Cautionary Signs

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  • Open Mouth Posture

    Even when the lips are slightly apart – this habit can have an effect on developing jaws and teeth. Check your child when they are asleep and when they are concentrating on some quiet activity, like TV, computer or reading.

    Open Mouth

  • Long Face Syndrome and Recessive Chin

    If the lower facial portion appears tall and chin is set back from the upper portion of face, call to schedule an evalaution to access poor facial growth.

    Long Face SyndromeRecessive Chin

  • Forward head posture

    Children who habitually hold their heads forward to improve breathing, put a strain on the neck and jaw muscles and dramatically affect the shape of the face.

    Forward head

  • Facial movements when swallowing

    Signs of reverse swallow or tongue thrusting are physically noticeable when the lips purse, the skin on the chin wrinkle up, and, sometimes, the head bob forward.

    Facial movements

  • Tongue thrusting forward when swallowing, eating, or talking

    The tongue is a powerful muscle and can alter teeth if it is pushing on them all the time. Watch for the tongue sticking out during swallowing, speaking or at rest.


  • Under-eye circles

    The dark circles are from the pooling of blood and is a sign of poor circulation, mouth-breathing over-breathing are often the culprits.

    Under-eye circles

  • Frequent cold, Stuffy nose or Allergies

    These symptoms may be related to varying reasons, but the associated mouth breathing, and open mouth posture contributes to teeth development and creates crooked teeth


  • Tongue Tied

    If the tongue is bound to the bottom of the mouth so that it cannot easily rest on the roof of the mouth (the upper palate) there will be narrowing of the upper jaw. Have your child curl the tongue up and back to see the attachment.

    Tongue Tied

  • Chapped lips

    When the lips lose moisture, the skin covering them can become tight and start to split. Open mouth posture (mouth-breathing) encourages evaporation because the air is constantly passing over the lips. When lips are chapped all year long, suspect open mouth posture.

    Chapped lips

  • Swollen Tonsils and Adenoids

    Overgrown or abnormal Tonsils interrupt nasal breathing and can cause poor facial growth, evaluating at an early age is aligned with IO.

    Swollen Tonsils

  • Restless sleep and Bedwetting

    One reason for these symptoms is poor breathing and poor oxygen exchange. This can be caused by the same open mouth posture that leads to crooked teeth.


  • Snoring or loud noises during sleep

    Snoring is the first stage of Sleep Disordered Breathing and can lead to more serious breathing problems. In infants, snoring can be paired with behavior and attention problems by 1st grade (Bonuck, 2012). Snoring is not to be considered “normal”.


  • Crowding, Narrow arches and Open-bite

    These are the most apparent symptoms that are recognized as signs for seeing the orthodontist. The question that an integrative orthodontist will ask is, “Why did the teeth get like this?”

    Narrow-arches Open-bite

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