TIMED AGENDA : The Functional Assessment of TOTs (Tethered Oral Tissues)™

8:30AM -- 9:00AM  Introduction

  • About the speakers
  • What are TOTs? 
  • Theoretical Foundations

9:00AM -- 9:30AM  Case History/Assessment Forms

  • Structural red flags of TOTs
  • Functional red Flags of TOTs
  • Pertinent birth history
  • Pertinent medical history
  • Pertinent developmental history

9:30AM – 10:30AM  Assessment

  • Current protocols and assessment tools 
  • The Merkel-Walsh Overland TOTs Protocol

10:30AM --10:45AM BREAK

10:45-12:00  Structural Assessment

  • Craniofacial analysis
  • Hard tissue
  • Soft tissue
  • Frena
  • TOTs assessment techniques and tools
  • Structural Quiz

12:00PM --1:00PM  LUNCH

1:00PM -- 2:30PM Functional Assessments of Pre-Feeding and Feeding Skills

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

2:30PM – 2:45PM  BREAK

2:45PM -- 3:30PM   Functional Assessment of Speech Clarity

  • Acoustics vs. placement 
  • Bilabials
  • Alveolars
  • Back Tongue Side Spread
  • Velars
  • Labiodentals
  • Linguadentals

3:30PM -- 4:00PM   Additional TOTs Topics and Conclusions

  • TOTs team
  • Referrals 
  • Therapeutic Considerations