What are Orofacial Myofunctional Disorders?

Orofacial Myofunctional Disorders (OMDs) are disorders of the muscles, functions and movement patterns of the face and mouth.  OMDs can be seen in infants, children and adults.

OMD’s may impact facial skeletal growth and development, chewing, swallowing, articulation and speech intelligibility, breathing, sleep quality, temporomandibular joint movement, orthodontic treatment, posture and facial aesthetics.



Melissa treats infants that exhibit signs and symptoms often related to orofacial myofunctional disorders:  

- Aerophagia (excessive swallowing of air while feeding)
- Deficits in oral motor development such as delayed integration of infant reflexes, and failure to develop pre-feeding and feeding skills
- Difficulty with breastfeeding, bottle feeding and suck-swallow-breathe coordination
- Difficulty transitioning from a breast/bottle to a straw/open cup
- Difficulty transitioning to pureed and or solid foods
- Failure to thrive
- Gagging, spitting up, or vomiting before or after meals
- Immature or disordered swallowing patterns
- Poor latch and/or weak sucking during breast or bottle feeding
- Mouth breathing and/or audible breathing
- Low jaw posture
- Excessive tongue protrusion at rest
- Hypotonia
- Poor range of motion of the tongue, lips, cheeks and/or jaw
- Sleep disturbances including restlessness and sleep-disordered breathing
- Lip blisters
- Tethered Oral Tissues (tongue tie, lip tie, buccal ties)
- Reflux


Melissa provides clinical services and support to patients across the lifespan that have oromyofunctional disorders. Melissa is a Certified Orofacial Myologist (COM®). Melissa has completed numerous hours of continuing education training, passed clinical and written exams, and has demonstrated proficiency in treating patients with oromyofuncitonal disorders. Melissa has trained in Drooling Remediation and Beckman Oral Motor. Treatment for OMD’s varies based on the client’s age and cognitive level. A full program is most appropriate beginning at 4 years of age and can be utilized throughout adulthood with success. Younger children and infants can benefit from similar methodology and intervention strategies as well but are defined more appropriately as feeding therapy. All ages benefit from participation in a care plan with an orofacial myologist for pre- and post-frenectomy care. Melissa has the expertise to create an individualized, evidence-based treatment plan to see success in patients of all ages.