Orofacial Myofunctional Disorders Can Cause Tightened Muscles in the Head, Neck & Upper Back
Some Of The Orofacial Dysfunctions We Re-Train
Mouth Breathing
Postural Problems
Upper Chest Breathing
Spinal Strain
Ankyloglossia (Tongue-Tied)
Repetitive Non-Nutritive Oral Habits
Habits: Sucking thumb, finger, lips, or biting nails, cheeks, tongue, hair...etc.
Open Bites, Malocclusion, Crooked Teeth38,39,41,45
Narrow Jaw41,43,44
Vaulted Palate43,44
Tonsil/Adenoid infections/swelling53
Long Face Syndrome39,41,42,43,45
Ortho Relapse19
Sleep Disordered Breathing12
Asymmetrical Face39,41,42,43,45
The Oral-Facial Advantage Program
Most programs last approximately 1 year.
Patients are seen weekly and assigned exercises that tone or relax the muscles in their head/neck region specific to their disorder.
At What Age Can Patients Begin Oral-Facial Muscle Therapy?
All ages.
The biggest impact can be made with children since their oral-facial structure and behavior is in a more flexible stage of growth. As adults, our muscles and tissues can be toned and relaxed where needed, making a large impact on how we age and the quality of life into our senior years. Make a difference in your health at any age.
Mature 3 to 4 year old mouth breathers can learn nasal breathing.
A mentally prepared 5 year old can begin the Oral Habit Elimination Program.
A 7 to 8 year old and up can start the Oral-Facial Advantage Program.
Who is Eligible for a Free Consult?
Everyone.
All ages can come in for a free consult.
It is a great opportunity for the patients questions to be answered and to meet the Orofacial Myologist.
1Key, Josephine. “‘The core’: understanding it, and retraining its dysfunction.” Journal of bodywork and movement therapies 17, no. 4 (2013): 541-559.
2Gunduz C, et al "Obstructive sleep apnea independently predicts lipid levels: Data from the European Sleep Apnea Database" Respirology 2018; DOI: 10.1111/resp.13372.
3Jimmy Doumit, Bharati Prasad. "Sleep Apnea in Type 2 Diabetes" Diabetes Spectrum 2016 Feb; 29(1): 14-19.
4Omar A. Mesarwi, Rohit Loomba, Aul Malhotra. "Obstructive Sleep Apnea, Hypoxia, and Nonalcoholic Fatty Liver Disease" ATS Journals 2018 Nov; V199, I7.
5Bharati Prasad, Sharmilee M. Nyenhuis, Ikuyo Imayama. "Asthma and Obstructive Sleep Apnea Overlap: What has the evidence taught us?" ATS Journals 2019 Dec;V201, I11.
6Ejaz, Shakir M et al. “Obstructive sleep apnea and depression: a review.” Innovations in clinical neuroscience vol. 8,8 (2011): 17-25.
7Djupesland PG, Chatkin JM, Qian W, Haight JS. Nitric oxide in the nasal airway: a new dimension in otorhinolaryngology. Am J Otolaryngol.2001 Jan; 22(1): 19-32.
8Lunn M, Craig T. Rhinitis and sleep. Sleep Med Rev. 2011 Oct;15(5):293-9
9Muliol J, Maurer M, Bousquet J. Sleep and allergic rhinitis. Journal Investigation Allergol Clinical Immunology. 2008;18(6):415-9.
10Ohki M, Usui N, Kanazawa H, Hara I, Kawano K. Relationship between oral breathing and nasal obstruction in patients with obstructive sleep apnoea. Acta Otolaryngol Suppl. 1996;523:228-30.
11Jefferson Y. Mouth breathing: adverse effects on facial growth, health, academics and behaviour. General dentist. 2010 Jan- Feb; 58 (1): 18-25.
12Fitzpatrick MF, McLean H, Urton AM, Tan A, O’Donnell D, Driver HS. Effect of nasal or oral breathing route on upper airway resistance during sleep. Eur Respir J. 2003 Nov;22(5):827-32.
