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Orofacial Myofunctional Disorders (OMDs) 

are disorders of the muscles and functions of the face and mouth. OMDs may affect, directly and/or indirectly, breastfeeding, facial skeletal growth and development, chewing, swallowing, speech, occlusion, temporomandibular joint movement, oral hygiene, stability of orthodontic treatment, facial esthetics, and more.

Most OMDs originate with insufficient habitual nasal breathing or with oral breathing. The subsequent adaptation of the muscles and the orofacial functions to a disordered breathing pattern creates many OMDs. These Disorders may impact treatments by orthodontists, dentists, dental hygienists, speech-language pathologists, and other professionals working in the OMD area.


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Straight from my lips.

Our comprehensive blog has everything you need to better understand your current plan for the future.

The Importance of Proper Tongue Posture for Overall Health

Dec 29, 2022

"The Benefits of Orofacial Myology for Children"

Dec 29, 2022


Take a moment and request a consultation.

Kickstart your Myofunctional journey with step-by-step guidance, and hands-on resources.


I'm Sandra Coulson

, also known as "The Thumb Whisperer," I am an accomplished therapist, entrepreneur, and international speaker. Born and raised in Colorado Springs, I graduated with honors from Palmer High School and was later inducted into the school's Hall of Fame. After working as a therapist for Home Health Services and becoming a substitute teacher, I founded my own private practice in Orofacial Myofunctional Therapy. I have been featured on multiple media outlets and continues to give talks and teach all over the world. In addition to consulting with thousands of patients, I am also a former president of the International Association of Orofacial Myology and a member of various professional organizations. I serves on the Advisory Board of Heritage College and I am a regular commencement speaker.


"Khirsi Valdez is an superhero! She has a wealth of knowledge and a dedication to her patients that is unparalleled. She is patient, kind, and always makes her patients feel comfortable. If you want to take your oral health and function to the next level, Khrisi is the person to call."

- Martin Marino

I'm not sure how she does it, but Sandra Coulson has a way of turning even the most complex orofacial myology cases into success stories. She is a true professional and has a passion for helping her patients achieve optimal oral health and function. If you want results, Sandra is the person to see."

- Bill Bayaud

"Sandra Coulson & Associates is the cream of the crop when it comes to orofacial myology. The team is incredibly knowledgeable and provides top-notch care to their patients. If you want to take your oral health and function to the next level, this is the place to be."

- Susan Smith

The Sandra Coulson Institute

Take control of your future with these comprehensive courses.

The Foundation Program

Learn the basics of Orofacial Myofunctional Therapy with this 6-week course.


The Advanced Program

Taking Orofacial Myology to the Next Level


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