Cranial Orofacial Myology / Myofunctional Therapy

Healthy breathing & oral function — therapy that fits your life

Personalized, exercise‑based therapy for orofacial myofunctional disorders (OMDs) that can affect chewing, swallowing, speech and sleep. In‑person and virtual care available.

HIPAA‑compliant telehealth
24+ years dental hygiene experience
Certified Orofacial Myofunctional Therapist
  • Evidence‑informed exercise therapy
  • Family‑friendly: children, teens & adults
  • In‑person or virtual options

What does Myofunctional Therapy target?

It aims to improve or correct

  • Tongue posture (resting position on the palate)
  • Swallowing mechanics
  • Nasal breathing (instead of mouth breathing)
  • Lip seal (keeping lips closed at rest)
  • Chewing patterns
  • Facial muscle tone and function

Conditions it can help with

  • Mouth breathing
  • Tongue thrust
  • Thumb/finger sucking
  • Speech disorders
  • Orthodontic relapse
  • Sleep apnea/snoring
  • Temporomandibular joint disorders (TMJ/TMD)
  • Forward head posture

Think of it like

Physical therapy for the face and mouth — simple exercises to strengthen the tongue and facial muscles, train nasal breathing, and reinforce healthy resting posture.

Meet Cristie Morabito‑Caseman, RDH

Cristie is a certified/or licensed Cranio Orofacial Myofunctional Therapist and registered dental hygienist with over two decades of experience. She focuses on how airway, craniofacial development, breathing and tongue posture influence health, and has helped families discover the benefits of myofunctional therapy since 2019.

Virtual coaching available

*This site does not provide medical advice and is not a substitute for professional diagnosis or treatment.

What is Orofacial Myofunctional Therapy?

OMT is exercise‑based therapy for the muscles of the tongue, lips, cheeks and face. We retrain oral rest posture and nasal breathing, and build healthy patterns for speaking, chewing and swallowing. OMT can stand alone or complement dental, ENT and sleep care.

What we work on

  • Nasal breathing (day & night)
  • Tongue resting on the palate
  • Comfortable lip seal at rest
  • Efficient chewing & a mature swallow

Why it matters

These foundations support airway health, craniofacial growth, orthodontic stability, speech clarity, sleep quality and overall comfort.

How it’s delivered

Short daily home exercises with weekly/bi‑weekly coaching. Plans are age‑appropriate and coordinated with your providers when helpful.

Common signs & symptoms

Breathing & posture

Mouth breathing, open‑mouth/lip posture, nasal congestion, snoring, dry mouth.

Tongue function

Low tongue posture, tongue thrust, restricted mobility/tongue‑tie.

Chewing & swallowing

Messy/slow chewing, picky textures, choking/gagging tendencies.

Dentofacial

Crowding/malocclusion, open bite, orthodontic relapse, facial muscle fatigue.

Habits

Thumb/finger sucking, nail/cheek biting, prolonged bottle/sippy use.

Sleep & daytime

Restless sleep, daytime sleepiness, teeth grinding, attention/focus issues.

Who we help

Children

Age‑appropriate games and activities that build nasal breathing, correct oral rest posture, and healthy chewing and swallowing.

Teens

Support for orthodontic goals, jaw comfort, sleep quality, and habit change during growth spurts and treatment.

Adults

Targeted exercises and habit training that can complement sleep, ENT and dental care while fitting busy schedules.

Clinical focus

Orofacial myofunctional disorders (OMDs)

Evaluation and retraining for mouth breathing, open‑mouth posture, tongue thrust, and related muscle dysfunctions.

Tongue‑tie support

Pre‑ and post‑frenectomy therapy to prepare, mobilize and stabilize the tongue for feeding, speech and sleep.

Sleep & snoring support

Training that complements medical care for snoring and sleep‑disordered breathing (alongside CPAP, dental devices, ENT care).

Orthodontic stability

Correct oral rest posture and swallow patterns that support orthodontic outcomes and reduce relapse risk.

Oral habit elimination

Plans to reduce thumb/finger sucking, cheek biting and other oral habits.

Speech collaboration

Coordination with SLPs when articulation benefits from improved oral rest posture, breath and tongue control.

How the program works

  1. Evaluation: history, screening & functional assessment.
  2. Plan & coaching: weekly or bi‑weekly training with home practice.
  3. Team care: coordination with your dentist/orthodontist/ENT/SLP when helpful.

Start here checklist

  • Noticing mouth breathing, snoring, or open‑mouth posture
  • Concerns about chewing, swallowing, or picky textures
  • Orthodontic relapse or tongue thrust
  • Tongue‑tie suspected or recently released

Tongue‑tie support

Before release we prepare mobility and function; after release we stabilize new patterns. We’ll coordinate with your releasing provider and share photos/exercises as needed.

Pre‑release

Gentle mobility work, wound‑care planning, body readiness, and home setup.

Post‑release

Function‑first exercises, tongue placement, and habit training to maintain gains.

Team approach

We collaborate with your dentist, ENT, IBCLC and SLP as appropriate.

Sleep, Snoring & TMJ

Sleep & airway

Myofunctional therapy may support snoring and sleep‑disordered breathing as part of a medical or dental plan. It works best alongside CPAP, oral appliances and/or ENT care. We don’t diagnose medical conditions and we coordinate with your providers.

TMJ/TMD & jaw comfort

We address oral rest posture, tongue position, and habits that can overload the jaw. Therapy can complement dental and physical therapy care focused on TMJ/TMD.

Contact

Call: (941) 447‑3445

Email: [email protected]

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