Myofunctional Therapy Protocol for Tethered Oral Tissues (3 Editions)

A step-by-step myofunctional therapy protocol for children about 2 and older with tethered oral tissues, from the first pre-release session to discharge. You get all 3 kid-friendly editions.

Strength and coordination come before a release; the release only adds range of motion. This protocol builds that foundation first, protects the release week, retrains function after it and carries skills into meals, speech and sleep. Built by Meagan Dungan, M.S., CCC-SLP, drawing on ASHA guidance and published research on myofunctional therapy and tethered oral tissues.

Three editions, one protocol

• Comet's Star Mission: a space theme for younger children.
• Captain Tip's Hero Academy: a superhero theme.
• Star Explorer: plain names and Bronze to Platinum ranks for older kids.

The clinical content, exercise numbers and doses are the same in every edition, so you can pick the one that fits each child.

What's inside each edition (74 pages)

• Foundations: why strength comes first, the evidence, the team and your scope, rest posture and airway, dissociation of the tongue from the jaw and the floor of the mouth, the swallow (mature, reverse and tongue base retraction) and motor learning rules
• Session 0 prep day: a themed mission briefing, a face-part treasure hunt, copycat faces, Mouth Says and the Quiet Game, so children learn the names, imitation and following directions before the first exercise
• 4 phases: Build (pre-release), Protect (release week), Retrain and Integrate, with goals, session plans and criteria to move on
• 14 progressive exercises, each building on the last, with levels, reps, what to watch for, data to take and dose by phase: finding the spot; spot, teeth, lips sequencing; tongue clicks; spot, suck and hold; lip seal; lateralization; elevation; floor-free tongue lift; relaxed jaw; nasal breathing; rest posture; mature swallow; lateral chewing; and alveolar sounds
• A game for every exercise, like Cheerio Lift, Cotton Ball Races and the Quiet Game, plus a game bank by skill with a supply list and safety notes
• A session-by-session map with the daily home program and the games to play at every session
• Release readiness checklist, release provider handoff and post-release plan to discharge
• Sleep and airway: snoring, open-mouth posture and tongue placement, with a family sleep check
• Therapist tools: data sheet, session plan, troubleshooting and sample goals
• Family pages, a Find It face map, kid home exercise cards with a game on each, sticker charts and a completion certificate

Pairs with

• Pediatric Myofunctional Evaluation Template ($19): the baseline for every exercise, with matching numbers.
• Pediatric Feeding & Myofunctional Goal Bank ($35): measurable myofunctional goals for your plan of care.
• Save with the Myofunctional Evaluation + Protocol Bundle ($105) or the Complete Myofunctional Set ($135).

Not ready for myofunctional therapy? Children who cannot yet follow oral motor directions need the Tiny Tongues Infant Oral Motor Protocol ($97).

More from NTX

Every NTX resource is built to work with the others. Browse them all on the Therapist Resources page.

Feeding

• Comprehensive Pediatric Feeding Evaluation Template ($15): fillable feeding evaluation, birth to 18, with 5 referral decision guides.
• Gold Standard Pediatric Feeding Evaluation Report Guide ($47): report writing, 3 annotated sample reports, coding, plan of care kit and appeal letters.
• Feeding Evaluation + Report Bundle ($55): the feeding evaluation template and report guide.
• Complete Feeding Documentation Set ($85): feeding evaluation template, report guide and goal bank.

Oral motor (birth to about 2)

• Pediatric Oral Motor Evaluation Template ($19): fillable tethered oral tissue evaluation for birth to about 2: feeding, airway and pre-speech.
• Tiny Tongues Infant Oral Motor Protocol ($97): therapist-provided oral motor protocol for infants and young toddlers, with a parent home routine.
• Oral Motor Evaluation + Protocol Bundle ($105): the oral motor evaluation template and the Tiny Tongues protocol.
• Complete Oral Motor Set ($135): oral motor evaluation template, Tiny Tongues protocol and goal bank.

Instant download after checkout, and every future update is free. Single-clinician license; please do not share or redistribute. Resources support, not replace, clinical judgment, your release provider's instructions and payer requirements.