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Frequently Asked Questions2020-06-18T13:45:11+00:00

What is Myofunctional Therapy?

Myofunctional Therapy is a type of treatment that looks at the way the tongue and oral muscles move and function. Many people experience low muscle tone and swallowing issues that can lead to health problems.

Myofunctional therapy is based on a series of exercises that help patients learn to change bad habits. This improves tongue placement, breathing, speaking, chewing and swallowing, which can have a huge impact on their overall health and well-being. Patients experience a variety of myofunctional issues. It can sometimes be overwhelming when you start learning about myofunctional therapy.

Below you will find some answers and information that patients inquire about when they start to research symptoms or contact me.

How can my appearance change with myofunctional therapy?2019-11-21T02:25:09+00:00

A fair amount of the interest I get around myofunctional therapy is based around cosmetic reasons. This is especially true among younger people but it’s something that I see no matter what age group.

Many of us have things we’d like to change about our appearance. Oral myofunctional disorders can lead to negative changes in the way we look. One example is that people who mouth breathe can develop longer, narrower faces with flatter facial features. They may have a small lower jaw with a less defined chin or turned down corners of the eyes and mouth.

Am I too old for myofunctional therapy?2019-11-21T02:25:40+00:00

Patients from all ages reach out to me asking if they can still get any benefits in terms of health or appearance from doing a myofunctional therapy program.

There is a well-known perception out there that myofunctional therapy is only suitable for young children. This is probably because most people know that kids’ faces and skeletal structures are still developing and dramatically changing. That translates to it being much easier for their bones to physically remodel when exposed to an external stimulus such as orthodontic treatment or myofunctional therapy.

However, in my practice so many of my adult patients have had life-changing results from myofunctional therapy. In fact, most of my patients tend to be adults who want to make positive changes and have healthier lives.

While it may seem that our bone structure is fixed once we reach adulthood, we actually know bone is constantly remodeling. That’s why a broken bone will heal and why adults can benefit from orthodontic expansion of their palate. With the right stimulus, change is possible, especially over a longer period of time.

It’s important to note that myofunctional therapy and switching from mouth breathing to nasal breathing can have a noticeable effect on our oral and facial muscles. In fact, any changes to the structure of the jaws and face that may happen as a result of therapy are driven by changes to the functionality and coordination of the relevant muscles. And as I always tell my patients, myofunctional therapy is like physical therapy, just for the muscles of the face and mouth. If it’s possible to benefit from physical therapy at any age, it’s also possible to benefit from myofunctional therapy.

Myofunctional therapy can change the way we look but I’m much more focused on the underlying health concerns that go hand in hand with oral myofunctional disorders.

For example, a narrow face indicates a narrow airway, and that’s tied into sleep-related breathing problems. And a mouth breathing habit is a dysfunctional breathing pattern that can also lead to sleep disordered breathing. A low postured tongue or a tongue thrust swallowing pattern are also dysfunctional – that’s just not how the human body is meant to function.

Being in these dysfunctional states can lead to so many different problems with health including sleep apnea and other types of sleep disordered breathing, jaw pain and tension, headaches, gastrointestinal disturbances and more.

Once the underlying issues are addressed and functionality is restored, then we’re on track to make a substantial difference to health and quality of life. When I say it’s never too late for myofunctional therapy, what I really mean is that it’s never too late to get healthier. Of course, addressing and treating oral myofunctional disorders early is the best possible approach. After all, prevention is always better than cure, and putting your body in a highly functional state early on sets the stage for a healthy life. But whatever your age, it’s absolutely worth taking care of your health as much as you can.

What are the symptoms of a tongue-tie?2019-11-13T01:54:35+00:00

People who are tongue-tied often mouth breathe. This leads to a wide range of myofunctional problems and symptoms. Chronic jaw pain, sleep apnea, facial pain, headaches, and clenching and grinding, along with dental and orthodontic issues are common in people with tongue-ties. Research shows that tongue-tied children are at higher risk to develop sleep apnea and airway issues, and their facial and cranial development is also impacted.

What is a functional frenuloplasty?2019-11-21T02:28:35+00:00

Often, healthcare professionals dealing with tongue-ties perform a minor surgical procedure to release the frenum. This is called a frenectomy or a frenulotomy. It was sometimes done with a laser, or with a scalpel or scissors.

