Nine years old, forward tongue thrust

Sandra, I had a patient yesterday.  Nine years old, forward tongue thrust. Severe allergies and asthma.  These are under control as much as they are going to be. Age 9. To see orthodontist soon.  So, is this one that I take as far as possible knowing it will not correct totally?  Do I go ahead with therapy making adjustments with goals?  

Hi, It is a difficult question because “it depends”… You say the asthma and severe allergies are as under control as they are going to be.  I’m not sure what that means.  Is he able to breathe consistently through his nose.  Is at least one nare patent at all times?  Are the allergies seasonal?  We have to always be certain not to ask of the patient what cannot possibly be done.  If you have ruled out all obstacles to treatment, then go ahead and initiate it. You should not have to make any adjustments as long as he can do the above. Sandra