Tiny Tongues Infant Oral Motor Protocol

A therapist-provided oral motor protocol for infants and young toddlers with tethered oral tissues, with a parent home routine, from pre-release to discharge.

Babies and young toddlers cannot do myofunctional exercises on request, so the therapist provides the oral motor work and coaches the parent's daily routine. The lactation consultant is part of the team, supporting latch and milk supply. Built by Meagan Dungan, M.S., CCC-SLP, a VitalStim-certified therapist experienced with high-risk infants.

What's inside (57 pages)

• Foundations: oral motor versus myofunctional therapy, how ties affect infant feeding and breathing, the evidence, the team and your scope, infant cues and red flags, and dissociation of the tongue from the jaw and the floor of the mouth
• 4 phases: Prepare, Protect, Restore and Grow, with a visit-by-visit map and daily home routine
• 15 techniques with therapist steps, a parent home version, progression and dose by phase, including oral motor stimulation, suck training, tongue cupping, the Tongue Lift, Soft Floor technique, paced feeding, the tongue-to-palate sleep check, the J-scoop for spoon feeding and side chewing
• Solids readiness and responsive feeding
• Release readiness checklist, team handoff for the release provider and IBCLC, and discharge criteria
• Therapist tools: data sheet, visit plan, troubleshooting and sample goals
• Parent pages, home technique cards, a daily routine form, a feeding log and a sleep check

Pairs with

• Pediatric Oral Motor Evaluation Template ($19): the baseline for every technique, with matching numbers.
• Pediatric Feeding & Myofunctional Goal Bank ($35): measurable goals for latch, suck, oral motor skills and caregiver training.
• Save with the Oral Motor Evaluation + Protocol Bundle ($105) or the Complete Oral Motor Set ($135).

When the child can follow oral motor directions, usually around age 2, move to the Myofunctional Therapy Protocol for Tethered Oral Tissues (3 Editions) ($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.

Myofunctional (ages 2 and up)

• Pediatric Myofunctional Evaluation Template ($19): fillable tethered oral tissue evaluation for ages 2 and up: speech, feeding and airway.
• Myofunctional Therapy Protocol for Tethered Oral Tissues (3 Editions) ($97): pre-release to discharge, 14 exercises, in 3 kid-friendly editions.
• Myofunctional Evaluation + Protocol Bundle ($105): the myofunctional evaluation template and the 3-edition protocol.
• Complete Myofunctional Set ($135): myofunctional evaluation template, 3-edition protocol and goal bank.

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