What are tethered oral tissues and how is the fascial system connected to TOTS? Ankyloglossia in breastfeeding infants can cause ineffective latch, inadequate milk transfer, maternal nipple pain, reflux, aerophagia and much more resulting in untimely weaning. The condition of tongue-tie and lip-tie exists on a continuum with variable visibility and symptoms. Some restrictions, mainly anterior or “classic” tongue tie, are highly visible and easier to detect. However, “posterior” or submucosal tongue-ties are often more challenging to diagnose. Feeding has proven to be significantly improved by simple safe procedures of releasing tongue-tie/lip-tie. Through this session, we will explore a detailed step by step assessment of TOTs. It takes a village of specialists to treat this challenging problem. We will learn how we can help prevent a vicious circle of problems if treated early with a holistic integrative approach. 
The framework includes the following: 
· Latest definitions of what is a tongue tie and its connection to the fascial system 
· A step-by-step procedure for assessment and diagnosis of TOT’s 
· Working as a holistic integrative team 
 

Participants will be able to:

1.  Explain the foundations of anatomy that are necessary when diagnosing TOTs
2. Implement the steps of a comprehensive diagnostic protocol for assessing TOTs
3. Identify the types of cases and how to work as a holistic team approach 
    

Instructor Details and Financial Disclosure 

• Dr. Ankita Shah, MDS

Registration

• Online ONLY for 1 learner -- Access to Online Course for 365 Days/1 Year (-hour CE course, downloadable handout, certificate of completion)

  Timed Agenda

• 20 minutes: Explain the foundations of anatomy that are necessary when diagnosing TOTs
• 50 minutes: Implement the steps of a comprehensive diagnostic protocol for assessing TOTs
• 20 minutes: Identify the types of cases and how to work as a holistic team approach
• 10 minutes: Questions and Comments 
  Total: 100 minutes
   

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Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® resources. Other similar treatment approaches will receive limited or no coverage during this lecture.

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To receive a Certificate of Completion learners must: attend the entirety of the course; complete the course quiz with a passing score of 80% accuracy or higher and complete the course completion survey. Learners must request to be reported to ASHA CE.
 

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