Orofacial Myofunctional Therapy
Retraining the Tongue, Lips, and Jaw
Orofacial myofunctional therapy in Friendswood, TX treats habits and muscle patterns in the mouth and face that affect speech, chewing, swallowing, breathing, and dental development. Common reasons families come to us include tongue thrust, open-mouth posture, mouth breathing, thumb sucking, and tongue-tie. Therapy is a series of short, targeted exercises that teach the tongue to rest on the roof of the mouth, the lips to close comfortably, and swallowing to happen without pushing against the teeth.
Tongue-Tie Care Before and After a Release
Dr. Michelle Saltarrelli has advanced training in orofacial myology, and our practice treats tethered oral tissues (TOTs) such as tongue-tie and lip-tie. A release procedure is done by a dentist, ENT, or other provider, but therapy before and after often matters as much as the release itself. Exercises before the procedure prepare the muscles, and therapy afterward helps the tongue learn its new range of motion and lowers the chance of the tissue tightening again.
Myofunctional Therapy FAQs
Common questions about orofacial myofunctional therapy at Autumn Oak in Friendswood, TX, including tongue thrust, tongue-tie, age, and how long therapy takes.
A tongue thrust happens when the tongue pushes forward against or between the teeth during swallowing, speaking, or at rest. We swallow hundreds of times a day, so that steady pressure adds up. Over time it can contribute to an open bite, crooked teeth, and teeth shifting after braces come off.
Tongue thrust is also linked to lisps and other errors on sounds like s, z, t, d, and l. Orofacial myofunctional therapy retrains the resting position of the tongue and the swallow pattern so the teeth, jaw, and speech can develop on track. We often work alongside your child's dentist or orthodontist.
Most children are ready for structured myofunctional exercises around age 5 or 6, when they can follow directions and practice daily. Some families start earlier with simpler habit work, like reducing pacifier or thumb use and encouraging lips-closed nasal breathing.
There is no upper age limit. Teens and adults benefit too, especially those with teeth shifting after orthodontics, jaw tension, chronic mouth breathing, or a tongue-tie that was never addressed. Your speech-language pathologist will complete an oral motor and myofunctional evaluation first and let you know whether therapy makes sense now or whether it is better to wait.
Usually, yes. A release frees the tissue, but it does not teach the tongue how to use its new movement. Without therapy, many children keep the same compensations they developed before the procedure, and the tissue can tighten again as it heals.
We usually recommend a few sessions before the release to strengthen the tongue and learn the exercises, then therapy afterward focused on range of motion, tongue posture, swallowing, and speech. Our team coordinates with the release provider so stretches and exercises fit their aftercare plan. Call (346) 474-4626, extension 2, to talk about timing.
Many programs run about 3 to 6 months, with sessions every week or two and short exercises at home every day. Each exercise takes only a few minutes, but daily practice is what builds the new muscle habits, so patients who practice consistently tend to finish sooner.
Therapy usually moves through stages, starting with breathing and resting posture, then chewing and swallowing, and finally making the new patterns automatic in everyday life. Your speech-language pathologist tracks progress at every visit. Autumn Oak accepts all major health insurance plans, and our patient accounts team can check your benefits before you start.
Patient Reviews
Hear from Friendswood, TX patients who trust Autumn Oak for speech pathology and audiology — rated 4.9/5 across 214+ Google reviews.
Hear More, Speak Clearly — Book Your Friendswood Visit
Trusted by Friendswood families since 2011 — dual-certified speech and hearing care at two convenient locations.
Serving Friendswood & the Greater South Houston Area
Our Locations
Autumn Oak has two dedicated locations on South Friendswood Drive — our Speech Pathology office at 820 and our Audiology office at 699, both in Friendswood, TX.
- (346) 474-4626
- support@speechhearingtherapy.com
- Fax: (832) 569-4696
- Serving Friendswood since 2011
- Parking available at both locations
- Wheelchair accessible
“My son has been coming here for years and we love it. Everyone — from the front office to the therapists — is kind and helpful. His therapist's patience and skill have helped him reach so many goals, and they give parents guidance for home. Highly recommend for any child with a speech delay.”— Monica Gonzalez
Speech Pathology
Speech820 S Friendswood Dr, Suite 100
Friendswood, TX 77546
| Monday | 8:00 AM - 6:00 PM |
| Tuesday | 8:00 AM - 6:00 PM |
| Wednesday | 8:00 AM - 6:00 PM |
| Thursday | 8:00 AM - 6:00 PM |
| Friday | 8:00 AM - 6:00 PM |
| Saturday | Closed |
| Sunday | Closed |
Audiology
Hearing699 S Friendswood Dr, Ste 104
Friendswood, TX 77546
| Monday | 9:00 AM - 4:00 PM |
| Tuesday | 9:00 AM - 4:00 PM |
| Wednesday | 9:00 AM - 4:00 PM |
| Thursday | 9:00 AM - 4:00 PM |
| Friday | 9:00 AM - 4:00 PM |
| Saturday | Closed |
| Sunday | Closed |