• Orofacial Myofunctional Therapy for Children

Supporting Healthy Breathing, Swallowing, and Facial Development During Growth

Parents often arrive at our clinic after speaking with several different professionals such as dentists, GPs, ENT specialists, orthodontists, or physiotherapists, yet still feel uncertain about why their child is experiencing certain symptoms.

Orofacial Myofunctional Therapy takes a broader view of oral and airway function during childhood development. Rather than focusing only on the teeth or jaw position, this approach looks at how the muscles of the lips, tongue, cheeks, and airway are working together.

These muscle patterns influence how a child breathes, swallows, and sleeps, and how the face and jaws develop over time. In simple terms, it is a structured therapy programme designed to train the muscles of the mouth and face so they function in a healthier way during growth.

Because children are still developing, improving these patterns early can support:

  • More balanced facial development

  • Better airway function

  • Improved long-term oral health

Anna van Piggelen Osteopath Myofunctional Therapist in Surrey v2

Anna van Piggelen

Osteopath & Myofunctional Therapist in Surrey
With a deep commitment to patient care, Anna van Piggelen brings expertise in both osteopathy and myofunctional therapy, helping individuals improve their health and well-being.
Graduating in Osteopathy from the University College of Osteopathy in 2010, Anna later pursued specialised training in myofunctional therapy with the Academy of Orofacial Myofunctional Therapy and advanced studies with the Airway Circle.
Anna’s approach is deeply personal—having undergone palate expansion and myofunctional therapy herself to address childhood thumb-sucking-related jaw and ENT issues, she understands the challenges firsthand. This fuels her dedication to supporting both children and adults facing airway concerns.
She collaborates closely with ENT consultants, dentists, and orthodontists, ensuring each patient receives the right care at the right time. Myofunctional therapy may not always be the immediate solution, but it can play a crucial role later in treatment.
Beyond myofunctional therapy, Anna integrates osteopathy to provide structural, hands-on support, assisting with posture correction and tightness. She uses cranial osteopath in coordination with other specialists to aid orthodontic care and frenulum releases, ensuring comprehensive and collaborative treatment tailored to individual needs.

What to Expect From Treatment

Treatment is designed to be gradual, structured and age-appropriate, so children can build new habits in a way that feels natural rather than overwhelming.

We begin with a detailed assessment to understand how your child is breathing, swallowing and using the muscles of the mouth and face. This helps identify the specific patterns influencing their development.

From there, your child will be guided through simple, targeted exercises to improve strength, coordination and control. These are introduced progressively and adapted as they improve.

Parents play an important role throughout the process. You will be shown how to support the exercises at home, helping to build consistency between sessions.

Most children attend a series of sessions over a few months. Progress depends on regular practice, but small, consistent changes can have a significant impact on breathing, sleep and long-term development.

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What Myofunctional Therapy Helps Children Develop

Orofacial Myofunctional Therapy focuses on strengthening and coordinating the muscles responsible for key oral functions.

These include:

A realistic, close-up profile view of a human nose and mouth within a circular blue frame. Luminous blue arrows flow smoothly into and out of the nostril, illustrating clear nasal airflow.

Encouraging consistent nasal breathing

A realistic close-up of a human mouth in a circular frame, focusing on a firm and healthy lip seal. Glowing blue arrows point inward toward the center of the lips and wrap around the mouth’s perimeter, symbolizing the muscular strength and tension required to maintain a closed-mouth posture.

Developing lip strength and a comfortable lip seal

A medical-style realistic illustration showing three views of the mouth and throat. The primary view shows a tongue pressed firmly against the roof of the mouth (hard palate).

Improving tongue strength and correct tongue resting posture

Establishing efficient and coordinated swallowing patterns

These functions may seem simple, but they play a significant role in how a child’s jaws, teeth and airway develop.

The therapy programme uses targeted exercises and guidance to gradually build healthier neuromuscular habits. For meaningful progress, the exercises need to be practised regularly at home.

Most children attend a minimum of six sessions, typically spread across around three months. Some children require fewer sessions if only minor adjustments are needed, while others may benefit from longer support depending on the strength of existing habits or muscle patterns.

Why Airway Function Matters in Children

Breathing patterns during childhood have a direct influence on facial development, sleep quality and overall wellbeing.

Although mouth breathing is relatively common in children, it is not considered the body’s optimal breathing pattern.

Nasal breathing plays an important role in healthy growth because it helps maintain proper tongue posture, supports airway development and promotes balanced facial structure.

How Mouth Breathing Can Affect Development

When a child regularly breathes through the mouth, it can influence several aspects of development.

