Teeth can be moved. Habits can move them back.

Close-up of a person with braces getting a dental check-up from a dentist wearing gloves with a dental mirror in their mouth.

What Is Orthodontic Relapse?

Orthodontic relapse occurs when teeth begin shifting back toward their original position after orthodontic treatment.

This can happen for many reasons, including:

  • Low tongue posture

  • Mouth breathing

  • Tongue thrust swallowing

  • Poor oral rest posture

  • Narrow palate development

  • Improper muscle function

  • Inconsistent retainer wear

  • Airway dysfunction

  • Tongue tie restrictions

The tongue is one of the strongest muscles in the body and applies gentle pressure to the teeth throughout the day and night. When tongue posture or swallowing patterns are not ideal, that pressure may influence tooth positioning over time.

Close-up of an open mouth showing upper and lower front teeth with gums and tongue visible.

The Role of Myofunctional Therapy

Myofunctional therapy helps retrain the muscles of the tongue, lips, cheeks, and airway to support healthier oral function.

Therapy focuses on:

  • Proper tongue posture

  • Nasal breathing

  • Functional swallowing patterns

  • Lip seal

  • Oral muscle coordination

  • Healthy oral habits

By improving muscle function and oral rest posture, therapy may help support the long-term stability of orthodontic treatment.

Before, During, or After Orthodontics

Myofunctional therapy may be beneficial:

  • Before orthodontic treatment to address underlying habits

  • During treatment to support proper function

  • After treatment to help maintain results long-term

Many patients are surprised to learn that straight teeth alone do not always correct the functional patterns that contributed to the issue in the first place

Signs of Oral Dysfunction That May Affect Orthodontic Stability

Common signs may include:

  • Mouth breathing

  • Open-mouth posture

  • Tongue thrust swallow

  • Crowding or shifting teeth

  • Forward head posture

  • Snoring or poor sleep quality

  • Clenching or grinding

  • Difficulty keeping the tongue on the palate

  • TMJ tension or jaw discomfort

In children, oral habits such as prolonged thumb sucking or pacifier use may also impact oral development and orthodontic outcomes.