TIMED AGENDA : The Functional ASSESSMENT and REMEDIATION of TOTs (Tethered Oral Tissues)™ - 2 DAYS

DAY 1: Functional ASSESSMENT of TOTs (Tethered Oral Tissues)

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
10:30-10:45: Break
10:45-12:00  Structural Assessment
  • Craniofacial analysis
  • Hard tissue
  • Soft tissue
  • Frena
  • TOTs assessment techniques and tools

Structural Quiz

12:00-12:45: Lunch

12:45- 2:45 Functional Assessments of Pre-Feeding and Feeding Skills

  • Breast
  • Bottle
  • Spoon
  • Cup
  • Solids
  • Straw

2:45 – 3:00 Break

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 and A

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    DAY 2: Functional REMEDIATION of TOTs (Tethered Oral Tissues)

    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

    10:30-10:45  Break

    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

    12:00-12:45: Lunch

    12:45-1:30:  Neuromuscular Re-education for Pre-feeding Cont.

    1:30-2:45: Neuromuscular Re-education for Feeding

    • Buccal TOTs
    • Labial TOTs
    • Lingual TOTs

    2:45-3:00 Break

    3:00-3:50:  Neuromuscular Re-education for Speech

    • Bilabials
    • Alveolars
    • Back Tongue Side Spread
    • Velars
    • Labiodentals
    • Linguadentals

    3:50-4:00 PM TOTs and The Terrible Twos

    4:00-4:15 : Q and A