Potential effects may include:

  • Increased airway dryness and irritation, which can contribute to congestion, inflammation and snoring
  • Reduced tongue contact with the palate, which may influence palate shape and jaw development
  • Changes in facial growth patterns, sometimes associated with a longer face or narrower palate
  • Greater strain on the jaw joints and surrounding muscles
  • Disturbed sleep due to snoring or sleep-disordered breathing
  • Higher risk of dental issues such as cavities, gum irritation and bad breath
  • Altered swallowing patterns, including tongue thrust
  • Difficulties with attention or behaviour in some children due to disrupted sleep

By comparison, nasal breathing filters and conditions the air before it reaches the lungs. It also encourages the tongue to rest against the roof of the mouth, which supports more stable jaw development and a healthier airway.

For this reason, restoring nasal breathing, lip seal and correct tongue posture forms a central part of paediatric myofunctional therapy.

Myofunctional Therapy for Children

What Orofacial Myofunctional Dysfunction Can Look Like

People with OMDs may show features such as:

  • A weak‑looking chin or recessed jaw
  • Enlarged cheeks from overactive facial muscles
  • A long face or narrow palate
  • Crowded teeth or open bite
  • Dark circles under the eyes from poor sleep
  • Thin lips or difficulty keeping lips closed
  • History of orthodontic relapse

These signs reflect muscle patterns, not cosmetic issues — and they can often be improved with targeted therapy.

Children’s habits and early growth patterns strongly influence their airway, facial structure and dental development. Many parents recognise the following childhood patterns:

  • Thumb or finger sucking
  • Prolonged dummy use
  • Tongue‑tie or feeding difficulties
  • Enlarged tonsils or adenoids
  • Snoring or open‑mouth posture
  • Chronic nasal congestion
  • Nail biting or lip chewing
  • Speech difficulties
  • Crowded teeth or narrow palate

OMT helps children develop healthy breathing, swallowing and oral rest posture —supporting better sleep, improved focus, balanced facial growth and more stable orthodontic outcomes.

Myofunctional Therapy Frenectomy Care​

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orofacial therapy for children

Tongue‑tie (ankyloglossia) can restrict tongue mobility and contribute to:

  • Feeding challenges
  • Speech difficulties
  • Mouth breathing
  • Snoring
  • Tongue thrusts
  • Dental crowding
  • TMJ strain

Myofunctional therapy is essential both before and after a frenectomy.

Before a frenectomy

We prepare the tongue and surrounding muscles to support:

  • Optimal healing
  • Improved mobility
  • Reduced risk of reattachment
  • Better functional outcomes

After a frenectomy

We guide you (or your child) through:

  • Gentle wound‑healing support
  • Progressive mobility exercises
  • Integration of new tongue posture
  • Re‑patterning of swallowing and breathing

This combined approach leads to more predictable, long‑lasting results.

Frequently Asked Questions About TMJ / Jaw Pain Treatment

Can osteopathy help with TMJ and jaw pain?

Yes, osteopathy can be an effective treatment option for TMJ and jaw pain. Osteopathic treatment focuses on restoring proper alignment, function, and mobility of the temporomandibular joint and surrounding structures. Through manual therapy techniques, joint mobilisation, and soft tissue manipulation, osteopaths can help relieve pain, reduce inflammation, improve jaw function, and promote healing.

The number of osteopathic sessions required for TMJ and jaw pain treatment can vary depending on the severity of the condition and the individual’s response to treatment. Some individuals may experience relief after a few sessions, while others may require ongoing treatment over a longer period. The osteopath will assess your specific condition and develop a treatment plan tailored to your needs.

Osteopathic treatment for TMJ and jaw pain is generally safe and well-tolerated. However, as with any manual therapy, some individuals may experience mild soreness or discomfort following treatment. These effects are typically temporary and resolve within a short period. It’s important to communicate any concerns or unusual symptoms with your osteopath during the treatment process.

Yes, lifestyle modifications can play a supportive role in managing TMJ and jaw pain. Some helpful modifications may include practicing stress management techniques, avoiding excessive jaw movements (such as chewing gum), practicing good posture, avoiding hard or chewy foods, and applying heat or cold packs to the affected area. Your osteopath can provide specific recommendations based on your condition and lifestyle.

The effectiveness of osteopathic treatment for TMJ and jaw pain varies from person to person. While some individuals may experience significant relief and improvement, others may find that symptoms are better managed but not completely eliminated. Osteopathic treatment aims to reduce pain, improve function, and enhance overall well-being. It’s important to have realistic expectations and work closely with your osteopath to achieve the best possible outcome.

Yes, children can receive osteopathic treatment for TMJ and jaw pain. Osteopathic techniques can be adapted to suit the age and condition of the child, providing gentle and effective relief. It’s important to consult with an experienced pediatric osteopath who specialises in treating children to ensure safe and appropriate care.

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We Work With Children and Adults

Whether you’re seeking help for your child or looking to finally understand your own symptoms, OMT offers a structured, evidence‑based pathway to better function, better breathing and better long‑term health.