Breathing Retraining - Man breathing trough his nose, mouth breathing correction

How Breathing Retraining Enhances Orofacial Myofunctional Therapy Results

February 20, 20267 min read

Mouth breathing is often dismissed as a harmless habit, something people grow out of or adapt to over time. Yet growing evidence shows that chronic mouth breathing is not a minor issue at all. It is closely linked to disrupted sleep, altered facial development, reduced oral muscle function, and long-term breathing disorders. For many individuals seeking help, Orofacial Myofunctional Therapy offers a structured path toward correcting dysfunctional oral and facial muscle patterns. However, outcomes are significantly improved when Myofunctional Therapy is paired with targeted Breathing Retraining.

This article explores how orofacial myofunctional therapy addresses mouth breathing and its associated health implications, and why breathing retraining methods, including Buteyko breathing techniques, are often the missing piece that determines long-term success.


Breathing Retraining - child with facial development problems

Why Mouth Breathing Persists Despite Therapy

Many people who pursue Myofunctional Therapy arrive with a similar story. They struggle with mouth breathing during sleep or throughout the day. They may experience poor sleep quality, snoring, dry mouth, jaw tension, headaches, orthodontic relapse, or chronic fatigue. Some children present with narrow palates or altered facial development. Adults often report worsening sleep health and breathing disorders that seem resistant to simple lifestyle changes.

The challenge is that mouth breathing is rarely just a habit. It is often the visible outcome of deeper dysfunctions involving facial muscle function, oral muscle function, airway resistance, and breathing control. While Orofacial Myofunctional Therapy is highly effective at retraining the tongue, lips, cheeks, and jaw, it does not automatically correct dysfunctional breathing patterns on its own.

If a person continues to over breathe, breathe through the mouth, or struggle with nasal airflow, the body repeatedly overrides the newly trained oral posture. This can stall progress, create frustration, and lead individuals to believe therapy is not working.


The Cost of Leaving Mouth Breathing Uncorrected

When mouth breathing persists, the consequences extend far beyond dry lips or noisy sleep. Over time, improper breathing patterns place stress on the entire system.

Sleep health and breathing disorders are among the most common outcomes. Mouth breathing reduces airway stability, increases the likelihood of snoring, and can worsen obstructive sleep apnea. Poor sleep quality impacts attention, mood, metabolic health, and immune function.

Facial development can also be affected, particularly in children. Chronic mouth breathing alters tongue posture, which plays a crucial role in shaping the palate and supporting balanced facial growth. Without correction, this may contribute to narrow dental arches, crowding, and long-term orthodontic instability.

In adults, ongoing dysfunction in facial muscle function and oral muscle function can lead to tension, temporomandibular joint discomfort, headaches, and difficulty maintaining nasal breathing even after therapy. Breathing inefficiency also reinforces anxiety-like symptoms due to altered carbon dioxide tolerance and nervous system imbalance.

Without addressing breathing mechanics, Myofunctional Therapy alone may offer improvement, but often not resolution. The risk is partial progress rather than lasting change.


Why Breathing Retraining Changes Everything

To understand why Breathing Retraining enhances Orofacial Myofunctional Therapy results, it helps to look at how breathing and muscle function are interconnected.

Breathing patterns directly influence tongue position, lip seal, jaw posture, and muscle tone. Nasal breathing promotes proper tongue resting posture against the palate, balanced facial muscle activation, and optimal oral muscle function. Mouth breathing does the opposite, encouraging low tongue posture, open lips, and compensatory muscle patterns.

Breathing Retraining focuses on restoring functional nasal breathing, reducing over breathing, and improving tolerance to carbon dioxide. Methods such as Buteyko breathing techniques emphasize gentle nasal breathing, controlled breath volume, and improved respiratory efficiency.

When Breathing Retraining is integrated into Myofunctional Therapy, several key shifts occur.

First, breathing and facial muscle exercises begin to reinforce each other rather than compete. The tongue learns not only where to rest, but why it can stay there comfortably.

Second, mouth breathing correction becomes sustainable. The nervous system adapts to nasal breathing as the default, even during sleep.

Third, sleep health improves because airway stability increases and breathing becomes calmer and more rhythmic.

Fourth, facial development and muscular balance are better supported over time, particularly in growing children and adolescents.


Breathing Retraining - therapist guiding a patient through gentle breathing exercises

The Role of Buteyko Breathing Techniques in Myofunctional Therapy

Buteyko breathing techniques are often misunderstood as simple breath holding exercises. In reality, they are a structured approach to breathing retraining that focuses on reducing chronic over breathing and restoring nasal breathing efficiency.

For individuals undergoing Myofunctional Therapy, Buteyko techniques can address common barriers such as nasal congestion, breathlessness, and difficulty maintaining nasal breathing at rest. By improving breathing control, these techniques help stabilize the gains achieved through orofacial muscle training.

