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Melinda Rogers

Connecting Past and Present: My Journey with an Orofacial Myofunctional Disorder and Sleep Disordered Breathing

After over 25 years in my profession, I sought comprehensive training in Orofacial Myology to enhance my patient care. During this training, I had a significant realization: I had an Orofacial Myofunctional Disorder (OMD) and Sleep Disordered Breathing (SDB), which required my attention. Reflecting on my past, I now see that my journey started in early childhood. This new awareness has allowed me to connect the dots throughout different stages of my life, offering clarity and a deeper understanding of the challenges I've encountered. This blog is my effort to share that journey and emphasize the importance of recognizing and addressing Orofacial Myofunctional Disorders and Sleep Disordered Breathing.


Early Signs and Childhood Challenges


Looking back on my childhood, I realize now that many signs pointed to an Orofacial Myofunctional Disorder (OMD) and Sleep-Disordered Breathing (SDB):


Lip Biting: I used to bite my upper lip so much that it would cause a red ring under my lip. Persistent lip-biting or other oral habits can result in improper oral resting postures and muscle dysfunction.


Chewing on Pencils: I remember chewing on pencils so that everyone knew which ones were mine. Oral habits like chewing on objects can be a coping mechanism for abnormal muscle function or tension in the orofacial region.


Speech Struggles: I struggled with producing the "R" sound, which made me very self-conscious and anxious as a child, especially because I was often teased for it. Difficulty producing certain speech sounds (e.g., “R” sounds) can be related to tongue-ties, tongue thrusting, or improper oral muscle coordination.


Jaw Locking: There were nights when I woke up with my jaw locked, causing sheer panic as I couldn’t open my mouth. Jaw locking can be associated with temporomandibular joint (TMJ) dysfunction, common in OMD. In addition, SDB can cause muscle tension and TMJ issues, which can lead to the jaw locking.


Restless Sleep: I was a restless sleeper, often sleeping in odd positions. Improper tongue posture and airway issues can cause frequent movement during sleep. Restless sleep is a common sign of obstructive sleep apnea or other sleep-disordered breathing conditions.


Stomach Aches: Frequent stomach aches were a part of my daily life. Poor oral function can contribute to digestive issues.


Seasonal Allergies: My seasonal allergies often caused mouth breathing, especially since I frequently woke up with swollen eyes and severe nasal congestion. Mouth breathing contributes to improper tongue placement and teeth misalignment.


Symptoms and Diagnoses Related to OMD and SDB

as an adult


I now recognize that many of my adult symptoms are intricately linked to an Orofacial Myofunctional Disorder (OMD) and Sleep-Disordered Breathing (SDB) that probably originated in my childhood. An undiagnosed tongue-tie (ankyloglossia) was likely a major contributor as well. Here are some of my symptoms and diagnoses over the years from my dental and other medical providers:


Ankyloglossia (tongue and lip ties)

• Low Tongue Resting Posture

• Orthodontic Relapse with Upper and Lower Teeth Crowding

• Maxillary Hypoplasia (underdeveloped upper jaw)

• Mandibular Hypoplasia (underdeveloped lower jaw)

• Deviated Septum

• Compromised Nasal Turbinate

• Chronic Nasal Congestion

• Severe Environmental and Seasonal Allergies

• Mild Obstructive Sleep Apnea

Eustachian Tube Dysfunction resulting in frequent ear infections as an adult

• Acid Reflux

• Compromised Temporomandibular Joint (TMJ)

• Postural Asymmetry

• Tinnitus


Reflecting on Early Indicators and Personal Growth


These signs, in retrospect, were early indicators of the issues I faced due to an OMD and SDB. Understanding this connection has provided clarity and helped me address these challenges more effectively. My personal journey and the insights I’ve gained along the way have also helped me better serve my patients, as I can empathize with their struggles and guide them through their own challenges.


Take Action for Better Health and Well-Being


If you or someone you know is experiencing similar symptoms, don't hesitate to seek help. Early diagnosis and intervention can make a significant difference. Reach out to Trailblazer Speech Therapy or an airway-centered health or dental provider today to start your journey towards better health and well-being.

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