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GOLD Learning Symposium Series

GOLD Learning Online Symposium: Tongue-tie Research and Implications

GOLD Learning Online Symposium on Tongue-Tie Research and Implications will highlight some of the latest tongue-tie research and look at the implications for clinical practice and future research studies. Learn about the results of a new study looking at breastfeeding outcomes after lip and/or tongue-tie release, the latest thoughts on aftercare strategies, Aerophagia Induced Reflux, the newest game-changing research studies and their implications, and how tongue-tie affects speech and feeding of solids.

This symposium is perfect for anyone who works with newborns, whether you’re just starting to learn about tongue-tie or are an experienced practitioner who wants to stay up to date on the latest research and recommendations for practice.

$95.00 USD
Total CE Hours: 5.00   Access Time: 4 Weeks  
Lectures in this bundle (5):
Duration: 61 mins
Breastfeeding improvement following tongue-tie and lip-tie release: A prospective cohort study

Bobby Ghaheri, MD is a board certified ear, nose and throat specialist with The Oregon Clinic in Portland, OR. His interest in treating children with tongue and lip-tie stems from his ardent support of breastfeeding and was furthered by his personal experiences, as his youngest child benefited from treatment for it. He enjoys working with children and has an interest in traditional and non-traditional approaches to pediatric pain control. To communicate with him, feel free to email him at [email protected] or follow him on Twitter at @DrGhaheri.

Objective 1: Describe the impact of tongue tie release on GERD.

Objective 2:Describe the impact of tongue tie release on maternal breastfeeding self-efficacy.

Objective 3: Describe the similarities in improvement in children with both anterior tongue tie and posterior tongue tie.


Numerous symptoms may arise which prevent mother-infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments which positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality.

Surgical release of tongue/lip-tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1-week postoperatively) and continue to improve through 1-month postoperatively. Improvements were demonstrated in both infants with classic anterior tongue-tie and less obvious posterior tongue-tie. This study identifies a previously under-recognized patient population that may benefit from surgical intervention if abnormal breastfeeding symptoms exist.

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Duration: 60 mins
Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE
Gamechangers: New studies that will change the way we think about tongue-tie
USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

Dr. Hazelbaker has been a therapist in private practice for over 30 years. She specializes in cross-disciplinary treatment and to that end has taken training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Lymph Drainage Therapy practitioner, a Tummy Time™ Trainer, a Haller Method practitioner, A Pre and Perinatal Psychology Educator, a Lactation Therapist Diplomate, an International Board Certified Lactation Consultant and a fellow of the International Lactation Consultant Association.

She earned her Master’s Degree from Pacific Oaks College (Human Development specializing in Human Lactation) and her doctorate from The Union Institute and University (Psychology, specializing in Energetic and Transformational healing.)

People recognize her as an expert on infant sucking issues caused by various structural problems like torticollis, plagiocephaly, brachycephaly and tissue shock-trauma. She invented the Hazelbaker™ FingerFeeder and the Infant Breastfeeding CranioSacral Protocol™ to assist in the resolution of this type of infant sucking dysfunction.

Objective 1: Describe the clinical ramifications of new histological findings about the lingual frenum.
Objective 2: Discuss the manner in which low tongue posture affects future postural development and airway integrity.
Objective 3: Describe the need for evidence-based clinical decision making when it comes to revision wound healing.
Objective 4: Discuss the normal morphology of the infant maxillary frenum.
Objective 5: Describe the incidence of posterior vs. anterior tongue-tie.

USA Alison K. Hazelbaker, PhD, IBCLC, FILCA, CST, RCST, PPNE

This presentation examines several influential recent studies that will change the way we think about tongue-tie; the manner in which we examine, treat and perform therapy on babies. From the overall perspective of development, Dr. Hazelbaker looks at histology, speech development, posture, wound healing, lasers and airway integrity, citing the most exciting studies on these subjects, explaining how each will impact our philosophical, intellectual and clinical involvement with study findings. Further, Dr. Hazelbaker makes suggestions of how these various studies should guide our thinking about when and how to assess and treat tongue-tied infants.

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Duration: 64 mins
Melissa Cole, MS, IBCLC
Will It Hurt? Frenotomy Aftercare Strategies to Optimize Healing Outcomes for the Newborn
U.S.A. Melissa Cole, MS, IBCLC

Melissa Cole is a board-certified lactation consultant, neonatal oral-motor assessment professional and clinical herbalist in private practice. Melissa is passionate about providing comprehensive, holistic lactation support and improving the level of clinical lactation skills for health professional. She enjoys teaching, researching and writing about wellness and lactation-related topics. Her bachelor’s degree is in maternal/child health and lactation and her master’s degree is in therapeutic herbalism. Before pursuing her current path, Melissa’s background was in education and cultural arts, which has served her well in her work as a lactation consultant and healthcare educator. She loves living, working and playing in the beautiful Pacific Northwest with her 3 children.

Objective 1: Describe why minimizing neonatal pain is important
Objective 2:Describe the impact of stress on wound healing
Objective 3:Identify some pain relief strategies for post frenotomy care

U.S.A. Melissa Cole, MS, IBCLC

There are a few emerging theories and clinical practice ideas when it comes to frenotomy aftercare for the newborn. Clinicians and families sometimes struggle with the idea of how to balance efficient post-frenotomy care while minimizing stress and discomfort of the newborn. While the evidence strongly points to the benefit of frenotomy for tongue-tied neonates, there is little published evidence regarding best aftercare practices. During this presentation we will explore the neonatal experience of pain along with pain management and oral healing strategies. We will also discuss the impact of stress on wound healing and focus on ways to help keep babies calm and happy through the recovery process. For families coping with a tongue-tied baby, it is often a physical and emotional roller coaster ride. This presentation will help provide a well-rounded view of frenotomy aftercare issues as well as clinical, care strategies to optimize healing and feeding for the newborn.

