What the free assessment helps determine
Your child's growth appears to be on track
Virtual Toothpillow program is recommended
In-person care may better support your child
Each child is individually reviewed by their Toothpillow airway dentist to determine which of these three paths best supports their development. Some children are growing on track, some benefit from virtual care through the Toothpillow program, and others are better supported with in-person care. Our role is to help you understand which path makes the most sense for your child.
Start Free Assessment
What is a pediatric airway assessment?
Each assessment is reviewed by Toothpillow's clinical leadership and a licensed Toothpillow airway dentist in your state. Findings may include recognized dental and airway diagnoses used in airway-focused dentistry, along with clinical interpretation and guidance.
Start Free Assessment
Simple enough to do from your phone
This free assessment includes a clinical review of your child's development, with insight into factors affecting breathing, sleep, and symptoms and guidance on what may follow.
Reviewed by Toothpillow airway dentists
Guidance on whether support is needed
Clear insight into your child's development
For children ages 3–12 in the United States
We guide you through each step and show you exactly what to capture.
Families complete the assessment in one sitting using their phone.
What we look for in your child's development
Each assessment looks at how your child is growing, breathing, and functioning as a whole.
Facial growth
Your child's jaw growth, facial development, and how much space is forming for the airway as they grow.
Dental development
Palate width, spacing between teeth, and whether there is enough room for teeth to erupt as expected.
Oral muscle function
Where your child's tongue rests, how it moves during swallowing, and whether the lips seal comfortably at rest.
Observed symptoms
Parent-reported sleep quality, breathing concerns, and daytime behaviors reviewed in clinical context.
Find out how your child is developing
How to complete your child's free assessment
Upload six guided photos
Follow step-by-step prompts to upload six photos of your child's face, teeth, and palate. Each photo includes clear guidance so the images are clinically useful.
Complete the clinical intake
Answer questions about your child's breathing, sleep, symptoms, and development. This information provides essential clinical context for the assessment.
Multi-doctor review
Your child's intake and photos are reviewed by Toothpillow's clinical leadership and a licensed Toothpillow airway dentist in your state. Together, they evaluate development and determine appropriate next steps.
The 6 photos we ask for
Front facing
Side profile
Bite down (all teeth)
Upper arch
Lower arch
Tongue to roof
You're six photos away from answers
What families see in their child's assessment
Your child's clinical review shows exactly what your Toothpillow dentist observed across all six photos, how those findings compare to typical development for their age, and whether they connect to the symptoms you've noticed.
Inside your child's clinical review
Clinical findings identified
Every photo is reviewed by a clinical officer and your state's treating provider, documenting jaw position, dental development, and airway.
Typical development noted
You'll see what's developing well. Parents deserve to know what's healthy and age-appropriate for their child, not just what needs attention.
Findings of concern
If something needs attention, we flag it clearly and explain why it matters. You'll know what we're seeing and whether to act now or monitor.
Symptoms reviewed in context
The symptoms you've noticed at home are reviewed alongside clinical findings, connecting what you're seeing to what's happening structurally.
Dentist's written interpretation
Your Toothpillow dentist explains what the photos reveal and why those findings matter for your child's breathing, sleep, and jaw development.
Care recommendations provided
Clear guidance on what comes next: virtual care through Toothpillow, in-person treatment including upper and lower expanders, or monitoring as your child grows.
Get your child's personalized clinical review
Want a deeper walkthrough?
For $50, you can upgrade to a personalized video review. Your Toothpillow dentist records a video walking through your child's photos one by one, explaining exactly what they see, why it matters, and what they recommend. Watch it on your own time, revisit it later, or share it with family.
Questions parents ask
Yes. The pediatric airway assessment and written clinical review are completely free. If treatment is recommended and you decide to move forward, program pricing applies, but there is no cost or obligation to receive your child's assessment.
Every assessment is reviewed by a Toothpillow clinical officer and a licensed treating provider in your state who specializes in pediatric airway development.
Yes. Your child's assessment is reviewed by licensed providers who can identify and diagnose airway and developmental concerns based on your photos and questionnaire responses.
The assessment is designed for children ages 3 to 12, during the years when jaw and airway development is most active and most responsive to intervention.
If your child has a regular dentist, this assessment can provide additional insight into jaw growth and airway development. If your child is currently in active orthodontic treatment, we recommend waiting until treatment is complete before submitting an assessment.
We'll tell you. If your child would be better served by in-person care, including expanders or orthodontic evaluation, we'll explain why and help you understand what to look for in a provider.
Yes. For $50, you can upgrade to a personalized video review. Your Toothpillow airway dentist records a video walking through each of your child's photos, explaining what they see and why it matters. It's yours to keep, rewatch, and share with other caregivers.
The Toothpillow program requires a prescription from a licensed dentist, and our providers are licensed in the U.S. We're working on expanding to other countries, but in the meantime, we recommend looking for a local airway-focused dentist in your area.
Your child's development won't wait—neither should you
This free assessment gives you a clinically grounded review of how your child is growing right now, what it means, and what to do next.
Free · Virtual · Easy
Start Your Assessment