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  • bedtime Nothing to wear or remember, just a natural part of bedtime.
  • airline_seat_flat Holds the head in a safe and neutral position.
  • check_circle 91% of parents report reduced mouth breathing within 14 days.

verified_user Free shipping · 90 nights to change your mind

Only 37 two-packs left at this price
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Order today and it arrives by Friday, Nov 6.

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Does this replace what my orthodontist is doing?

No, but it heavily supports the plan you are already on. This works on head position, supporting fundamental facial development for the eight hours nobody is in the room.

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What if they will not sleep on it?

Tell us any time inside 90 nights and we refund you. You keep the pillow. That is the Floor Test.

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What age is it for?

Three and up, supporting the fundamental development years. Check the size charts below to ensure you get the right fit.

All the other questions

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  • stethoscope

    Made by a Pediatric Dentist

  • event_available

    90-Night Floor Test Guarantee

    • groups

      4,000+

      Happy Families Use it Every Day

    • air

      91%

      Reported Reduced Mouth Breathing

    • bedtime

      94%

      Children Still Sleeping on it After 2 Weeks

    • star

      4.8

      From 2,761 Verified reviews

      Five families, with five different reasons.

      • On the fourth night...

        The expander was on the floor three mornings a week and I had enough! By night four with this and I've finally stopped picking up after Luke, without asking him to do anything.

        Megan R · Verified Buyer

      • Three weeks in...

        Two consultants told us we were too late. After reading up about facial development, I realized there wasn't a deadline, but Little Otter helped us producing results as soon as possible.

        Danielle P · Verified Buyer

      • Around night twelve...

        Eleven months of appointments and nobody had ever mentioned what his head was doing at night. We were paying for sixteen hours of treatment, while losing the other eight.

        Alison T · Verified Buyer

      • First night...

        Bedtime here had become a constant negotiation about wearing the retainer. But there was nothing to argue about, it’s just a pillow. Head went on it and that was the end of it. Relief.

        Chris M · Verified Buyer

      • Three months in...

        I realized I hadn't missed out on anything. I did the one part of parenting that was mine to do! He picked which cover he wanted, and just like that... no more fights at bedtime or in the morning.

        Priya S · Verified Buyer

        A child's head propped above the mattress line on a standard pillow, chin tucked toward the chest
        The same child's head level on the Little Otter contour, chin off the chest

        A propped head does not hold a jaw correctly.

        That is the whole mechanism. Nothing goes in their mouth. Nothing has to be remembered.
        Put it on the bed tonightFrom $69 · free US shipping
        What the night shift costs

        You are paying for sixteen hours. There are twenty-four.

        Every option below is doing something real. Only one of them is working for the eight hours your child is asleep.

        Expander or phase one
        $3,000–$6,000
        Over 12 to 18 months
        Works the 16 waking hours
        Has to stay in the mouth
        Appointments to keep, keys to turn
        Myofunctional therapy
        $1,500–$3,000
        Weekly sessions, daily homework
        Works the waking hours
        Exercises every single day
        Only works if your child practices
        The missing eight hours
        Little Otter
        $69
        Once. Not a plan, not a course.
        Works the 8 hours asleep
        Nothing to wear or remember
        90 nights, keep the pillow either way

        verified Dr Helen Woods: airway-focused pediatric dentist and co-developer of Little Otter.

        “Everything else I send home asks the child to cooperate.”

        This is the only thing I can hand a parent that works while the child does nothing at all.

        Designed by her. The shape came out of seventeen years of experience.
        Get the pillow she co-developed90 nights to change your mind
        What the first fortnight looks like

        Fourteen nights, roughly one turn of the key.

        1. Night one: They lie down on it. That is the entire ask.

        2. Nights three to four: The head has stopped travelling in the night. You notice before they do.

        3. Night seven: 94% of children are still sleeping on it after the first week.

        4. Night fourteen: 91% of parents report reduced mouth breathing.

        5. Week three and after: It stops being a thing you think about. It is just the pillow on the bed.

        Night one can be this week. Order today and it arrives by Friday, Nov 6.
        Start the fourteen nightsFree US shipping on every order
        The guarantee

        The Floor Test.

