Orofacial Myofunctional Disorder
Abnormal patterns of muscle function in the face and mouth affecting speech, swallowing, and dental alignment.
Orofacial Myofunctional Disorders (OMDs) involve atypical patterns of muscle function and incorrect habits involving the face, lips, jaw, and tongue. Common OMDs include tongue thrust swallowing pattern, habitual open mouth posture, thumb or finger sucking habits, and abnormal lip and tongue resting postures. These patterns can negatively impact dental development, orthodontic treatment outcomes, facial growth, and speech production.
OMDs may be caused or perpetuated by factors such as chronic nasal congestion or allergies, enlarged tonsils or adenoids, prolonged pacifier or bottle use, thumb sucking habits, and structural factors such as a restricted lingual frenulum. Individuals with OMDs may present with dental malocclusion, anterior open bite, lisping, and difficulties with certain speech sounds.
Orofacial myofunctional therapy, provided by specially trained speech-language pathologists, focuses on retraining the muscles of the face and mouth to achieve correct resting posture, appropriate swallowing patterns, and nasal breathing. Treatment involves a systematic program of exercises that build awareness, strength, and coordination of the orofacial musculature, often in coordination with orthodontic care.
Signs & Symptoms
- •Habitual open mouth posture and mouth breathing
- •Tongue resting against or between the teeth rather than on the palate
- •Tongue thrust pattern during swallowing
- •Lisping or distorted production of sibilant sounds
- •Dental malocclusion or anterior open bite
- •History of prolonged thumb sucking or pacifier use
Treatment Approaches
- •Orofacial myofunctional therapy to retrain muscle patterns
- •Tongue resting posture and lip seal training
- •Swallow pattern retraining to eliminate tongue thrust
- •Habit elimination programs for thumb sucking or other oral habits
- •Coordination with orthodontists and ENT specialists for comprehensive care
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