Clinician-facing protocol

BEBE Clinical Use Pathway

Screen first. Prescribe by age. Progress by observed function.

4-18 monthscorrected-age window

30-60 secfirst exposure

10 domainsreadiness screen

Why this pathway matters

Early oral development is clinical, practical, and observable.

BEBE begins after foundations are visible: age, oral curiosity, posture, sensory tolerance, breathing, and regulation. The aim is a repeatable practitioner workflow that families can follow safely.

Suitability screen

Introduce BEBE only after the readiness gates are clear.

Corrected age

At least 4 months before BEBE is considered.

Oral exploration

Hands, toys, cloths, or caregiver fingers move toward the mouth.

Posture and midline

Stable head control, tummy time tolerance, and hand-to-mouth play.

Sensory tolerance

Comfortable contact around lips, cheeks, gums, chin, and face.

Regulation

Calm-alert state, social engagement, and recovery from mild stress.

Age-based prescription

Start with the baby in front of you, then move by response.

The strongest introduction window is 4-8 months corrected age. Late starters begin at the first missing stage rather than jumping ahead.

0-4 months

Prepare

No BEBE. Build oral curiosity, midline, tummy time, nasal breathing, and regulation.

4-6 months

Familiarise

Short, frequent, playful exposure. Build confidence and hand-mouth mapping.

6-8 months

Integrate

Attach BEBE to daily routines. Look for lips around, retention, and early chewing.

8-12 months

Stabilise

Support chewing, food exploration, swallow development, and teething comfort.

12-18 months

Maintain

Keep BEBE enjoyable. Assess MINI readiness around 15-18 months.

Decide today

Use the 10-domain screen to classify suitability.

Green

8-10 domains present

Begin short, supervised, baby-led BEBE exposure.

Yellow

6-7 domains present

Delay 2-3 weeks, support missing readiness areas, then reassess.

Red

0-5 domains or red flags

Do not begin BEBE. Refer or co-manage before use.

Review checkpoints

What success looks like before progressing.

These markers keep the plan practical and observable during follow-up, especially when a baby is on an adapted plan.

6 monthsReaches, mouths, enjoys, and stays regulated.

8 monthsLips around, nasal breathing, retention, and chomping.

12 monthsChewing interest, food confidence, and no overactive gag.

15-18 monthsMature chewing pattern and MINI readiness check.

Pause or refer ifgagging, distress, tongue thrusting, airway concern, feeding safety concern, oral aversion, poor posture, or unsafe supervision appears.

Full protocol

Myo Munchee BEBE Clinical Use Protocol

A compact practitioner reference for screening, prescribing, coaching, monitoring, and documenting BEBE use.

Purpose

This protocol gives certified practitioners a prescriptive, age-based model for screening, introducing, coaching, and monitoring BEBE use from around 4 months corrected age through the transition toward MINI.

Clinical positioning

Position BEBE as a supervised oral sensory-motor development tool. It is not a diagnostic device, teether claim, pacifier replacement, or treatment guarantee.

First exposure

Offer BEBE during a calm-alert moment. Let the baby notice, reach, hold, and mouth it. If accepted, allow 30-60 seconds of supervised exploration and stop while the baby is calm.

4-6 month prescription

Use micro-sessions during tummy time, floor play, lap play, or calm pre-feed moments. The goal is familiarity, confidence, and hand-mouth mapping.

6-8 month prescription

Embed short supervised use into predictable routines such as high-chair time, play after nappy changes, or pre-meal exploration. Watch for lip closure, retention, nasal breathing, and early chewing.

8-12 month prescription

Use BEBE during supervised oral play and feeding-adjacent routines. Teething may increase interest. Reassess if gagging, mouth breathing, tongue thrusting, or distress appears.

12-18 month prescription

Keep BEBE visible, fun, and supervised while chewing skills mature. Interest can fluctuate. Around 15-18 months, assess safety, size, interest, and clinical readiness for MINI.

Late starter pathway

If a baby starts after 6 months, do not skip readiness. Identify the earliest missing stage, begin there, and progress only when the baby shows the relevant success markers.

Pause, delay, or refer

Pause and reassess for gagging, distress, tongue thrusting, airway concern, oral aversion, unsafe supervision, feeding safety concern, poor posture, poor regulation, or persistent mouth breathing.

Data to capture

Document corrected age, feeding stage, breathing pattern, oral exploration, posture, sensory tolerance, BEBE acceptance, retention, chewing response, caregiver confidence, adverse events, and the clinical decision.