TIMED AGENDA: The 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