• Tongue Thrust
             Children / Adult
  • Thumb, Finger, Pacificer 
            or Tongue Sucking
                Children/ Adult

  • Nail Biting

  • TMJD / TMD
          Joint Dysfunction

             Children / Adult

  • Treatment of patients with
            Down syndrome

  • Treatment of patients with
          (done in cooperation with other


  • Short Upper Lip (Philtrum)

  • Cross Bite

  • Bell's Palsy

Informational Center

     Coulson Institute

Sandra R Coulson and Associates - Denver, Colorado 80224
(303) 759-2760     
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  Our practice's top priority is to provide you with the highest quality Orofacial Myofunctional
   therapy, utilizing the latest research available, in a friendly, fun and comfortable environment.

         Sandra Coulson, MS, ST, Ed, COM

For many years, dentists and orthodontists have been aware that pressure exerted by the tongue and poor lip support can cause changes in dental structures.

Only recently has this been the subject of scientific investigation and therapeutic evaluation. As orofacial myologists, we are
responsible for the evaluation and the treatment of tongue and lip posturing.

At Sandra R Coulson & Associates, we cultivate an awareness of muscle use and develop a therapy program of regular exercises designed specifically to your needs.  The exercises take about 5 minutes 3 times a day.

Please check out the videos below that further explain our therapy.



    See how this is diagnosed as TONGUE THRUST



News Report on THUMB SUCKING ..... the beginning

                Testimonial from Debbie 2013