Apex Myofunctional Therapy provides treatment through exercises proven to be effective in the following cases:

Noxious Habits

Dental development and overall development of the oral complex are put highly at risk as well as one’s speech, the positioning of your teeth – malocclusion, and the overall health of your facial tissues are put at risk when you have noxious habits such as

  • Thumb sucking
  • Lip-biting, and
  • Deviated/atypical swallowing.

For example, a child can chronically lick their lips which can substantially change the composition of their tongue adversely affecting speech. We work on the habit or the source of the problem and then we may refer to a Speech Language Pathologist.

Pre-op and Post-op Frenotomy
Orofacial Surgery

Frenotomy (a.k.a. frenulotomy or frenulectomy): This is where the bottom of the tongue is cut underneath on the frenulum.

Some babies for example, are born with their tongue pinned down by the frenulum which extends too far forward in the mouth. We provide therapeutic exercises to prepare for the frenotomy as well as to facilitate stretching and healing post frenotomy to assist in reducing the possibility of reattachment of the frenulum scar tissue.

Tongue Tie

Your tongue is a major part of your face and plays a major role in your mouth and your appearance. A normal tongue is free to move around the mouth while a tongue tie may mean the tongue is restricted in its full potential and capacity to move as it is pinned down by a lingual frenulum. When treated with Orafacial Myology, the tongue will adopt a normal position and dental-facial development can continue and the patient may reduce the chances of further medical-dental or orthodontic complications.

Tongue Thrusting

A condition where the tongue pushes anterior (forward between the teeth) during swallowing. There are habitual tongue thrusts, functional tongue thrusts, and anatomic tongue thrusts. The seriousness depends on type, intensity, duration, and frequency of tongue thrusting. Our myologists can identify the correct course of action based on a physical examination of the patient.

Speech Assessment

We may refer patients to a Speech Language Pathologist (SLP). Many of the problems caused by orofacial muscle disorders impede speech. In those cases it may be the SLP that refers you back to a orofacial myologist. That is if they determine a need for physical stretches and exercises to improve speech.

Nail Biting

Usually it starts as a child and continues on through adulthood. The problem can range from mild and occasional to more serious and almost compulsive. It comes down to the level of destruction the patient is inflicting on themselves with nail biting. Are the fingers red and sore with some bleeding or infection? Nail biting can be a self-mutilation like cutting and related behaviours. Biting nails can also damage the mouth and teeth not to mention the bacteria and viruses which can pass from the finger nail beds to the mouth.


Drooling can become an area for concern especially when you don’t know what’s causing it. If you have a concerns about gagging or choking then orofacial myology may be required to train the mouth to keep saliva in and train proper swallowing.

Mouth Breathing

There are many causes of mouth breathing.  The important thing to note is that mouth breathing can create problems like excessively dry mouth with more bacteria and bad breath. Children who breathe through their mouth can slow the development of their lower jaw resulting in possible overbites, upper airway infections and inflammation and excessive gums showing in smile.

Trichotillomania (Hair Pulling)

There have been several cases of “trich” which have been corrected with treatment. Training the muscles of the tongue to rest properly, the compulsive urge dissipates.

Jaw Pain, Facial Tension, and Temporomandibular Disorders (TMD)

TMJ is temporomandibular joint. When a disorder or dysfunction occurs with the TMJ, it is refered to as TMJD/TMD.  The temporomandibular joint is the hinge which connects your jaw to the temporal bones allowing you to move your mouth.  A TMD can come from injury, grinding, or clenching, or muscle tension from overall stress. Our treatment for TMD is to correct the muscles of the jaw to help with muscle coordination and remission of TMD symptoms.  We work in close proximity with dentists and dental specialists in this area to help achieve the best possible results and success in treatment possible for TMJD.

Bruxism (Teeth Grinding and Clenching)

Nearly 80% of grinding occurs in sleep. Muscle-relaxation exercises and retraining the muscles of the mouth are methods to treat this.

Mild Sleep Apnea and Snoring

The seriousness of snoring varies. It is important when dealing with children to check whether snoring is indicative of other more serious health problems.  When snoring is a problem, we can provide treatment to help patient recovery. It is important to note, we do not cure nor fix snoring or sleep apnea but rather facilitate treatment in mild cases by re-positioning the tongue to help establish a more functional and open airway and patent nasal passage airway through myofunctional exercises.  Referral to a sleep clinic and associated physicians is important and working closely with other physiatrists in both the medical and dental field are equally as important when dealing with sleep apnea and snore cases.   Mild Sleep Apnea can be caused by an improper tongue position. We can help reposition the tongue back to its proper resting position and close the mouth encouraging nasal breathing.

Open bites and Cross bites

Anterior open bites happen when the mouth is closed and the molars touch but the front teeth remain open with a space. A posterior open bite is also possible with the anterior (front) teeth closing or producing an end to end bite leaving the back teeth of the mouth unable to close, creating a space in the back of the smile.  This can be detrimental to overall dental growth and development and be a cause of a possible tongue thrust habit that will need treatment to correct the habit.  There are many causes including hereditary, sucking fingers, improper tongue position, and many more. Our treatment focuses on the muscular behaviour which contributed to the problem and corrects it, preventing any further myofunctional complications that could add to the problem or stem from the problems that are present.


Whenever there is a change in your mouth it can take some getting used to. This includes before, during, and after receiving orthodontics. Orofacial myology techniques and principles can be used either alone or in combination with other forms of treatment to correctly adapt your muscles to their proper function and keep your mouth healthy throughout your entire orthodontic procedure, reducing the possibilities for relapse of orthodontic treatment, creating more sustainable success with orthodontic treatment all around.

Body Posture

Slouching and poor posture can create problems. Back pain, breathing difficulty, and stress are all related to poor posture.