Orofacial myofunctional disorders (OMDs) can interfere with essential daily functions such as speaking, swallowing, and breathing. These disorders result from improper facial, mouth, and tongue muscle patterns, often leading to speech difficulties, dental problems, and airway dysfunction. OMD speech therapy is a specialized approach that helps individuals retrain oral and facial muscles, restoring proper function and improving overall quality of life.
For individuals and families navigating the challenges of OMDs, early intervention is crucial. Without proper treatment, these disorders can lead to long-term issues affecting speech clarity, orthodontic health, and even breathing efficiency. Understanding the causes and symptoms of the disorder, as well as the benefits of OMD speech therapy can help individuals work with their therapist to determine the best treatment for long-term success.
What Are Orofacial Myofunctional Disorders?
Orofacial myofunctional disorders occur when the muscles of the mouth, face, and tongue do not function properly. They often result in difficulty articulating speech sounds, an improper swallowing pattern known as tongue thrust, and persistent mouth breathing. Over time, these patterns can contribute to orthodontic problems, such as misaligned teeth and an improper bite.
While OMDs are commonly diagnosed in children, they can also affect adults who experience speech difficulties, jaw pain, or airway obstruction due to poor muscle coordination. OMD speech therapy is designed to address these issues by teaching proper tongue posture, breathing techniques, and swallowing mechanics, ultimately improving overall oral function.
Causes
OMDs can develop due to various factors, many of which begin in early childhood. Some of the most common causes include:
- Prolonged Thumb Sucking or Pacifier Use – Extended use of sucking habits can alter tongue posture and lead to muscle imbalances.
- Oral Ventilation– Chronic nasal congestion, allergies, or enlarged tonsils can force individuals to breathe through their mouths, disrupting natural oral function.
- Tongue-Tie (Ankyloglossia) – A restrictive band of tissue under the tongue can limit movement, affecting speech and swallowing.
- Neurological or Developmental Conditions – Delayed muscle coordination or neurological conditions can impact proper oral function.
- Malocclusion (Misaligned Teeth and Jaw) – An improper bite can reinforce abnormal tongue posture, leading to speech and swallowing difficulties.
- Poor Oral Habits – Behaviors such as nail-biting or cheek-biting can further contribute to muscle dysfunction.
Symptoms
The symptoms of OMDs vary based on the severity of the muscle imbalance. Some of the most common signs include:
- Speech Difficulties – Lisping or difficulty pronouncing sounds like /s/, /z/, /sh/, /ch/, and /r/.
- Tongue Thrusting – A forward tongue movement when swallowing that can cause dental misalignment.
- Chronic Oral Breathing – Persistent open-mouth posture, leading to dry lips and potential airway concerns.
- Swallowing Issues – Difficulty managing food or liquids properly due to incorrect tongue positioning.
- Orthodontic Problems – Open bites, overbites, or crowded teeth as a result of improper tongue placement.
- Facial Muscle Weakness – Reduced lip strength, excessive drooling, or difficulty sealing the lips properly.
Recognizing these symptoms early is critical in preventing long-term complications. OMD speech therapy provides targeted exercises to help individuals develop correct oral function and eliminate these challenges.

Understanding OMD Speech Therapy
OMD speech therapy is a specialized intervention designed to correct muscle dysfunction in the mouth, face, and tongue. It focuses on retraining muscle patterns to promote proper swallowing, breathing, and speech production. Unlike traditional speech therapy, which primarily targets articulation and language skills, OMD speech therapy incorporates muscle-retraining techniques that directly influence orofacial function.
A comprehensive therapy program includes:
- Tongue and Lip Exercises – Strengthening these muscles to support better speech articulation and oral posture.
- Breathing Training – Encouraging nasal breathing to reduce the risks associated with chronic mouth breathing.
- Swallowing Therapy – Teaching the correct swallowing technique to eliminate tongue thrusting and prevent dental issues.
- Speech Sound Therapy – Addressing speech distortions caused by improper tongue placement.
- Collaboration with Other Professionals – Working alongside orthodontists, dentists, and medical specialists to ensure a holistic approach to treatment.
This therapy is tailored to each individual’s specific needs to ensure the most effective intervention for long-term success.
