TalkTools® Course — Timed Agenda
Functional Assessment & Remediation of Tethered Oral Tissues (TOTs)™
TalkTools® Functional Assessment & Remediation of Tethered Oral Tissues (TOTs)™ · 2-Day Workshop
Day 1
Functional Assessment of TOTs
9:00 am – 10:30 am 15 min break at 10:30 am
  • 9:00 – 9:30 Introduction
    • About the speakers
    • What are TOTs?
    • Theoretical Foundations
  • 9:30 – 10:00 Case History / Assessment Forms
    • Structural red flags of TOTs
    • Functional red flags of TOTs
    • Pertinent birth history
    • Pertinent medical history
    • Pertinent developmental history
  • 10:00 – 10:30 Assessment
    • Current protocols and assessment tools
    • The Merkel-Walsh Overland TOTs Protocol
10:45 am – 12:00 pm Lunch at 12:00 pm
  • 10:45 – 12:00 Structural Assessment
    • Craniofacial analysis
    • Hard tissue
    • Soft tissue
    • Frena
    • TOTs assessment techniques and tools
    • Structural Quiz
Lunch 12:00 pm – 12:45 pm
12:45 pm – 2:45 pm 15 min break at 2:45 pm
  • 12:45 – 2:45 Functional Assessments of Pre-Feeding and Feeding Skills
    Breast Bottle Spoon Cup Solids Straw
3:00 pm – 4:15 pm End of Day 1
  • 3:00 – 3:30 Functional Assessment of Speech Clarity
    Acoustics vs. Placement Bilabials Alveolars Back Tongue Side Spread Velars Labiodentals Linguadentals
  • 3:30 – 4:00 Additional TOTs Topics and Conclusions
    • TOTs team
    • Referrals
    • Therapeutic Considerations
  • 4:00 – 4:15 Q & A
Day 2
Functional Remediation of TOTs
9:00 am – 10:30 am 15 min break at 10:30 am
  • 9:00 – 9:30 Introduction
    • About the speakers
    • What is TOTs?
    • Theoretical Foundations
    • Brief review of assessment and functional impact of TOTs
  • 9:30 – 10:00 Hot Topics
    • TOTs team
    • Scope of Practice
    • Ethics
  • 10:00 – 10:30 TOTs Remediation
    • Pre-feeding / Oral Motor
    • Feeding
    • Orofacial Myofunctional Therapy
    • Oral Placement Therapy
    • Active Wound Management
10:45 am – 12:00 pm Lunch at 12:00 pm
  • 10:45 – 11:15 Frenectomy
    • Scissor / Scalpel
    • Laser
    • Risks and Complications
    • Aftercare comparisons
  • 11:15 – 12:00 Neuromuscular Re-education for Pre-Feeding
    Buccal TOTs Labial TOTs Lingual TOTs
Lunch 12:00 pm – 12:45 pm
12:45 pm – 2:45 pm 15 min break at 2:45 pm
  • 12:45 – 1:30 Neuromuscular Re-education for Pre-feeding (continued)
  • 1:30 – 2:45 Neuromuscular Re-education for Feeding
    Buccal TOTs Labial TOTs Lingual TOTs
3:00 pm – 4:15 pm End of Day 2
  • 3:00 – 3:50 Neuromuscular Re-education for Speech
    Bilabials Alveolars Back Tongue Side Spread Velars Labiodentals Linguadentals
  • 3:50 – 4:00 TOTs and the Terrible Twos
  • 4:00 – 4:15 Q & A

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