Functional Assessment and Remediation of TOTs (book) -  Talk-Tools

Functional Assessment and Remediation of TOTs (book)

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Uh oh! We are reprinting this book due to printing errors with our publisher and will be sending out new copies in the coming weeks. Thanks for your patience on this unforeseen publishing glitch!

Did you pre-order this book before mid-July?
Everyone who has pre-ordered this book will receive a second, new copy of the book - for free! Why? The first round of printing had some errors! We will be shipping out brand new copies in the coming weeks!

In the meantime, please enjoy the book that has shipped to you already. If you have any questions, please contact We are happy to hear from you and we appreciate your patience and understanding!


Authors, Robyn Merkel-Walsh and Lori Overland, have developed a comprehensive, evidenced-based program -- the Merkel-Walsh & Overland TOTs Protocol -- to assist in the identification and functional implications of Tethered Oral Tissues (TOTs) -- commonly referred to as "tongue tie" or ankyloglossia. 

This practical speech and feeding program includes a pre- and post-surgical treatment plan to avoid long-term issues, such as scarring and reattachment.

  • Robyn Merkel-Walsh, MA, CCC-SLP (TalkTools Instructor) bio
  • Lori Overland, MS, CCC-SLP, C/NDT, CLC (TalkTools Instructor) bio
Contributing Authors
  • Anthony F. Jahn, M.D., F.A.C.S, F.R.C.S.(C)
  • David E. Karas, M.D.
  • Scott A. Siegel, M.D., D.D.S., F.A.C.S., F.I.C.S., F.A.A.P.
  • Sharon A. Vallone, D.C., D.I.C.C.P.