More recently, Los Angeles-based Dr. Soroush Zhagi has developed an even more effective technique for the tongue-tie release procedure. His new approach has proven to provide patients with amazing results. Dr. Zaghi’s Breathe Institute website summarizes the functional frenuloplasty best:

“We have a multidisciplinary protocol of functional frenuloplasty that integrates myofunctional therapy (and sometimes craniosacral therapy) both before, during, and after surgery. Our technique is based on precision: releasing the appropriate extent of tissues for maximal relief; not too much, and not too little.

Scalpel and/or scissors causes no thermal tissue damage as compared to laser and allows for the placement of sutures to promote healing by primary intention. We find that leaving the wound open to heal by secondary intention (without sutures) predisposes to excessive scarring.”

I have had many patients over the last few years have excellent results from the functional frenuloplasty. Their results are lasting and have minimal, if any, reattachment. The number of doctors and dentists performing the functional frenuloplasty is growing month by month. This is great for my patients because I’ve got a growing referral network to refer them to for a tongue-tie release.

Whether it is a functional frenuloplasty or a frenectomy, the most important thing to know about tongue-tie releases is that the skill and experience of the person doing the procedure are still by far the most important factors in getting a good result.

What is a frenectomy?2019-11-21T02:29:08+00:00

The tongue-tie release procedure is usually called a frenectomy but there are other names that you may have heard it referred to as well.

A frenotomy/frenulotomy is a minor incision into the connective tissue at the bottom of the tongue to free the tongue from the floor of the mouth. This is usually done for babies. The full frenectomy procedure is also known as a frenulectomy or frenuloplasty or functional frenuloplasty. This involves removing or altering the connective tissue under the tongue.

Frenectomy procedures are low risk, generally using local anesthetic. The procedure is done with a laser, a scalpel, or scissors. With a laser, a diamond shape wound appears under the tongue and doesn’t require sutures. With a scalpel or scissors, sutures will be placed to help the wound heal. Wound healing usually takes one to two weeks, although it may take longer. Pain is usually not a major factor and can be managed with mild painkillers most of the time.

Anterior vs. Posterior Tongue Tie2019-11-13T01:46:55+00:00

Did you know there are two types of tongue-ties? Anterior tongue ties are the more obvious of the two types. It’s easily diagnosed because can see it right away when you life the tongue up. The underside of the tongue is connected too tightly to the floor of the mouth, and that the range of motion is restricted.

Posterior tongue-ties aren’t obvious at first glance. The back part of the tongue is restricted rather than the front portion of the tongue and the restriction is totally different.

Posterior tongue-ties can be difficult to diagnose because the other muscles of the face and mouth compensate for the restriction. One clue I look at is the floor of the mouth lifting up to allow the tongue to move to the palate. Often people with this tie can stick their tongue out a long way or get the front or the whole tongue to rest on the top of the mouth.

However, when these muscles compensate we see pain and tension all throughout the neck, face, jaw, shoulders, and more. This can lead to clenching, grinding, TMJ problems, postural problems, as well as sleep apnea or other sleep disordered breathing conditions. Babies with a posterior tongue-tie may also have difficulty breast-feeding.

Do you clench or grind your teeth?2019-11-13T01:44:49+00:00

Clenching or grinding your teeth is a sign that there is an airway issue. When you stop breathing in your sleep, your brain sends a signal to your mouth to clench or grind so that your mouth will open. Often, it is a sign of a tongue-tie and that your tongue is sitting low in your mouth and falling back into your airway therefore cutting off the oxygen.

What specialists should I see for jaw pain?2019-11-12T23:24:12+00:00

Due to the complexity of Temporomandibular disorders, managing and treating TMJ pain and other TMD symptoms often requires a skilled multi-disciplinary team. A good myofunctional therapist can also help to find the best doctors and specialists to work with for temporomandibular disorders. My job as a myofunctional therapist is also to guide my patients to the specific healthcare professionals they need on their treatment team.

Like most myofunctional therapists, I’ve built up a substantial referral network over the years. This allows me to recommend the right doctor, dentist, orthodontist, or bodyworker for my patients with TMJ-related issues depending on their unique requirements.

