Currently, I am designing a sapient species whose only dextrous appendages are their prehensile mouthparts.
I am aware that there are some issues with this, but I can think of ways to avoid or comfortably handwave away all but one of them: The issue of hygiene that comes from having to put your mouth on everything you want to pick up.
In short, the title pretty much says it all; How can a species whose only body parts with significant dexterity are their mouths avoid contracting infection diseases too easily to plausibly build an industrial civilization?