Orofacial Myofunctional Disorders


The International Association of Orofacial Myology (IAOM) is a certifying body for orofacial myologists, defines Orofacial Myofunctional Disorders as “atypical, adaptive patterns that emerge in the absence of normalized patterns within the orofacial complex. The regular presence of these adaptive movements can often result in a variety of disturbances.” 

Orofacial myology is the treatment of orofacial dysfunction or orofacial myofunctional disorders (OMD). A differential diagnosis to determine specific structural and/or functional impacts will help in establishing an individualized treatment plan. Examples of OMDs include:

-Open, oral resting posture/mouth breathing

-Tongue thrust during swallow and/or speech

-Sucking habits (thumb, fingers, tongue, etc.)

-Clenching and grinding

-Tongue, lip, and cheek ties

OMDs can lead to changes in dental alignment (malocclusion), maxillary and mandibular jaw growth patterns, airway, chewing, swallowing, speech sound production, and sleep patterns.

Tethered Oral Tissue (TOTs)

It is critical a speech-language pathologist (SLP) or orofacial myologist (COM) with specific training in orofacial complex structure and function with a focus on oral phase feeding and swallowing is utilized for pre- and post-frenectomy care as part of a team (TOTs savvy dentist, physical therapist, chiropractor, lactation consultant, craniosacral therapist, etc.). The SLP/COM provides supports for guiding oral and facial structural development, oral movement patterns, and transition to optimal functional patterns for oral rest posture, breathing, breastfeeding, chewing, swallowing, and speech sound production as related to new range of motion and muscle patterns following a frenectomy.

Making an appointment to have a tongue, lip, or cheek tie “snipped” or “lasered” is not sufficient. It is critical to receive pre-frenectomy care in order to receive optimal function post-frenectomy. Prefrenectomy (or pre-op care) will increase movement and control of oral muscle movement patterns which will transition into post-operative habilitation activities focused on the development of correct function of the orofacial complex that can be maintained over the lifetime.

YSP accepts children (4+ years-old) AND adults for orofacial myofunctional therapy.  Contact us today for a free consult!

Orofacial myofunctional therapy is required for children to be four-years-old or older. This is due to the need for them to be able to participate in volitional exercises. 

Please note: We DO NOT provide feeding therapy for children under four-years-old.















Client Testimonials

Dont’t take our word for it – here’s what our clients say:

I am an adult patient, with a very rare issue.

I went to Erin at the referral of my orthodontist, who would not treat me with this issue. The issue was affecting my eating, talking, and was giving me extreme anxiety.

Erin was kind and understanding and very compassionate towards my issue. She worked with me and was so caring. She is very knowledgeable. After treatment, I am feeling much better. Many of my concerns are gone. I should now be able to get the orthodontic treatment I need.

I highly recommend Erin!


Adult with
Orofacial myofunctional disorder

…did great with surgery! He is already breathing with a closed mouth. Thank you for all the prep leading up to today! 




Parent of child with mouth breathing and enlarged tonsils

Erin treated my seventeen year old daughter for a lisp after she had double jaw surgery. She corrected my daughter’s lisp in a FEW weeks! Erin is fantastic! She is an excellent clinician and explains treatments very clearly. She is so sweet and very encouraging. My daughter really enjoyed her sessions. We could not have had a better experience.

Parent of teenager with orofacial myofunctional disorder