 

What are the symptoms of temporomandibular disorders (TMD)?2019-11-21T02:29:33+00:00

The symptoms of temporomandibular disorders can include:

  • Jaw and facial pain, tension, and stiffness
  • Pain and tension that radiates into the neck, shoulders, and upper body
  • Earache
  • Hearing difficulties
  • Tinnitus (ringing in the ears)
  • Headaches
  • Toothaches
  • Clicking or grating sounds when opening the mouth, yawning or chewing
  • Clenching and grinding of teeth
  • Difficulty opening the mouth wide or yawning
  • Difficulty chewing
  • Locking open of the jaw
  • Dizziness
What are temporomandibular disorders (TMD)?2019-11-12T23:17:04+00:00

TMJ pain is one of the most common reasons patients reach out to me for help. It will often start as their immediate concern, but soon learn that their pain is always the result of an underlying temporomandibular disorder.

Temporomandibular disorders or TMD used to refer to any pain, discomfort, dysfunction, or tension related to the jaw. Often, it is also called TMJ syndrome.

It can be a challenge to determine was is the cause of these temporomandibular disorders, because there are many factors that can contribute. These factors include, but aren’t limited to:

  • Genetics
  • Epigenetic changes
  • Trauma
  • Age-related degeneration
  • Autoimmune conditions such as arthritis and rheumatoid arthritis
  • Nutritional and dietary issues
  • Chronic stress
  • Postural and structural issues
  • Tongue-tie
  • Teeth clenching and grinding
  • Improper chewing or swallowing patterns
  • Incorrect tongue resting posture and mouth breathing
  • Malocclusion
  • Persistently sleeping on one side

Anything that affects the functionality or structure of the temporomandibular joint can lead to TMJ dysfunction, pain, tension, and a wide range of other symptoms.

How can myofunctional therapy help jaw pain?2019-11-21T02:29:56+00:00

If TMJ pain is caused by oral myofunctional disorders, then the best way to address the pain is to target those disorders and create a treatment plan based on exercises that will strengthen and retrain the oral and facial muscles. Myofunctional therapy was created to treat oral myofunctional dysfunctions. It can also correct dysfunctional swallowing and chewing patterns, restore nasal breathing, and get the tongue to rest in the correct place (on the top of the mouth, filling the palate from front to back).

Addressing the dysfunctions can go a long way in resolving TMJ pain. Not only can my patients attest that their pain has been significantly reduced, but a recent study from Brazil  shows that Myofunctional Therapy can make a major difference to TMD, helping to restore the temporomandibular joint to correct functionality and reduce pain. The study indicated improvements in pain levels, increased mandibular range of motion, and a reduction in related signs and symptoms.

Why does a tongue thrust matter?2019-11-12T23:10:53+00:00

A tongue thrust is a sign that something bigger is going on. It can be a warning sign for mouth breathing, which can develop into sleep apnea. The airway is the most important thing to address with myofunctional therapy.

It can make braces more challenging, because it moves the teeth out of alignment and will continue to do so throughout treatment. Orthodontic treatment can take far longer than it should. This is because the orthodontist is basically fighting against the muscular forces that are pushing against the teeth. Of course, the orthodontist will eventually win that battle, but as soon as the braces are removed, the teeth will again be under pressure and will begin to shift.

How do I know I have a tongue thrust?2019-11-21T02:30:28+00:00

Here are three of the most common signs of a tongue thrust:

  • Mouth breathing is the most obvious sign – the mouth is open at rest, and the tongue is often forward or sticking out.
  • Speech concerns, especially lisping, can be a sign, as are general problems with articulation, rate of speech, and vocal quality.
  • Sucking habits, especially thumb sucking, can cause a tongue thrust to occur. When the thumb is constantly in the mouth, the swallowing pattern of the tongue develops incorrectly. It is important to realize that even when the sucking habit has stopped, the condition usually still remains.
How can myofunctional therapy help with speech?2019-11-21T02:30:54+00:00

Myofunctional therapy and speech therapy are not the same. Neither hygienists nor speech pathologists are trained in myofunctional therapy as a part of their formal education.

What’s great about myofunctional therapy exercises is that they can be used as a foundational treatment when addressing speech problems. If the muscles and the tongues are not functioning properly, children can experience challenges producing certain sounds. From a myofunctional perspective, it’s important to rule out any muscular involvement prior to beginning a speech therapy program. Myofunctional therapy programs can teach both adults and children precise movements and placement of the tongue, along with the muscle control that can address functional problems related to speech.

What sounds are affected by a tongue-thrust?2019-11-12T23:00:40+00:00

In my experience, I often hear patients struggle to make the correct “S” sound. This is because lisping is a symptom that goes hand in hand with having a tongue thrust and mouth breathing.