This combination is particularly effective for individuals with sleep health and breathing disorders, including snoring and mild to moderate sleep apnea. Breathing retraining does not replace medical care when needed, but it often enhances therapy outcomes by addressing root breathing dysfunction.


Breathing and Facial Muscle Exercises as a Unified System

One of the most powerful shifts in modern therapy is viewing breathing and facial muscle exercises as part of a single system rather than separate interventions.

Breathing influences muscle tone. Muscle tone influences airway shape. Airway shape influences breathing. This loop explains why isolated interventions often fall short.

Integrated therapy programs that combine Orofacial Myofunctional Therapy with Breathing Retraining help clients experience change at multiple levels. Clients often report improved awareness, easier nasal breathing, better sleep quality, and more stable results over time.


Where an Integrated Approach Fits

For individuals seeking comprehensive care, working with professionals who understand both Myofunctional Therapy and Breathing Retraining can make a meaningful difference. Programs that integrate oral muscle function training with breathing education are designed to address not just symptoms, but underlying patterns.

This integrative approach aligns with growing recognition that mouth breathing correction, sleep health, facial development, and long-term wellness are interconnected. Rather than focusing on isolated exercises, integrated care emphasizes sustainable change.


Breathing Retraining - man with better sleep health

Why Long-Term Results Depend on Breathing

One of the most common reasons Myofunctional Therapy outcomes plateau is unresolved breathing dysfunction. Without addressing breathing patterns, the body often reverts to old habits under stress, fatigue, or during sleep.

Breathing Retraining supports the durability of therapy results by reinforcing nasal breathing as the body’s default state. Over time, this reduces the effort required to maintain correct oral posture and muscle engagement.


Who Benefits Most From Combined Therapy

Children with mouth breathing habits, orthodontic concerns, or altered facial development often benefit significantly from early intervention that includes breathing education.

Adults with sleep health and breathing disorders, snoring, or persistent fatigue often see better outcomes when breathing retraining is included alongside myofunctional exercises.

Individuals who have tried Myofunctional Therapy previously without lasting success may find that addressing breathing patterns unlocks progress.


Frequently Asked Questions

What is the main goal of Orofacial Myofunctional Therapy?

The primary goal is to improve facial muscle function and oral muscle function, including tongue posture, lip seal, swallowing patterns, and overall orofacial balance.

Why is breathing retraining important in mouth breathing correction?

Breathing retraining addresses dysfunctional breathing patterns that override proper oral posture. Without correcting breathing, mouth breathing often returns.

Do Buteyko breathing techniques replace Myofunctional Therapy?

No. Buteyko breathing techniques complement Myofunctional Therapy by improving breathing efficiency and nasal breathing, enhancing overall results.

Can breathing retraining improve sleep health?

Yes. By stabilizing breathing and promoting nasal airflow, breathing retraining can support better sleep quality and reduce breathing disturbances during sleep.

How long does it take to see results?

Timelines vary, but many individuals notice improvements in awareness and breathing within weeks, with longer-term structural and functional changes developing over months.


Final Thoughts

Mouth breathing is not simply a habit. It is a signal of deeper dysfunction involving breathing patterns, muscle coordination, and airway stability. Orofacial Myofunctional Therapy offers a powerful framework for restoring healthy oral and facial function, but its full potential is realized when paired with effective Breathing Retraining.

By addressing both muscle function and breathing mechanics, individuals can experience more durable results, improved sleep health, and a stronger foundation for long-term wellness. As understanding of this connection continues to grow, integrated approaches are shaping the future of effective therapy.


Discover how to Identify Orofacial Myofunctional Disorders and how Orofacial Myofunctional Therapy can help - read our recent article here...

Shirley Gutkowski is a practicing orofacial myofunctional therapist and Buteyko breathing educator practicing in Sun Prairie, WI. Since she was taught by world-renowned (OMT) expert Joy Moeller and breathing retraining based on Buteyko Breathing Retraining techniques taught by world-renowned Buteyko expert Patrick McKeown. She is nationally known as an author and international speaker. As America's Dental Hygienist her passion for prevention is practically legendary. She is seeing referral patients in her specialty practice on OMT and breathing retraining.

Shirley Gutkowski

Shirley Gutkowski is a practicing orofacial myofunctional therapist and Buteyko breathing educator practicing in Sun Prairie, WI. Since she was taught by world-renowned (OMT) expert Joy Moeller and breathing retraining based on Buteyko Breathing Retraining techniques taught by world-renowned Buteyko expert Patrick McKeown. She is nationally known as an author and international speaker. As America's Dental Hygienist her passion for prevention is practically legendary. She is seeing referral patients in her specialty practice on OMT and breathing retraining.

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