13“ADHD and Sleep.” ADHD & Sleep Problems-National Sleep Foundation. National Sleep Foundation, 2017. Web. 11 Feb.2017. https://sleepfoundation.org/sleep-disorders-problems/adhd-and-sleep.
14Shur-Fen Gau S. Prevalence of sleep problems and their association with inattention/hyperactivity among children aged 6-15 in Taiwan.J Sleep Res. 2006 Dec;15(4):403-14.
15Borres MP. Allergic rhinitis: more than just a stuffy nose. Acta Paediatrica. 2009 Jul;98(7):1088-92)
16Pereira F, Motonaga S, Faria P, Matsumoto M, Trawitzki L, Lima S, Lima W. Myofunctional and Cephalometric Evaluation of Mouth Breathers. Brazilian Journal of Otorhinolaryngology. 2001. 67 (1): 43-49.
17Garliner D. Myofunctional Therapy. Philadelphia: Saunders, 1976. Print.(10-12)
18John E. Hall, Arthur C Guyton. Tongue posture and swallowing. Guyton and Hall textbook of medical physiology, 12th edition. 2010; 763-765.
19Paskay L. OMD Orofacial Myofunctional Disorders: Assessment, prevention and treatment. JAOS. 2012 march-april; 34-40.
20Okuro RT, Morcillo AM, Ribeiro MÂ, Sakano E, Conti PB, Ribeiro JD. Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children. J Bras Pneumol.2011 Jul-Aug; 37(4):471-9.
21Damaging Effects of Forward Head Posture.(2015, January 22). Retrieved from http://www.denvertechchiro.com/files/fhp_revised.pdf
22Svensson S, Olin AC, Hellgren J. Increased net water loss by oral compared to nasal expiration in healthy subjects. Rhinology. 2006 Mar;44(1):74-7. PMID: 16550955.
23Surtel A, Klepacz R, Wysokińska-Miszczuk J. Wpływ toru oddechowego na jamę ustną [The influence of breathing mode on the oral cavity]. Pol Merkur Lekarski. 2015 Dec;39(234):405-7. Polish. PMID: 26802697.
24Steffen, Patrick R et al. “The Impact of Resonance Frequency Breathing on Measures of Heart Rate Variability, Blood Pressure, and Mood.” Frontiers in public health vol. 5 222. 25 Aug. 2017, doi:10.3389/fpubh.2017.00222
25Tongue-tie (ankyloglossia). American Academy of Otolaryngology-Head and Neck Surgery. http://www.entnet.org/content/tongue-tie-ankyloglossia. Accessed Feb. 13, 2018.
26Isaacson GC. Ankyloglossia (tongue-tie) in infants and children. https://www.uptodate.com/contents/search. Accessed Feb. 14, 2018.
27Chinnadurai S, et al. Treatment of ankyloglossia for reasons other than breastfeeding: A systemic review. Pediatrics. 2015;135:e1467.
28Baker AR, et al. Surgical treatment of ankyloglossia. Operative Techniques in Otolaryngology. 2015;26:28.
29Walsh J, et al. Diagnosis and treatment of ankyloglossia in newborns and infants. JAMA Otolaryngology-Head and Neck Surgery. 2017;143:1032.
30O'Shea JE, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systemic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011065.pub2/abstract. Accessed Feb. 14, 2018.
31Davidson, J R et al. “Growth hormone and cortisol secretion in relation to sleep and wakefulness.” Journal of psychiatry & neuroscience : JPN vol. 16,2 (1991): 96-102.
32Takahashi, Y et al. “Growth hormone secretion during sleep.” The Journal of clinical investigation vol. 47,9 (1968): 2079-90. doi:10.1172/JCI105893
33Honda, Y et al. “Growth hormone secretion during nocturnal sleep in normal subjects.” The Journal of clinical endocrinology and metabolism vol. 29,1 (1969): 20-9. doi:10.1210/jcem-29-1-20
34Morabito G, et al. (2014). Functional aerophagia in children: A frequent, atypical disorder. DOI:10.1159/000362441
35Timmons, Beverly H., and Ronald Ley. “Behavioral and Psychological Approaches to Breathing.
