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Red Flags for Orofacial Myofunctional Disorders
Lips open/mouth breathing
Tongue visible at rest
TMJ Pain
Sleep difficulties, snoring
Persistent drooling
Teeth grinding
Difficulty chewing or swallowing
Extended bottle/pacifier use, persistent sucking habits (thumb/finger sucking)
Difficulty nasal breathing
Long facial growth, recessed chin
Frequently chapped lips
Crowded teeth, crooked teeth
Picky eating
Difficulty with focus/attention
Poor speech
Dark circles under the eyes
History of tongue or lip-tie
Signs and Symptoms of Tethered Oral Tissues
Infant and Mother Symptoms:
Painful nursing
Nipple damage
Plugged ducts/mastitis
Difficulty latching
Popping off the breast frequently
Falling asleep at the breast
Clicking while nursing
Colic/gas
Reflux
Choking/coughing/gagging
Upper lip blisters
Mouth open at rest/during sleep
Poor tongue movements
Child and Adult Symptoms:
Articulation disorder
Audible breathing
Bad breath
Bedwetting
Sleep disordered breathing
Cheek biting
Chewing on objects
Clenching teeth
History of feeding difficulties as infant
Neck pain
Feeding difficulties, food/texture aversion
Difficulty chewing and swallowing