Specializing in Orofacial Myofunctional Therapy, Before and After Care of Lip & Tongue Ties, Tongue Thrust, Articulation, & Phonological Disorders


At OroFacialTx, we diagnose and provide therapy for swallowing and speech disorders for patients of all ages.


What is a Myofunctional Therapy?

Myofunctional Therapy involves awareness and exercises aimed at the proper muscle balance and function of the lips, cheeks, tongue, and jaw. It is the neuromuscular re-education or re-patterning of the oral and facial muscles used at rest and while swallowing.

Why is Myofunctional Therapy, also called Orofacial Myology, so important?

With therapy, a normal freeway space for appropriate breathing and swallowing patterns can be established. Orofacial Myofunctional Therapy eliminates the causes of many swallowing abnormalities and often accompanies orthodontic treatment.

How does Myofunctional Therapy Work?

- Provides behavior modification techniques that promote positive growth patterns
- Eliminates noxious oral habits such as thumbs, fingers, and objects from the face
- Trains nasal breathing versus mouth breathing (if the airways are not compromised)
- Introduces exercises to properly position the lips, tongue, and jaw at rest
- Improves facial muscle strength and coordination
- Educates how to chew and swallow with greater ease
- Establishes proper head and neck posture patterns
- Reinforces correct muscle memory patterns of the face
- Impacts improved alignment of teeth

At OroFacialTx, the results speak for themselves


Sue Merino M.A., CCC-SLP, COM®
Andrea Butler M.S., CCC-SLP, CLC®

As Master Level Clinicians Certified by the American Speech-Language & Hearing Association and licensed by the state of Texas, Sue Merino and Andrea Butlers’ priority is to provide individual treatment plans to fit their patients’ needs.


How did this Orofacial Myofunctional Disorder begin?

It happened over time as a result of your body adapting to a habit. If you were born with a tongue tie for instance, a restriction was present that pulled your tongue towards the floor of your mouth versus the roof of your mouth. That limitation of movement prevented your tongue from applying pressure against your hard palate and your dental arches began to collapse. If we catch tongue ties sooner rather than later, a child’s growth and development is positively impacted. If the tongue tie goes unnoticed, changes in the way a person chews, speaks, swallows, breathes, and sleeps can occur. Adults often report sleep disorder breathing concerns, neck pain, jaw pain, breathing issues, and notice their teeth shifting.

What should I expect at my first appointment?

We take a thorough health history to understand habits and symptoms followed by a thorough exam of the orofacial structure. Patients leave the evaluation knowing what their care plan will be. This care plan will be reflected in a report sent to the patient and members of the patient’s care team.


  • Andrea C.
    My son has been more motivated to practice his exercises since working with Ms. Sue!
    Andrea C.
  • Nancy W
    I started seeing my daughter's bite change within 6 weeks!
    Nancy W
  • Susan R
    My daughter has made great strides with her loving, patient Speech Therapist, Sue Merino. Sue was encouraging every step of the way.
    Susan R

Get in touch with us!

Orofacial Myofunctional & Speech Therapy

8505 Technology Forest Place
Suite 503
The Woodlands, TX 77381

Phone: 713-903-2271
Fax: 713-903-7753

Email: office@orofacialtx.com