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Research ArticleResearch

Exploring the Experiences of Dental Hygienists as Myofunctional Therapists

Bridget C. Fitzhugh, Tanya Villalpando Mitchell, Kimberly S. Krust Bray and Julie D. Sutton
American Dental Hygienists' Association December 2025, 99 (6) 18-28;
Bridget C. Fitzhugh
Department of Dental Hygiene University of Arkansas for Medical Sciences Little Rock, AR, USA
MSDH, RDH, FADHA
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Tanya Villalpando Mitchell
Division of Dental Hygiene University of Missouri-Kansas City Kansas City, MO, USA
MS, RDH
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Kimberly S. Krust Bray
Division of Dental Hygiene University of Missouri-Kansas City Kansas City, MO, USA
PhD, RDH
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Julie D. Sutton
Division of Dental Hygiene University of Missouri-Kansas City Kansas City, MO, USA
MS, RDH
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  • For correspondence: suttonjd{at}umkc.edu
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Abstract

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Purpose Orofacial myofunctional disorders are disruptive patterns that can impact orofacial growth and development. The purpose of this study was to explore orofacial myology education, certification, and practice by dental hygienists (DH) as well as the advantages and barriers to the practice of orofacial myology for DHs.

Methods A phenomenological heuristic qualitative approach was used for this study. Purposive sampling was used to solicit participants with experience in orofacial myology through the online membership lists of the International Association of Orofacial Myology (IAOM), Academy of Orofacial Myofunctional Therapy (AOMT), Breathe Institute and Neo-Health Services. Semi-structured, virtual interviews, personal experiences of the primary investigator, and historical documents were used for triangulation of the collected data to identify emerging themes.

Results Data analysis resulted in five core themes and nine sub-themes. The core themes included: uniform credentialing, autonomous workforce models, identity distinctiveness, business management, and access to myofunctional care.

Conclusion Cost and complexity were the largest barriers to the practice of myofunctional therapy, while autonomy and a wide array of work assignments were identified as advantages. While myofunctional therapy education and certification can be complex and costly, this specialty deserves further attention as part of the delivery of preventive and therapeutic oral and systemic health care.

Keywords
  • myofunctional therapy
  • orofacial myofunctional therapy
  • oral myology
  • dental hygienists
  • Received March 3, 2025.
  • Accepted September 11, 2025.
  • Copyright © 2025 The American Dental Hygienists’ Association
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American Dental Hygienists' Association
Vol. 99, Issue 6
December 2025
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Exploring the Experiences of Dental Hygienists as Myofunctional Therapists
Bridget C. Fitzhugh, Tanya Villalpando Mitchell, Kimberly S. Krust Bray, Julie D. Sutton
American Dental Hygienists' Association Dec 2025, 99 (6) 18-28;

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Exploring the Experiences of Dental Hygienists as Myofunctional Therapists
Bridget C. Fitzhugh, Tanya Villalpando Mitchell, Kimberly S. Krust Bray, Julie D. Sutton
American Dental Hygienists' Association Dec 2025, 99 (6) 18-28;
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Keywords

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  • oral myology
  • dental hygienists

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