"Smacks": Further investigation is warranted. Both bruxism (grinding) and lip smacking may be signs of malocclusion, partial airway obstruction, parafunctional habit, stress, and/or dentofacial imbalance. To start you should see your 12 year old's pediatrician to evaluate tonsils/adenoids, and at the same time an orthodontist to evaluate dental/skeletal balance. Both will evaluate airway.
Answered 10/4/2018
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