General appearance:
(1) open mouth while at rest
(2) mouth breathing
(3) mandibular protrusion
(4) maxillary endognathism
(5) mid-facial deformity
(6) angular cheilitis
Examination of the tongue:
(1) protruding tongue
(2) low anterior tongue position
(3) decreased tongue sensitivity
(4) tongue used to stablize the mandible
(5) decreased tongue mobility and/or tonicity
Examination of the teeth:
(1) delay or abnormalities in tooth eruption
(2) dental caries or fractures
(3) dental wear associated with bruxism
(4) absence of a stable occlusal rest position
Miscellaneous findings:
(1) restricted mobility of the temporomandibular joint
(2) orofacial dyskinesia
(3) food debris retained in the mouth
(4) enlarged tonsils