7 Early Signs of Facial Development Issues in Toddlers

Close up of happy girl showing teeth at dental clinic during dental check up. People, medicine, stomatology and health care concept

Your toddler’s face is constantly growing and changing during their earliest years. While each child develops at their own pace, certain patterns in facial growth may signal underlying issues with airway function, jaw alignment, or overall oral health. Recognizing these signs early can help you take action before more serious problems develop.

At Airway Dental & More, we focus on holistic, airway-centered care for children and families throughout Jacksonville, Florida. Our approach goes beyond traditional dentistry to address facial development concerns that may affect your child’s breathing, sleep, and long-term health. By identifying potential issues during the toddler years, we can guide proper growth and prevent complications down the road.

How to Know If Your Toddler Has Facial Development Issues

Identifying facial development concerns early gives you the opportunity to intervene while your child’s bones and structures are still forming. The most common signs parents should watch for in their toddlers include the following:

Breathing Through the Mouth

One of the most visible signs of facial development concerns is persistent mouth breathing. Toddlers who breathe through their mouths instead of their noses may be compensating for restricted nasal airways. This pattern can alter facial growth over time, resulting in a longer, narrower face and a recessed chin.

Mouth breathing often appears during sleep or when your child is concentrating on an activity. You may notice their mouth hanging open frequently or hear noisy breathing. If this continues for months, it may indicate issues with the nasal passages, enlarged tonsils, or adenoids, and lip tie

Changes in Facial Structure

Watch for asymmetry or unusual proportions in your toddler’s face. A significantly recessed or protruding lower jaw, a narrow upper jaw, or a high-arched palate may indicate developmental concerns. These features may become more noticeable as your child grows.

Some toddlers develop a longer face shape due to chronic mouth breathing or poor oral posture. This elongated appearance often accompanies other symptoms like dark circles under the eyes and a tired expression. These changes in facial structure can affect both appearance and function, including how your child eats, speaks, and breathes.

Sleep Disturbances and Snoring

Toddlers with facial development issues often struggle with quality sleep. You may notice restless nights, frequent waking, or unusual sleeping positions, like sleeping on their hands and knees or with their head tilted back. Snoring in toddlers is not normal and may indicate airway obstruction, which affects up to 15% of children.

Poor sleep affects more than just nighttime rest. Your child may seem irritable, have difficulty concentrating, or show signs of hyperactivity during the day. These behavioral changes can stem from inadequate oxygen during sleep, which impacts brain development and overall health.

Difficulty Chewing and Swallowing

If your toddler struggles to chew age-appropriate foods, favors soft or pureed textures beyond the typical stage, or gags frequently during meals, jaw development may be involved. A narrow palate or misaligned jaw can make chewing and swallowing more difficult.

Some children also have trouble transitioning from bottles or sippy cups to regular cups. These feeding challenges can relate to tongue position, jaw alignment, or muscle coordination issues. Pay attention to how your toddler moves their jaw while eating and whether they seem to avoid certain textures or food groups.

Speech and Language Delays

The structure of your child’s mouth, jaw, and airway directly affects their ability to produce clear sounds. Toddlers with narrow palates or restricted tongue movement may have trouble forming certain words or sounds. While speech develops at different rates, persistent difficulty may warrant evaluation.

Common speech issues linked to facial development include difficulty with tongue placement for sounds such as “l,” “r,” and “th.” Your child may also speak nasally or have trouble projecting their voice. If these patterns persist beyond age three, consider having both speech and oral development assessed.

Tongue Ties and Restricted Movement

A tongue tie occurs when the tissue connecting the tongue to the floor of the mouth is too tight, restricting movement. This condition can affect feeding in infancy and contribute to speech difficulties and facial development issues as your child grows. You may notice your toddler cannot stick their tongue out past their lower lip or lift it to the roof of their mouth.

Tongue ties can also affect jaw development because the tongue plays a crucial role in shaping the upper jaw and palate. When tongue movement is restricted, the palate may remain narrow and high-arched. We provide assessment and treatment for tongue and lip ties to improve both function and development.

Frequent Ear Infections and Congestion

Recurrent ear infections in toddlers can signal problems with airway drainage and function. The ear, nose, and throat systems are connected, and issues in one area often affect the others. Children with narrow nasal passages or enlarged adenoids may experience chronic congestion and repeated infections.

These infections can contribute to hearing difficulties, which in turn affect speech development. If your toddler has had multiple ear infections or seems to have a perpetual runny nose, an airway evaluation may help identify the underlying cause and prevent future complications.

When to Seek Professional Evaluation for Facial Development

If you notice one or more of these signs in your toddler, schedule an evaluation with a dental professional who focuses on airway and facial development. Early intervention offers the best outcomes, as it allows us to guide growth patterns while your child’s bones are still developing.
We can address many of these concerns through non-invasive approaches, including myofunctional therapy, appliance therapy, or minor procedures like frenectomy for tongue ties.

We use advanced technology and comprehensive assessments to determine the most appropriate treatment plan for your child’s unique needs. Our orthodontic services also support proper facial and jaw development.

Support Your Child’s Facial Development with Airway Dental & More

Your child’s facial development affects far more than appearance. It influences breathing, sleep quality, nutrition, speech, and overall health. By recognizing early warning signs and seeking evaluation, you give your child the best chance for healthy development and lifelong wellness.

We take a comprehensive approach to pediatric oral health, considering how airway function, jaw alignment, and facial structure work together. Our goal is to achieve natural harmony in your child’s oral health through personalized, airway-focused care. Contact us today to schedule a consultation and learn more about how we can support your toddler’s healthy development.

Dreaming of a winter white smile?
Refresh your look with a brighter, whiter smile with laser whitening.