Abstract

Structured This narrative review surveys current research demonstrating how oral dysfunction can escalate into malocclusion, acquired craniofacial disorder and contribute to generational dysfunction, disorder and disease.IntroductionBaseline orthodontic consultations are generally recommended beginning age seven. However, the dysmorphic changes that result in malocclusion are often evident years earlier. Similarly, following orthodontic treatment, patients require permanent retention when the bite is not stable, and without such retention, the malocclusion can return.Setting and PopulationNarrative review article including research on infants, children and adults.Materials and MethodsThis review is a brief survey of the symptomology of orofacial myofunctional disorder and outlines 10 areas of oral function that impact occlusal and facial development: breastfeeding, airway obstruction, soft tissue restriction, mouth breathing, oral resting posture, oral habits, swallowing, chewing, the impact of orofacial myofunctional disorder (OMD) over time and maternal oral dysfunction on the developing foetus.ConclusionMalocclusions and their acquired craniofacial dysmorphology are the result of chronic oral dysfunction and OMD. In order to achieve long‐term stability of the face, it is critical to understand the underlying pathologies contributing to malocclusion, open bite and hard palate collapse.

Highlights

  • Most infants are beautiful because most children are born with normal craniofacial shape, normal jaw relationship and potential for optimal airway

  • While orthodontic referrals may begin at age seven, the facial dysmorphology is often evident years earlier

  • Because one symptom of orofacial myofunctional disorder (OMD) can contribute to the development of another, it is logical to assume that mouth breathing and oral habits can negatively impact masseter development

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Summary

Introduction

Most infants are beautiful because most children are born with normal craniofacial shape, normal jaw relationship and potential for optimal airway. Orofacial myofunctional disorder includes dysfunction of the lips, jaw, tongue and/or oropharynx that interferes with normal growth, development or function of other oral structures, the Orthod Craniofac Res. 2019;22(Suppl.

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