Myofunctional therapy focuses on strengthening the muscles of the tongue, lips, and face to support healthy breathing, chewing, swallowing, and oral rest posture.

Your child's therapist will guide them through exercises designed to:
Support nasal breathing
Improve tongue posture and strength
Strengthen lip seal
Improve swallowing patterns
Support healthy facial development

Every child's journey is unique, and our care team is here to support your family every step of the way.

Sessions are scheduled through Jane — our secure scheduling portal. Jane is a separate platform from your Toothpillow App, and you'll use it specifically for booking and managing appointments. When you log in, you'll create a patient profile for your child, select an available time, and choose the appropriate session type.

New to Jane? You'll receive a link to set up your Jane account as part of your onboarding. Keep your login handy — you'll also use Jane to access session notes, documents, and your appointment history.

∙ Myo Boost (Prepaid)
One session included with your Toothpillow program.
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∙ Fully Custom Myofunctional Therapy
A multi-session treatment plan tailored to your child's needs.
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∙ Myo Flex (pay per session)
Reserved for established patients who started with Myo Boost or Fully Custom.
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∙ Care Call (phone call only)
Have a quick question or need a touchpoint with your therapist? Schedule a Care Call ›

Tip: Therapists often book in advance — feel free to schedule even if your Toothpillow hasn't arrived yet. We recommend booking a couple weeks out to allow time for your box to arrive.

Because we support families across the country, it's important that your time zone is set correctly in your patient portal. This ensures appointment reminders and session links arrive at the right time.
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1. Log into your Jane patient portal and go to My Account.
2. Select Time Zone from the left-hand menu.
3. Choose your time zone from the dropdown and click Save.

Once saved, all appointments and reminders will display in your selected time zone.

All myofunctional therapy sessions take place virtually. There are two ways to join:

l. Via email: You'll receive a secure session link about 30 minutes before your appointment. Click Join video call in that email.
2. Via patient portal: Log into your Jane account, go to Upcoming Appointments, and click Begin when it's time.
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Please log in a few minutes early so the session can start on time.
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Have siblings in therapy? If they share a therapist, you may stay on the same session link. If they have different therapists, you'll receive separate links.

To help your session run smoothly, please have the following ready:
A stationary screen (laptop or desktop recommended)
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∙ A glass of water
∙ A calm, quiet setting
∙ Your Toothpillow appliance
∙ Range of Motion Ruler (keep it in the plastic sleeve)
∙ A mirror (if you have one)
∙ A crunchy snack
∙ Your Myo Tool Kit (if you have one)
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Important: Your child must be present, and a parent or caregiver should remain on the call to help support the exercises.

Functional Check-Ins are photo check-ins that help your Toothpillow care team evaluate muscle function and track your child's progress. They're uploaded directly to your Toothpillow App and are requested at the start of therapy and at Sessions 5 and 10.
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• Tongue Tip to Spot: Touch the tip of the tongue to the spot behind the front teeth. Say the sound "n" to get into the right position.
• Lip Check: Lift the upper and lower lip at the same time so we can see how the lips and cheeks connect to the gumline.
• Posture Check: Three full-body photos in fitted clothing — facing forward, left, and right — against a plain background.
• Tongue + ROM Ruler (Sessions 5 & 10): Same tongue position as above, with the Range of Motion Ruler. Keep it in the plastic sleeve so it stays dry!

Sessions 1, 5, and 10 are milestone sessions — dedicated check-in points where your therapist evaluates your child's progress and compares it to their treatment goals.

Session 1: Baseline & goal-setting. Your therapist establishes where your child is starting and maps out the treatment plan ahead.

Session 5: Mid-point evaluation. Depending on progress and age, your child may advance to Phase 2. If more time is needed, your therapist can assess whether additional sessions beyond 10 will best support your child's goals

Session 10: Progress review & next steps. Your therapist will review overall progress and share personalized recommendations for what comes next.

Progress at each milestone is always evaluated individually — every child moves at their own pace, and your therapist will always meet your child where they are.

Session 10 is a milestone moment — a chance to look back at how far your child has come and look ahead at what's next.

Your therapist will review your child's overall progress against their treatment goals and share their clinical recommendations. Because every child's journey is unique, the path forward looks different for every family.

Your therapist will talk through a personalized session recommendation based on how many additional sessions they feel your child would benefit most from:
• 2 more sessions • 3 more sessions • 5 more sessions

Individual sessions are available for purchase, so you and your therapist can build exactly the right continuation plan — no more, no less than what your child actually needs.

Questions about continuing care? Reach out at myosupport@toothpillow.com — we're happy to help you think through next steps.

Families enrolled in Fully Custom therapy may receive a Myo Tool Kit. Your therapist will guide your child on how to use each tool as part of their personalized treatment plan.

Tip: Please bring your kit to every session so your therapist can demonstrate proper technique. Keep your Range of Motion Ruler in its protective sleeve to maintain its shape.

Want to learn more about one of the tools in your kit? Watch our Myo Munchee overview video ›

Contents may vary based on age and purchase date.

After each session, your therapist will share exercises and notes tailored to your child. Here's how to access them:
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1. Look for an email with the subject "A Document Has Been Shared With You" from your Toothpillow care team.
2. Click VIEW MY DOCUMENTS inside the email.
3. Log into your Jane patient profile when prompted.
4. Select Documents from the left-hand menu.
5. Your session notes and exercises will appear here, organized by date.

Have more than one child in therapy? Each patient has their own profile and documents. To view a sibling's activities, log into that child's individual account.

Not seeing the email? Check your spam folder, or reach out at myosupport@toothpillow.com and we'll resend it.

Little ones under 5 are absolutely welcome in our program! At this age, therapy looks a little different — and that's a good thing.
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For young children, we focus on foundational musculature support: building the basic muscle patterns that set the stage for healthy breathing, swallowing, and oral development. Rather than traditional exercises, most of our virtual session time is spent with you — the parent or caregiver — learning fun, age-appropriate games and activities you can do together at home.

Think of it this way: you become the coach, and we give you all the tools and guidance to support your little one between sessions.
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If your Toothpillow plan started with just one session, that's a great opportunity to have a focused conversation with your therapist about your child's specific goals. Together, we'll build a plan that makes sense for your family — there's no one-size-fits-all approach here.

Every child is different. Our team is here to meet your child exactly where they are, at their own pace and level. Progress looks different for every little one, and that's completely okay.

We understand that life with kids can be unpredictable. If you need to reschedule, please let us know as soon as possible so we can find another time that works for your family.

• Late cancel: Appointments canceled within 24 hours of the scheduled start time will incur a $25 late cancellation fee.

• No-show: If your child is unable to attend and we are not notified in advance, a $25 no-show fee will be charged to the account.
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These fees help compensate your therapist for the time they set aside to prepare for and attend your child's session.

Need to reschedule? Message us through the Toothpillow App or email myosupport@toothpillow.com

If you have questions about scheduling, exercises, or your child's therapy journey, our care team is here to help.
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• Send a message through the Toothpillow App
• Email us at myosupport@toothpillow.com