Who we are
Airway-first care, built around your whole care team
Primal Air was founded by Shirley Gutkowski, RDH — clinician, author and educator — to bring orofacial myofunctional therapy into everyday family healthcare.
Crooked teeth, restless sleep, chronic congestion and jaw pain are rarely isolated problems. They are usually downstream of how a person breathes and how the tongue rests in the mouth. We treat that upstream cause.
Every patient begins with a comprehensive assessment: tongue mobility and posture, lip seal, nasal patency, swallowing pattern, sleep history and habit inventory. From there we build a daily exercise plan that takes minutes, not hours, and we coach it until it becomes automatic.
We work alongside dentists, orthodontists, ENTs, myofunctional-friendly bodyworkers and sleep physicians. Notes and progress are shared through our practitioner portal so nothing falls between offices — a habit that started with our own three locations and now extends to referring providers.
“When the airway works, the face, the sleep and the mood follow.”

3
Clinic locations across WI and NY
40+
Combined years of clinical hygiene and airway practice
1
Unified record — every note, message and milestone in one place