Angie's career emphasis includes dental and medical professionals working together on oral function and craniofacial development.
Definition
- IAOM-certified COMs are often RDHs, dentists, or SLPs with postgraduate myofunctional training. That shared language helps referral partners understand scope.
- Typical collaboration patterns: ENT/allergist for patent airway; dentist/orthodontist for ties, expansion, and occlusion; SLP for primary speech goals; OMT for Oral Rest Posture and orofacial muscle patterns that support those plans.
- Providers can refer through the practice's dedicated /refer pathway. Families may also self-schedule — either route gets patients to an in-person evaluation.
When to use this guide
- Use this guide if you are a provider building a referral relationship — or a parent coordinating multiple specialists.
- Use it when deciding who "goes first" among ENT, dental, speech, and myofunctional care.
Failure modes
- Siloed care where each specialty treats a symptom without sharing findings.
- Release procedures without a functional therapy plan.
- Assuming speech therapy and OMT are interchangeable rather than complementary.
Proof & sources
- Mouth Breathing and Tongue Tie brochures both prescribe interdisciplinary sequencing.
- RDH Magazine pieces model whole-person referral patterns (airway + ortho + myology).
- Site /refer, About philosophy, and working-with-your-dentist-and-ent guides operationalize collaboration.
Action
Providers: send a referral. Families: book directly. Either way, we coordinate with the rest of the care team.
Common questions
Can SLPs and COMs treat the same patient? +
Yes, with clear role definition. SLPs often lead speech goals; OMT focuses on Oral Rest Posture and orofacial patterns that support breathing, swallow, and dental stability.
Sources
- OMT of York Mouth Breathing (© 2019) and Tongue Tie (© 2021) brochures
- RDH Magazine articles — Angie Lehman, RDH, COM
- Site Refer / About collaboration positioning