Other specific sounds that are connected with having a tongue thrust and mouth breathing are “T”, “D”, “N” and “L”. These sounds require precise movement and placement of the tongue, which makes them challenging for those without fine control of their oral muscles.

What sounds are affected by tongue-ties?2019-11-12T22:57:04+00:00

In my experience, I often hear patients struggle to make the correct R and L sounds. These sounds are linked to tongue-ties, because of the specific movements of the tongue needed to make the sound. When you are tongue-tied, your tongue isn’t able to elevate to the roof of the mouth to create those sounds easily.

What is a tongue tamer?2019-11-12T22:54:24+00:00

Orthodontists agree that the tongue can cause a lot of issues with straightening teeth. Sometimes, they will recommend a type of appliance to “tame” the tongue using spikes or a tongue rake. However, the swallowing pattern and the tongue thrust might not be permanently changed.

With myofunctional therapy, I teach exercises that retrain the facial muscles and the tongue to help patients gain control of the tongue. Ultimately, this can completely eliminate tongue thrusting habits.

Not only does a tongue-thrust affect braces, but it also has a lasting negative impact on a person’s general health, speech, dental health, swallowing, and breathing throughout life.

How does a tongue thrust affect braces?2019-11-12T22:50:56+00:00

A tongue thrust and mouth breathing will:

  • Make treatment generally much more difficult for the orthodontist, because spaces are harder to close and teeth are more difficult to align.
  • Slow down your orthodontic treatment, meaning that braces need to be worn for a longer period of time.
  • Make your teeth move again after the braces are removed, which can lead to needing braces multiple times.
How does the tongue affect braces?2019-11-12T22:47:17+00:00

The tongue should rest in the roof of your mouth and help guide the growth of the upper jaw and the palate. It is also the internal support system. When someone has a tongue thrust or a mouth breathing problem, the tongue rests in the bottom of the mouth, which means that the support system simply isn’t in place.

If the tongue is constantly resting against the front teeth it will push forward every time we swallow. Between the resting position and the swallowing motion the teeth will move.

As the adult teeth grow in, the tongue can cause the adult teeth to grow in crooked. This can be very noticeable with a tongue thrust as the adult teeth tend to grow in more widely spaced, angled towards the lips and in what dentist call an open bite (where the top and bottom teeth don’t overlap).

What type of orthodontics do I recommend?2019-11-12T22:48:16+00:00

There are two main types of orthodontics: retractive (conventional) orthodontics and expansion orthodontics (or airway orthodontics, or orthotropics). Retractive or conventional orthodontics use techniques that restrict the natural growth of the maxilla and/or reduce overall space in the mouth and narrow the palate by extraction of teeth. However, expansion orthodontics focus on prioritizing the airway over merely straightening teeth. With a healthy airway, the teeth will become better aligned regardless, and there can be huge improvements in overall health as well once any airway-related issues are addressed.

When I recommend my patients to see an orthodontist, I encourage them to look for an orthodontist who is focused on airways and not just straight teeth. Often times these orthodontists may recommend a variety of appliances, which can be overwhelming to know which one to pick. Ultimately, if you find someone who addresses your concerns and is focused on your airway you’re off to a good start! Working with a myofunctional therapist can help you navigate the rest!

 

How can myofunctional therapy help your face grow properly?2019-11-21T02:31:20+00:00

This is where the 4 Goals of Myofunctional Therapy can make a huge difference in facial growth. By having the lips together, breathing through the nose, correct tongue position, and correct chewing and swallowing the face will be grow and be guided to a healthy and well-developed. Your tongue resting in the roof of the mouth will guide the growth and expansion of your palate, jaw, and airway. Your lips resting together will help the teeth maintain optimal position and be retained. Nasal breathing will allow for the right levels of oxygen to be exchanged in your body. Correct swallowing will keep the negative pressure off of the teeth and will not push them out of alignment.

It’s important to learn these habits early! Growth will always be an advantage for children in myofunctional therapy. However, adults can achieve growth and change as well, but it just takes a longer period of time.

How does adenoid face develop?2019-11-21T02:31:47+00:00

Muscle memory and habit are the culprits for Adenoid face. When the mouth is forced to be open consistently, the facial muscles will develop around that posture. Once they are developed, they will adapt and function improperly to compensate for the open mouth posture.