36https://news.stanford.edu/2020/07/21/toll-shrinking-jaws-human-health/
37Schmidt JE, Carlson CR, Usery AR, Quevedo AS. Effects of tongue position on mandibular muscle activity and heart rate function. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:881-888
38Warren JJ, Slayton RL, Bishara SE, Levy SM, Yonezu T, Kanellis MJ. Effects of nonnutritive sucking habits on occlusal characteristics in the mixed dentition. Pediatr Dent. 2005 Nov-Dec;27(6):445-50. PMID: 16532883.
39Bishara SE, Warren JJ, Broffitt B, Levy SM. Changes in the prevalence of nonnutritive sucking patterns in the first 8 years of life. Am J Orthod Dentofacial Orthop. 2006 Jul;130(1):31-6. doi: 10.1016/j.ajodo.2004.11.033. PMI: 16849069.
40Farsi NM, Salama FS. Sucking habits in Saudi children: prevalence, contributing factors and effects on the primary dentition. Pediatr Dent. 1997 Jan-Feb;19(1):28-33. PMID: 9048410.
41Garattini G, Crozzoli P, Valsasina A. Ruolo del succhiamento protratto nell'insorgenza di alterazioni dento-scheletriche del distretto facciale: revisione della letteratura [Role of prolonged sucking in the development of dento-skeletal changes in the face. Review of the literature]. Mondo Ortod. 1990 Sep-Oct;15(5):539-50. Italian. PMID: 2280788.
42Kuijpers-Jagtman AM. Gevolgen van zuiggewoonten voor de ontwikkeling van het tandkaakstelsel [Effects of sucking habits on the dentofacial development]. Ned Tijdschr Tandheelkd. 1989 Jun;96(6):256-8. Dutch. PMID: 2635279.
43Estripeaut LE, Henriques JF, de Almeida RR. Hábito de sucção do polegar e má oclusão--apresentação de um caso clínico [Thumbsucking and malocclusion--presentation of a clinical case]. Rev Odontol Univ Sao Paulo. 1989 Apr-Jun;3(2):371-6. Portuguese. PMID: 2639459.
44Grippaudo C, Paolantonio EG, Antonini G, Saulle R, La Torre G, Deli R. Association between oral habits, mouth breathing and malocclusion. Acta Otorhinolaryngol Ital. 2016 Oct;36(5):386-394. doi: 10.14639/0392-100X-770. PMID: 27958599; PMCID: PMC5225794.
45Doğramacı EJ, Rossi-Fedele G. Establishing the association between nonnutritive sucking behavior and malocclusions: A systematic review and meta-analysis. J Am Dent Assoc. 2016 Dec;147(12):926-934.e6. doi: 10.1016/j.adaj.2016.08.018. Epub 2016 Sep 28. PMID: 27692622.
46Lee SH, et al. How Does Open-Mouth Breathing Influence Upper Airway Anatomy? The Laryngoscope 2007; 117:1102-1106. https://doi.org/10.1097/MLG.0b013e318042aef7
47Meerman R, Brown A J. When somebody loses weight, where does the fat go? BMJ 2014; 349 :g7257 doi:10.1136/bmj.g7257
48Camacho, Macario et al. “Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis.” Sleep vol. 38,5 669-75. 1 May. 2015, doi:10.5665/sleep.4652
49Merck Manual Professional Version. Gas-related complaints. https://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/gas-related-complaints?query=gas-related complaints#. Accessed Jan. 8, 2020.
50Chitkara DK, Bredenoord AJ, Rucker MJ, Talley NJ. Aerophagia in adults: a comparison with functional dyspepsia. Aliment Pharmacol Ther. 2005 Nov 1;22(9):855-8. doi: 10.1111/j.1365-2036.2005.02651.x. PMID: 16225495.
51Abraczinskas D. Overview of intestinal gas and bloating. https://www.uptodate.com/contents/search. Accessed Jan. 8, 2020.
52https://www.healthline.com/health/aerophagia
53Proffit WR. Contemporary Orthodontics Fourth Edition. Elsevier, Health Sciences Education, Marketing.