Understanding Orthodontic Relapse- The Impact of Oral Musculature on Treatment Outcomes: A Literature Review

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  • Source: MYOAIR
  • 06/24/2025

Understanding Orthodontic Relapse: How Oral Musculature Influences Long-Term Treatment Success

Published by Genesis Publications
đź“– Read the full article here


Introduction

Why do teeth shift back even after braces or aligners? For years, the answer has been “wear your retainer.” But what if that’s not enough?

A compelling literature review published by Genesis Publications reveals that muscle function—especially tongue and lip posture—may be the missing piece in preventing orthodontic relapse. This research validates what we at MyoAir know firsthand: lasting results require addressing both structure and function.


Summary of Key Findings

1. Muscle Patterns Can Undermine Orthodontic Work

The tongue, lips, and cheeks exert gentle but persistent pressure on the teeth 24/7. If these forces remain unbalanced—due to low tongue posture, mouth breathing, or tongue thrust—teeth can gradually drift out of alignment, regardless of retainer use.

2. Retention Isn’t Enough

Long-term or even permanent retainer use may not prevent relapse if dysfunctional muscle habits are present. Without correcting the source of these forces, relapse remains a strong possibility, especially in pediatric cases where oral habits are still forming.

3. Myofunctional Therapy Can Prevent Relapse

The review highlights that orofacial myofunctional therapy (OMT)—which trains the tongue, lips, and jaw to function in harmony—can significantly improve post-orthodontic outcomes. OMT helps:

  • Establish proper nasal breathing

  • Promote correct tongue posture and swallowing patterns

  • Improve lip seal and orofacial tone

When integrated with orthodontics, OMT increases stability and long-term success.


Why This Matters at MyoAir

At MyoAir, we specialize in identifying and correcting the muscular imbalances that contribute to relapse. We collaborate with orthodontists and dental professionals to provide a comprehensive, airway-focused approach to treatment that doesn’t stop at straight teeth—it builds a healthy foundation for life.


Take the Next Step

Are you or your child about to start—or just finishing—orthodontic treatment? Don’t let relapse undo the progress.
📅 Schedule a Myofunctional Evaluation with MyoAir today and let’s build results that last.