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Duration: 60 mins
Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP
Aerophagia Induced Reflux Associated With Lip and Tongue Tie in Breastfeeding Infants
USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP

Dr. Siegel is a pioneering Tongue Tie surgeon, mentored through medical school, residency and in private by practice by the late Elizabeth Coryllos, MD. He is a dual degree MD, DDS Oral and Maxillofacial Surgeon, lectures internationally and publishes on the topic of Reflux associated with Lip and Tongue Ties.

Objective 1: Discuss pathophysiology of infantile reflux vs Aerophagia Induced Reflux (AIR)
Objective 2:Describe role of lip/tongue tie in aerophagia induced reflux (AIR)
Objective 3: Explain treatment with frenotomy/frenectomy for AIR.

USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP

This study aims to show a correlation between aerophagia in infants with tethered oral tissues (TOT’s) consisting of ankyloglossia and shortened maxillary labial frenula (tongue and lip-tie) and reflux. Currently there is little to no data on aerophagia as a possible cause of reflux in infants. Infants with tongue and possibly lip tie often have a poor latch in which there is often an inadequate seal around the breast and inefficient transfer of milk. As a result many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux. This study and results to demonstrate a correlation of ankyloglossia and shortened maxillary labial frenula with aerophagia and reflux.Treatment of these infants with a relatively simple frentomy procedure may reduce or eliminate reflux in this population.

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Duration: 60 mins
Tethered Oral Tissues: Beyond Breastfeeding

Autumn R. Henning, MS, CCC-SLP, is a certified and licensed Speech-Language Pathologist with Certificate of Clinical Competence from the American Speech-Language Hearing Association (ASHA). She graduated Magna Cum Laude from the University of Kentucky with her Bachelor’s and Master’s Degrees in Communication Disorders. Autumn is a recognized provider by Ankyloglossia Bodyworkers, has been a guest presenter for Creating a Care Plan for Tongue Ties and delivered a webinar through Innara Health entitled Tethered Oral Tissues: What’s a Therapist to do?. She has served on local breastfeeding professional panels and delivered numerous presentations to parents and medical professionals. Autumn has completed specialty continuing education including Beckman Oral Motor, Vital Stim, and Foundations in Myofascial Release for Neck, Voice, and Swallowing as well more than a dozen professional courses on pediatric feeding and related topics. She is pursuing further education in the areas of lactation and orofacial myology. Autumn has experience working in the school system, early intervention, an ABA center and outpatient clinics including a nationally award-winning intensive feeding program. Autumn currently specializes in pediatric feeding at a non-profit outpatient clinic in Greenville, SC and serves on the board. She recently founded a continuing education company, Chrysalis Feeding, LLC. The flagship course is TOTS: Tethered Oral Tissues Specialty Training that launched this Fall.

Objective 1: Recognize developmental milestones and oral abilities required for functional feeding and speech.

Objective 2:Identify common signs/symptoms of tethered oral tissues related to feeding and speech function.

Objective 3: Advocate for intervention via appropriate referrals to designated professionals treating tethered oral tissues for feeding and speech function.


This presentation is an introduction to tethered oral tissues and their impact on oral function beyond breastfeeding. Participants will learn about the oral skills necessary for proper speech and solid feeding and how tethered oral tissues alter this optimal function. Participants will learn how to effectively communicate with patients, families, and other medical professionals on this topic and make appropriate referrals with recognition of signs and symptoms affecting oral function.

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CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators. GOLD Conferences has been designated as a Long Term Provider of CERPs by IBLCE--Approval #CLT114-07. This program is approved for 5 CERPs (2 L-CERPs and 3 R-CERPs). If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.

Tags / Categories

(IBCLC) Education and Communication, (IBCLC) Infant, (IBCLC) Infant, (IBCLC) Research, (IBCLC) Techniques, Breastfeeding the Tongue Tied Infant, Differential Diagnosis & Management, Pre & Post Care, Tongue & Lip Tie Assessment

How much time do I have to view the presentations?

  • The viewing time will be specified for each product. When you purchase multiple items in your cart, the viewing time becomes CUMULATIVE. Ex. Lecture 1= 2 weeks and Lecture Pack 2 = 4 Weeks, you will have a total of 6 weeks viewing time for ALL the presentations made in that purchase.
  • Time for viewing the talks begins once you purchase the product. For Live Webinars & Symposiums, the viewing period begins from when the live event takes place. Presentations can be accessed 24/7 and can be viewed as many times as you like during the viewing period.

What are bundled lectures?

  • Presentations may be available individually or via a bundled package. Bundled lectures are a set of lectures that have been put together based on a specific category or topic. Some lectures will be available in both individual and lecture form, whereas others will be available only via a bundled lecture pack.

Will there be Handouts?

  • YES! Each lecture comes with a PDF handout provided by the Speaker.

Some lectures include a Q&A, what does that mean?

  • During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.

How can I receive a Certificate?

  • If this presentation offers a certificate, once you are done viewing the lecture or the lectures within a bundle, submit your attendance record in order to be able to download your certificate. You'll be able to see which credits are offered for the lecture by hovering over the "Credits Available" link within the "Speakers & Topics" tab.
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