Free tool for referring providers

Myofunctional therapy referral screener

A structured checklist for dentists, orthodontists, hygienists, and ENTs. Work through the findings you can see in a normal exam and get a clear answer on whether a myofunctional referral is warranted.

Free forever · No sign-up · Nothing stored

Referral indicators25 signs

Key signs that warrant referral

Breathing & Airway5

Oral Structure & Function6

Dental & Skeletal Findings5

Clinical Findings

Tick everything you observe or the patient reports. Nothing is stored or sent — this runs entirely in your browser.

Breathing & Airway

Habitually breathes through the mouth, at rest or while sleepingKey

Lips apart at rest (lip incompetence)Key

Chronic nasal congestion, allergies, or history of enlarged tonsils or adenoids

Snoring, noisy breathing, or restless sleep reportedKey

Daytime fatigue, difficulty concentrating, or morning headaches

Oral Structure & Function

Restricted lingual frenulum, or history of frenectomy without follow-up therapyKey

Tongue rests low in the mouth rather than against the palateKey

Tongue thrust visible on swallowing, or tongue pushes against the teethKey

High, narrow, or vaulted palate

Difficulty elevating the tongue tip to the palate with the mouth open

Scalloped tongue edges or noticeable tongue tension

Dental & Skeletal Findings

Anterior open biteKey

Crossbite, crowding, or a narrow arch form

Orthodontic relapse after retentionKey

Anterior wear, abfraction, or evidence of clenching or grinding

Gingival recession without a clear periodontal cause

Habits & History

Current or prolonged thumb, finger, or pacifier habit

Nail biting, cheek or lip biting, or object chewing

Prolonged bottle use or a history of feeding difficulty

Very selective eating, slow eating, or gagging on textures

Speech, Swallowing & Posture

Articulation errors, particularly on s, z, t, d, n, l, or thKey

Drinks frequently while eating, or reports food getting stuck

Visible facial or neck effort when swallowing

Forward head posture

Jaw pain, clicking, or limited opening

Recommendation

findings
0 key

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Work through the findings as you would during an exam. This panel updates as you go.

ScopeThis is a referral aid, not a diagnostic instrument. It does not diagnose an orofacial myofunctional disorder and it is not a validated screening tool. Only a qualified clinician can assess oral function directly. Nothing here should delay evaluation for a suspected airway or sleep-disordered breathing problem, which needs a physician.

For therapists receiving these referrals

MyoSimplified tracks which providers refer to you, and sends progress summaries back so they see what happened to the client they sent.

See how MyoSimplified works Other free tools