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

9:00AM -- 9:30AM: Introduction

  • About the speakers
  • What is TOTS?
  • Theoretical Foundations
  • Brief review of assessment and functional impact of TOTs

  9:30AM -- 10:00AM Hot Topics

  • TOTs team
  • Scope of Practice
  • Ethics

10:00AM -- 10:30AM TOTs Remediation

  • Pre-feeding/Oral Motor
  • Feeding    
  • Orofacial Myofunctional Therapy
  • Oral Placement Therapy
  • Active Wound Management

10:30AM -- 10:45AM: Break

10:45AM -- 11:15AM: Frenectomy

  • Scissor/Scalpel
  • Laser
  • Risks and Complications
  • Aftercare comparisons

11:15AM -- 12:00AM Neuromuscular Re-education for Pre-Feeding

  • Buccal TOTs
  • Labial TOTs
  • Lingual TOTs

12:00NN -- 12:45PM: Lunch

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

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

  • Buccal TOTs
  • Labial TOTs
  • Lingual TOTs

2:45PM -- 3:00PM Break

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

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

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

4:00PM -- 4:15PM: Q and A