Children will grow and develop around the fact that they cannot breathe through their noses properly. It will change the way some of the most basic functions work, such as chewing and swallowing food, drinking liquids, forming words, and swallowing their own saliva.

The mouth breathing may just start as a habit, but if it’s not addressed these facial changes will remain into adult years. Growth is a powerful tool for change, whether good or bad. A child with an open mouth will grow into an adult with the same features and difficulties that come from having an open mouth.

What is an adenoid face?2019-11-21T02:32:08+00:00

Adenoid face is a term that is used to describe the facial characteristics of someone with severely enlarged adenoids. The adenoids are located in the upper part of the throat and have similar function to the tonsils. When they become swollen or enlarge it prevents you from breathing through your nose and forces you to breathe through your mouth. Once the mouth breathing posture sets in you will see changes in the facial appearance.

  • Features of adenoid face:
  • Long, narrow shape
  • Flattened features
  • Narrow and vaulted palate
  • Elevated nostrils
  • Short upper lip
  • Gummy smile
  • Sleepy or droopy eyes
  • Small lower jaw
What is a tongue-tie?2019-11-21T02:37:57+00:00

In the mouth, there are seven small bands of muscles called frenums. Their role is to help the lips and tongue function together with the bones during facial development. The band of muscle that attaches to the tongue is known as the lingual frenum. It connects the tongue to the floor of the mouth. Sometimes the band is too short which causes a restriction in the tongue’s ability to move which is more commonly known as a tongue-tie. It is also referred to as a “restricted lingual frenum” or “tethered oral tissue.”

The physical limitation of muscle movement can impact oral development and dental health including swallowing, speech, correct tongue movement, bone loss, TMD, orthodontic relapse, clenching and grinding which can contribute to sleep apnea symptoms. It unfortunately cannot be corrected by habit or oral exercises alone. A tongue-tie can be corrected or released, also known as a frenectomy, by a dentist, oral surgeon, or ENT. A myofunctional therapist aids in providing exercises for the tongue before and after the frenectomy. The tissue can reattach if the muscles aren’t strengthened and retrained properly. These exercises also teach the patient to breathe properly through their nose, especially at night.

How can myofunctional therapy help you sleep better?2019-11-21T02:38:24+00:00

It’s not often that you hear myofunctional therapy as an option to help treat sleep apnea. That has been changing as multiple studies have shown myofunctional therapy as a great way to address and help to treat sleep apnea. Myofunctional therapy helps strengthen the oral muscles that have been improperly functioning or weakened from improper use. Sleep-related health issues in patients often are a result of the dysfunctional muscles. Myofunctional therapy is a exercised-based treatment that re-strengthens and re-patterns these muscles. That’s why so many patients see improvement versus other sleep-enhancement options.

Do you grind your teeth?2019-11-21T02:38:57+00:00

Do you grind your teeth? You could be tongue-tied or have a sleep breathing disorder. These are all things that I evaluate during a consultation and assessment! Want to know more? Contact me to find out how myofunctional therapy could help!

Do I work with dentists & orthodontists?2019-11-21T02:39:32+00:00

Absolutely! I work closely with dentists, pediatricians, orthodontists and other practitioners so we can address your concerns from each of our different perspectives. It’s important to me that we work as a team, so I coordinate my treatment with any other healthcare providers you’re seeing.

How does your therapy work?2019-11-09T22:17:05+00:00

Myofunctional therapy is an exercise-based treatment, so I teach my patients exercises that help improve tongue placement, breathing, speaking, chewing and swallowing.

My goal is to teach awareness of the oral and facial muscles. When the tongue rests in the right place and the mouth stays closed, problematic symptoms disappear. Braces, speech, jaw pain and sleep apnea become much easier to manage and treat

What are the effects of mouth breathing?2019-11-21T02:40:00+00:00

Mouth breathing can cause a range of symptoms that can affect all parts of our body from our teeth to our digestive system. Some of these symptoms include:

  • Underdeveloped jaws
  • Changes to facial appearance
  • Bad breath
  • Stomach pain and problems
  • Problems with braces and dental treatment
  • Delayed speech and language development in children
  • ADD and ADHD-like symptoms in children
What causes mouth breathing?2019-11-21T02:40:24+00:00

Specific causes of mouth breathing can include:

  • Food sensitivities and allergies
  • Enlarged tonsils or adenoids
  • Chronic nasal congestion
  • Respiratory infection
  • Asthma
  • Deviated septum
  • Nasal polyps

Each of these issues can make it difficult or impossible for a person to breathe through their nose, and when this happens, their only option is to breathe through their mouth. If this isn’t corrected, it can become a habit that’s set for life.

