking, or morning soreness.

Why it matters. Muscles held in the wrong resting position work harder than they should, all day and all night.

How therapy helps. We address the resting posture and habits feeding the tension. This works alongside a splint or night guard from your dentist, not instead of one.

Snoring and sleep-disordered breathing

Noisy breathing, restless sleep, or pauses in breathing during the night.

Why it matters. Sleep quality affects nearly everything else, from daytime focus in children to long-term health in adults.

How therapy helps. Research suggests therapy may reduce the severity of sleep-disordered breathing and ease snoring. It is an adjunct, not a substitute for a sleep study or for treatment prescribed by a physician.

Orthodontic relapse

Teeth that drift back toward their old positions after braces or aligners.

Why it matters. Orthodontics moves teeth, but muscle patterns hold them where they end up. If the pattern that contributed to the problem is still there, it keeps pushing.

How therapy helps. We correct the underlying pattern so retention has a better chance of holding. Best done alongside or soon after orthodontic treatment.

Thumb, finger, and pacifier habits

Sucking habits that continue past about age four.

Why it matters. Sustained pressure during the years the jaws are growing can shape the palate and bite.

How therapy helps. We use a structured, encouraging approach built around awareness and replacement habits, without shaming the child.

Not sure whether this applies to you? That is what the consultation is for. If what you are describing is better handled by another provider, we will tell you and help point you in the right direction.

Recognize a few of these?

Tell us what you are noticing. We will follow up to talk through whether an evaluation makes sense.

Request a Consultation