My son is dyspraxic/dyslexic, and the OT feels that having the same laterality for all his fine motor tasks (writing, eating, cutting, lego, etc) will help him organize himself in space and also be better in terms of developing his muscle control. She did add that having a different dominant side for gross motor like swinging, kicking was OK.

I agree that for a child without dyspraxia, it probably doesn't matter too much. I write with my left, eat with my left, cut with my right and dial the phone with my right. I had very good fine motor skills as a child, so it didn't seem to be a problem fro me. However, I still don't know my right from left and have a terrible sense of direction and space . . . I wonder if I'd be better at this if I had a more definite laterality?