What is mouth breathing?2019-11-21T02:40:49+00:00

Mouth breathing is when we breathe through our mouth instead of our nose. It can be caused by a number of conditions including allergies, food sensitivities and respiratory problems. Anything that makes it difficult or impossible to breathe through the nose will cause mouth breathing, and this can become a habit if it’s not addressed.

What is a tongue thrust?2019-11-21T02:37:17+00:00

A tongue thrust is the swallowing motion that a dentist or speech pathologist will recognize if they see your tongue coming forward. Dentists are concerned with the effects a tongue thrust has on the teeth, while speech pathologists are focused on how the tongue movement creates speech problems such as a lisp. As a myofunctional therapist, my concern is focused on the underlying airway issues that usually accompanies a tongue thrust and mouth breathing. A tongue thrust is a big warning sign to me that there’s something bigger going on.

Why haven’t I heard of myofunctional therapy?2019-11-21T02:41:13+00:00

Myofunctional therapy has become more and more recognized over the past four decades, but it’s still not widely known or understood.

This is because most dentists, pediatricians, orthodontists, and ENTs were simply never trained in myofunctional therapy as part of their medical or dental education, so they don’t fully understand it. This is definitely changing as the whole body approach to healthcare becomes more popular.

What is myofunctional therapy?2019-11-21T02:41:35+00:00

Myofunctional therapy is a type of treatment that looks at the way the tongue and oral muscles move and function. Many people experience low muscle tone and swallowing issues that can lead to health problems.

Myofunctional therapy is based on a series of exercises that help patients learn to change bad habits. This improves tongue placement, breathing, speaking, chewing and swallowing, which can have a huge impact on their overall health and wellbeing.

Why haven’t I heard of myofunctional therapy?2019-11-21T02:41:58+00:00

Myofunctional therapy has become progressively more recognized over the course of the past 40 years.  It is a great option for those who are interested in a whole body approach to healthcare and for those to appreciate how the body is all connected together.

Although it is a simple treatment that has life-changing benefits, it is not well-known or understood in many areas of the United States and around the world.

This is because most dentists, pediatricians, orthodontists, and ENTs do not fully understand the field because most were simply never trained in it as part of their medical or dental education.

Universities across the globe are now conducting research and incorporating myofunctional therapy into their dental and medical curriculums. Many leaders in the field are working hard to educate healthcare providers and the general public alike.  In recent years, studies have been conducted in Brazil, Italy, Australia, and the United States linking the benefits of myofunctional therapy exercises in treating:

  • Sleep apnea
  • Temporomandibular Joint Disorder and general jaw pain
  • Hyperactivity in children
  • Dental health

This treatment is rapidly evolving and growing, and I’m proud to be part of this emerging field. I love being able to help people all over the world.  Contact me to learn more about my Telehealth options to receive therapy from the comfort of your own home.

Megan Van Noy
Megan Van NoyRDH, Myofunctional Therapist
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Megan Van Noy
Megan Van NoyRDH, Myofunctional Therapist
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Patient Testimonial

“Since being diagnosed with TMJD, I have struggled with pain for nearly 13 years. The last 3 years I have devoted to finding relief so that I can be the wife and mother that my husband and children deserve. After careful consideration and with the recommendation of my TMJ specialist, I found Megan Van Noy. After seeing countless dentists, chiropractors, physical therapists, and doctors, I finally can say I have more pain free days than days filled with pain. I can expect several years of treatment with my TMJ specialist to get the expansion of my palates with the A.L.F. appliances, and hopefully the correct bite to give me further relief, but Myofunctional Therapy has been a true blessing to me. I highly recommend Megan as she was a joy to work with. Myofunctional Therapy truly works, even if the exercises may seem silly or non-effective, stick with it, because they work! I can now say with confidence that I have a better range of motion with my tongue, I no longer have a tongue thrust, I rest my tongue on the upper palate comfortably and I am breathing through my nose primarily and also swallowing properly with the tongue on the spot! Megan is very knowledgeable and dedicated to her patients and I know, without a doubt, that she cares so much about the success of her patients with their Myofunctional Therapy.” – Tonya W. 

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