OMD Speech Therapy Benefits
Improving Speech Clarity
Individuals with OMDs often struggle with articulation due to improper tongue positioning. Speech therapy corrects tongue placement, helping individuals pronounce sounds more accurately and improve overall speech clarity.
Correcting Tongue Thrust and Swallowing Patterns
A common issue in OMDs is tongue thrust, which can interfere with proper swallowing and dental alignment. Therapy focuses on retraining the tongue to rest against the roof of the mouth, preventing further orthodontic complications.
Promoting Proper Breathing Habits
Mouth breathing is a frequent symptom of OMDs, leading to dry mouth, snoring, and even sleep apnea. Therapy helps transition individuals to nasal breathing, improving oxygen intake and overall health.
Supporting Dental and Orthodontic Treatment
Many orthodontic cases involve underlying muscle dysfunction. By addressing improper oral habits, therapy enhances the success of braces, aligners, and other dental treatments, preventing relapse once the braces are removed.
Strengthening Facial Muscles for Better Function
OMD therapy includes exercises that strengthen the lips, cheeks, and tongue, improving facial symmetry and overall muscle control. This reduces issues like open-mouth posture, drooling, and weak oral control.
Why Choose Speech Pathology Solutions?
At Speech Pathology Solutions, we understand how OMDs impact speech, swallowing, and breathing, and we are committed to helping individuals regain proper oral function. Our expert speech-language pathologists specialize in OMD speech therapy using evidence-based techniques to address tongue thrust, articulation challenges, and improper breathing patterns.
We take a personalized approach to treatment, working closely with orthodontists, dentists, and medical professionals to create a comprehensive plan that ensures lasting success. Whether you or a loved one is experiencing challenges as a result of an orofacial myofunctional disorder, we are here to provide the support and expertise needed for improvement.
Contact Speech Pathology Solutions today to schedule an evaluation and take the first step toward better oral function and clearer speech.

OMD Speech Therapy FAQs
What is OMD speech therapy, and how does it help with orofacial myofunctional disorders?
OMD speech therapy is a specialized approach designed to correct muscle dysfunction in the face, mouth, and tongue. It helps individuals develop proper tongue posture, improve swallowing mechanics, transition from mouth breathing to nasal breathing, and enhance speech clarity through targeted exercises.
How do I know if I or my child has an orofacial myofunctional disorder (OMD)?
Common signs of OMDs include difficulty pronouncing certain speech sounds, persistent mouth breathing, tongue thrusting when swallowing, dental misalignment, and weak facial muscles. If you notice these symptoms, a speech-language pathologist trained in OMD speech therapy can assess and recommend appropriate treatment.
What causes orofacial myofunctional disorders?
OMDs can result from prolonged thumb-sucking, mouth breathing due to allergies or nasal congestion, tongue-tie (ankyloglossia), neurological conditions, improper oral habits, or misaligned teeth and jaw structures. Identifying and addressing the underlying cause is crucial for effective treatment.
Can OMD speech therapy help with orthodontic issues?
Yes, OMD speech therapy is often recommended alongside orthodontic treatment. It helps retrain the tongue and facial muscles to prevent improper oral habits that contribute to misaligned teeth. Addressing muscle function reduces the risk of orthodontic relapse after braces or other dental treatments.
Is OMD speech therapy only for children, or can adults benefit as well?
While OMDs are often diagnosed in childhood, adults can also benefit from therapy, especially if they experience speech difficulties, airway obstruction, jaw pain, or orthodontic issues related to improper tongue and muscle function. Therapy can help retrain oral habits at any age.
How long does OMD speech therapy take?
The length of therapy varies depending on the severity of the disorder, consistency in practicing exercises, and individual progress. Some individuals see improvements within a few months, while others may require longer treatment to achieve lasting results.
How can Speech Pathology Solutions help with OMD speech therapy?
At Speech Pathology Solutions, our experienced speech-language pathologists provide customized therapy plans to address OMD-related challenges. We use evidence-based techniques to improve speech clarity, swallowing, breathing, and muscle function. Contact us today to schedule an evaluation and start the journey toward better oral function and improved quality of life.