        Sleep on it for 90 nights. If it ends up on the floor like everything else has, tell us and we refund you. Keep the pillow.

        • No form
        • No photographs
        • Nothing to post back
        Both pillow sizes shown to scale: the Age 7-14 at 60 by 40 centimetres, with the Age 3-6 at 50 by 30 centimetres inside its footprint

        Go by shoulder width, not the birthday. If the shoulders are wider than the pillow is deep, take the larger one. A six year old on a full-size single bed is usually a 7–14.

        No, and it should not. Both sizes ship with a fitted Cotton Cover cut to the contour, and spares are sold in the same two sizes.

        One piece of contoured memory foam in a removable Cotton Cover. No loose fill, nothing to pull apart, and the cover is the part that goes in the machine.

        Pick a size90 nights to change your mind, either size
        2,761 reviews · 4.8 out of 5

        From parents four months further down this than you are.

        A mother tucking her daughter in, the Little Otter pillow on the bed
        Hannah W.
        Son, 6 · night 9

        Ninth night and I stopped getting up to check. That is the whole review.

        A young boy asleep on the Little Otter pillow, seen from above
        Marcus D.
        Son, 9

        Ordered the two-pack for wash night and the second one lives at their gran’s. Best twenty dollars of the order.

        A mother and her daughter opening the Little Otter parcel together on the living room floor
        Steph L.
        Daughter, 7 · 6 weeks in

        She has stopped waking up with her mouth open and dry. Six weeks, no fuss, nothing to remember.

        A mother changing the Little Otter cotton cover while her son waits
        Nicole B.
        Son, 12

        Took closer to three weeks than two, but it is on the bed every night now, at twelve, so I am counting that.

        A father carrying his sleeping daughter to a bed with the Little Otter pillow on it
        Rachel O.
        Daughter, 5

        Nothing goes in her mouth. After eighteen months of things that do, I cannot tell you what a relief that sentence is.

        A mother and her young son making the bed, the Little Otter pillow in place
        Tom H.
        Son, 8 · night 11

        Arrived in five days. Asleep on it the same night without a word about it.

        A mother looking at the Little Otter pillow for the first time on the sofa
        Jenna C.
        Daughter, 10

        The snoring I had decided was just how she sleeps has mostly gone. Two weeks.

        A father unboxing the Little Otter pillow on the living room floor
        Aisha K.
        Son, 7 · 2 months in

        I bought it braced for another argument at bedtime. There was no argument. There was nothing to argue with.

        Everything else

        The questions we get most.

        Because there is nothing to refuse. Nothing goes in the mouth, nothing fastens, nothing has to be remembered at bedtime. And if they will not sleep on it, the Floor Test refunds you and you keep the pillow.

        The Cotton Cover comes off and goes in the machine. That is why the two-pack ships with two of them.

        Order today and it arrives by Friday, November 6. US shipping is free on every order, and there is no minimum.

        No. It works on where the head and jaw sit at night, and that is true at six and true at twelve. More than a quarter of the families we serve came to us after somebody told them they were late. We are not going to put a countdown on your child to sell you a pillow.

        No. One pillow is the whole product and the one-pack is a complete purchase. The two-pack exists because wash night, the grandparents’ house and a sibling in the same treatment are the three things parents write to us about.

        A contoured memory-foam core in a removable Cotton Cover. No loose fill, nothing to pull apart, and the cover is the part that goes in the wash.

        A short guide to the eight hours: what to look for when you check in, what is worth raising at the next appointment, and what is not worth worrying about. It arrives by email the moment you order, with every pack.

        Email us inside 90 nights and we refund you in full. There is nothing to send back and nothing to prove. Keep the pillow, or pass it to a family who needs it.

        That is every question we get. If yours is not up there, the Floor Test answers it: ninety nights, and you decide.
        Take the night shiftFrom $69 · free US shipping