• Narrow Palate

• Poor tongue posture or positioning

• Mismatched palate to tongue size/shape

• Large diastema (gaps between two central front teeth)

• Poor or non-ideal craniofacial growth and development

• Dental crowding

•Poor/difficulty oral hygiene maintenance due to malocclusions

• Breathing through an open mouth while sleeping

• Gasping/holding breath while sleeping

• Snoring

• Sleep Apnea/Apneic Episodes/Periods of non-breathing or holding breath

• Poor quality sleep

• Moodiness or inability to focus/pay attention

• Poor concentration at school

• Restlessness due to poor/inadequate sleep

• Speech development is abnormally delayed (number of words)

• Poor pronunciation (words sound different from spelling)

• Poor enunciation (mumbles / slurs speech)

• Diagnosed with speech difficulties

• Currently in speech therapy

• Speech therapy attempted

• Trouble with sounds: L, R, T, D, N, Th, Sh, Ch, S, Z

• Speech problems, delays and/or lisps

• Delayed development of speech

• Deterioration in speech

• Loss of self-confidence because they feel and sound “different”

• Gagged/vomited when first introduced to food

• Currently gags/vomits (frequency varies)

• Messy eating (open mouth chewing / food loss from front of mouth)

• Quantity of food consumed is abnormally low

• Picky about food types or textures

• Prefers small snacks over meals (grazing)

• Gassy or GI distension/discomfort

• Acid reflux (previously or currently)

• Dislikes or doesn’t eat meat

• Pouching/holding food in mouth

• Inability to chew age-appropriate solid foods in a normal amount of time

• Gagging, choking or vomiting on certain foods, or eating an abnormally small amount of food

• Picky eater may have solid food aversions, preferring purees and/or very soft foods

• Baby bobs on and off when latching / poor latch

• Mother has nipple pain or deformed nipples from poor latch

• Baby is excessively gassy (chronic burping, flatulence, hiccups)

• Prolonged or incomplete feeding (baby doesn’t fully empty breast or bottle)

• Baby falls asleep while attempting to nurse

• Clicking noises during feeding (air intake / loss of suction)

• Supplementing with a bottle to assist feeding (by necessity)

• Milk leakage from mouth or nose

• Signs of acid reflux when not feeding (spit-up, gagging, vomiting)

• Weak latch that doesn’t last long

• Significant problems with breastfeeding