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At Key Myofunctional Therapy, I take a hands-on, personalized approach to help you restore healthy oral function and balance. Therapy is grounded in the four pillars of myofunctional care - nasal breathing, lip seal, proper tongue posture, and functional swallowing - which support airway health, balance, and lasting wellness.
My goal is to empower you with the tools to create long-term change.
– Crystal Butler, BSDH, OMT

Myofunctional therapy is a non-invasive, exercise-based, and individualized program designed to retrain the muscles of the face, tongue, lips, and airway. Through targeted neuromuscular re-education, therapy restores optimal oral rest posture and supports healthy, functional movement patterns that influence breathing, swallowing, and speech.
These foundations contribute to improved airway stability, sleep quality, and overall well-being.
At Key Myofunctional Therapy, LLC, we specialize in the evaluation and treatment of Orofacial Myofunctional Disorders (OMDs): patterns that affect breathing, swallowing, and oral posture, and are deeply connected to overall health.
Because orofacial function interacts with airway dynamics, posture, vision, digestion, and hormonal balance, many patients benefit from a multidisciplinary approach. Each treatment plan begins with a comprehensive functional evaluation to identify underlying dysfunctions and their contributing systems.
We collaborate closely with dental, medical, and allied health professionals through shared screenings, coordinated referrals, and integrative treatment planning. This ensures every aspect of health influencing the airway and oral system is addressed.
Our goal is to help you restore functional harmony so you can breathe, sleep, and feel better, naturally.
Uneven facial tone may be related to postural adaptation, muscle tension, or visual imbalance.
LEARN MORE:
Facial Asymmetry and Muscle Compensation
The oral phase of swallowing is the start of digestion, and dysfunction here can affect gut motility and comfort.
LEARN MORE:
Functional Gut–Oral Connection
Cheek biting, nail biting, or clenching often occur due to muscle fatigue or nervous system dysregulation.
Collaborative Focus: Addressing behavioral and somatic patterns through awareness training and collaboration with functional or mental health providers as needed.
Hormonal shifts, especially during perimenopause and menopause, can influence airway tone, connective tissue stability, and sleep quality.
Collaborative Focus: Co-management with functional medicine and women’s health practitioners to address hormonal impacts on airway function, tissue tone, and overall wellbeing.
Patients with joint laxity or Ehlers-Danlos Syndrome often experience instability, fatigue, and proprioceptive challenges that affect orofacial control.
Collaborative Focus: Gentle stabilization programs developed alongside chiropractors trained in connective tissue function and physical therapists who specialize in visceral manipulation.
When the tongue rests low or forward instead of gently suctioned to the palate, it can impact breathing, swallowing, and craniofaci
al development.
Collaborative Focus: Myofunctional retraining combined with orthodontic, airway, or chiropractic support to promote nasal breathing and balanced oral structure.
Palatal or skeletal expansion changes the oral environment, and muscle adaptation is essential for long-term stability.
Collaborative Focus: Pre- and post-expansion myofunctional therapy coordinated with airway-focused orthodontists to support tongue posture and swallowing efficiency.
Difficulty maintaining lip closure at rest can contribute to mouth breathing, fatigue, and sleep disruption.
Collaborative Focus: Nasal breathing restoration with ENTs, allergists, and physical therapists skilled in airway and diaphragmatic mechanics.
Forward head posture and neck tension are common compensations for airway or visual imbalances.
Collaborative Focus: Integrative care with Postural Restoration Institute (PRI) specialists, osteopathic physicians, and physical therapists to improve breathing coordination and upright alignment.
Jaw clicking, discomfort, or tension can result from muscular imbalance, postural strain, or connective tissue laxity.
Collaborative Focus: Co-management with TMJ-trained physical therapists, chiropractors specializing in connective tissue disorders and neurodevelopmental screening, and airway dentists to restore joint and muscle function.
A reverse swallow or excessive muscle activation during swallowing often reflects poor oral coordination.
Collaborative Focus: Functional retraining of swallowing mechanics in coordination with speech therapy, orthodontics, and gastrointestinal specialists to improve efficiency and comfort.
Restricted tongue mobility, known as ankyloglossia, can limit proper oral function, breathing, and swallowing.
Collaborative Focus: Pre- and post-release therapy provided in coordination with release-trained dentists, ENTs, and bodyworkers to ensure optimal healing and long-term function.
Copyright © 2025 KEY MYOFUNCTIONAL THERAPY, LLC - All Rights Reserved.
Key Myofunctional Therapy, LLC provides orofacial myofunctional therapy services within the scope of practice defined for licensed professionals trained in oral and facial muscle re-education. All services offered by Crystal Butler, BSDH, OMT are intended to address orofacial muscle function, oral posture, and breathing patterns through neuromuscular retraining exercises.
Myofunctional therapy is not a substitute for medical, dental, or speech-language pathology care.
Key Myofunctional Therapy, LLC does not diagnose or treat underlying medical conditions such as obstructive sleep apnea.
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