Tethered Oral Tissues

1. Course Introduction

   3 lessons

   1. Please read before starting
   2. Welcome to TOTS
   3. Course Outline

2. Anatomy and Physiology

   5 lessons

   1. The Infra-Hyoids
   2. The Supra-Hyoids
   3. The Tongue
   4. Quiz
   5. Reference Materials

3. Tethered Oral Tissues

   8 lessons

   1. Buccal Ties
   2. Restricted Labial Frenulums
   3. Lip-Ties: a Summary
   4. Why worry about the tongue? -- Dr. Johal
   5. Tongue-Tie: Definitions and Complications
   6. Assessment Tool for Ankyloglossia
   7. Signs of Ankyloglossia
   8. Assessing ankyloglossia in adults by Dr. Johal

4. Surgical Releases

   6 lessons

   1. What tissue is surgically released?
   2. Goals of a Tongue-Tie Release
   3. Best Timing for Release Procedures
   4. Post Surgery Results
   5. Lactation Support and Lactation Consultants
   6. Frenectomy Failures - A Summary

5. Oral Tissue Stretches

   4 lessons

   1. Post-frenectomy care explained by Dr. Johal
   2. Pre-Op and Post-Op Stretches
   3. Sublingual Stretches
   4. Mid-point Quiz

6. Considerations for osteopathic treatment

   8 lessons

   1. What is Restricting the Tongue?
   2. Avoiding Surgery?
   3. Treatment Timing
   4. IJOM Article - Osteopathic Intervention for Infants with Feeding Issues

   1. Implications of Poor Oral Function on Child Development

      1. Best breast feeding mechanics by Dr. Johal
      2. Breastfeeding is Best for Optimal Cranial Development
      3. Outcomes of Improper Oro-Facial Development
      4. Sleep Apnea and Mouth Breathing

7. The Role of Osteopathy

   6 lessons

   1. Health History & Intake
   2. Mechanisms of Birth Injury
   3. Demonstration Video
   4. Positions, handling, palpation and landmarking
   5. Oral Cavity Assessment
   6. Intra-Oral Treatment & Latch and Jaw Dysfunction

8. Advanced Learning

   3 lessons

   1. Advanced Skills Tutorial (1.5 hours)
   2. Course Conclusion
   3. Certificate Information