Open AirWaves Episode 10: Structure Meets Function: Synergizing MAD Therapy and OMT-Open AirWaves Episode 10 (Video)

Video Transcription

Video Summary

In this podcast episode, Dr. Tanya DeSanto speaks with Dr. Susana Filardo about how myofunctional therapy can be combined with oral appliances to improve airway management in dental sleep medicine. Dr. Filardo explains that the combination works as a “dual approach”: oral appliances mechanically advance the mandible, while myofunctional exercises strengthen muscles and improve functional tone, helping reduce apnea, snoring, and residual airway collapse.<br /><br />She discusses adherence as the biggest limitation for both therapies and emphasizes patient education, gradual progression, and regular follow-up. For adults using mandibular advancement devices, myofunctional therapy may also help reduce side effects such as TMJ discomfort and morning jaw stiffness through simple exercises and stretching routines.<br /><br />The conversation also covers pediatric applications, where tongue posture is critical for craniofacial development, nasal breathing, and speech. Dr. Filardo highlights the importance of multidisciplinary care, especially involving ENTs and speech therapists, and notes that appliances like twin blocks can support mandibular advancement and arch development in select children.<br /><br />Her key takeaway: successful treatment depends on personalized plans, consistent practice, and close collaboration between clinicians and patients.

Keywords

myofunctional therapy

oral appliances

dental sleep medicine

mandibular advancement

airway management

obstructive sleep apnea

pediatric tongue posture

multidisciplinary care