The  picture to the left shows Hailey at eighteen months of age just before she began oral placement therapy.  At this time, she exhibited the typical anatomical structure of a child with low muscle tone, including lack of strength and stability in the jaw and cheeks, and a lack of coordination between the tongue and the lips.  

   See if you can identify these traits in the picture:

• Little to no tension in the cheek muscles
• Undefined cheek bones
• Undefined and receded chin
• Open mouth posture

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In this picture, Hailey is two and a half years old, and one year into her oral placement therapy.  Although, her open mouth posture and frontal tongue placement are still present, many improvements are apparent.

   See if you can identify these changes:

• Slimmer cheeks
• Increased definition of the jawline
• More pronounced chin

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Here is Hailey at three years old.  In this photo you can see that she demonstrates both an under bite and a cross bite; however, significant improvements have been made in six months.

See if you can identify these changes:

• Slimmer cheeks
• Increased definition of cheekbones
• Increased definition of the jawline
• Slimmer, more toned upper lip
• More pronounced chin

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At five years old, you can see vast improvements in the anatomical structures of Hailey's face.

See if you can identify these changes:

• Slimmer cheeks
• Pronounced cheekbones
• Pronounced and aligned jawline
• Pronounced chin
• Retracted Tongue
• Slim, toned lips

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