Tongue-tie & Structure

These presentations focus on the assessment, diagnosis and treatment of tongue-tie and other structural issues that have a negative impact on normal infant sucking skills and development.

Hours / Credits: 1 (details)
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Dr. Jenna Davis is a Family Chiropractor and owns a highly successful family wellness multidisciplinary clinic, Acorn Family Health and Wellness Centre, in Oakville, Ontario. Dr. Davis has a focus on Preconception, Infertility, Pre- and Postnatal care, Pediatrics, Retained Primitive Reflexes, Infant TMJD and Women’s Health. Dr. Davis loves working with families in all stages and has a unique ability to educate her practice members so they feel heard, honoured and understand how chiropractic can improve their function and life. She has a passion for educating and is an avid lecturer both in and out of her office. Dr. Jenna Davis is a mother, author, entrepreneur, educator and is a sought after speaker internationally sharing information on many topics including the Power of Communication, Infertility, Pediatrics, Retained Primitive Reflexes, Infant TMJD, TOTs (Tethered Oral Tissues), Team Approach to Health and Wellness, and Women’s Health. Dr. Davis created a technique in 2016, the P.I.P.S. Technique (Pediatric Intraoral Palate Specific Technique) specifically to assist with Infant TMJD, Sphenoid Fault, Tongue-tie, Lip-tie, Dural Tension and Oral Motor and Oral Sensory Challenges. Dr. Davis has develooped a unique approach to combine sensory, motor, developmental and function into the care and approach to her practice members. Dr. Davis is also the creator of Baby Boom Creations, a company that develops and provides products to assist patients and practitioners in office and at home. Dr. Davis has been a featured speaker on many stages in Canada, the United States, Australia and the UK. She prides herself on her continual quest for the newest information and research and is a life long learner. Dr. Davis has done extensive postgraduate work and continues to expand and grow her knowledge base and resource team to give the best care possible to her practice members and the audiences she has the honour to present to.

Abstract:

Every day in practice Dr. Jenna Davis witnesses how TOTs and Pediatric TMJD, when not addressed, may lead to postural changes, mouth breathing, and may impact craniofacial growth, posture, spinal alignment, development and lead to overall compensation. Ankylofrenula and associated tension is rarely a solitary issue. In this session, we will discuss how these infants may present, the examination process, discuss intraoral work including the PIPS (Pediatric Intraoral Palate Specific) Technique, assessment protocols, and Chiropractic Bodywork. Dr. Jenna will demonstrate other incredibly important exercises parents can add at home to assist with the tension and lack of function often associated with ankylofrenula and TMJD. Learning to assess intraorally is critical for long term improvement at all ages. In this session Dr. Davis will discuss intraoral, palate, and cranial to sacrum assessments and chiropractic adjustments (chiropractic bodywork) that can be done to assist with changes related to Tongue Tie, Pediatric TMJD and associated dural tension. Finally strategies for communication about bodywork, your findings and recommended strategies will be shared to maximize and strengthen your relationship with patients/families, professionals you may co-manage this special population with and your community.

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Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST

Dr. Hazelbaker has been a therapist 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 Haller Method practitioner, a Lymph Drainage Therapy practitioner, a Pre and Perinatal Psychology Educator and an International Board Certified Lactation Consultant in private practice. She has authored three books, several monographs and performed clinically relevant research. As an innovator, she invented the Hazelbaker™ FingerFeeder to address infant sucking problems.

USA Alison Hazelbaker, PhD, IBCLC, FILCA, RCST
Abstract: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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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Renee Beebe, M.Ed., RLC, IBCLC

Renee is a board certified lactation consultant in private practice. She has been working in the field of lactation since the birth of her first child in 1990--as a La Leche League Leader, postpartum doula and IBCLC. She draws from her background in education and child development every time she works with a breastfeeding dyad. Since becoming certified in 1997, Renee has supported moms through home, hospital and clinic visits, drop-in groups in the Seattle area and phone and Skype consultations internationally. She has the great fortune to work closely with several local Drs. who do excellent frenotomy. Renee is thankful to live in breastfeeding-friendly Seattle, close to her 2 grown daughters.

U.S.A. Renee Beebe, M.Ed., RLC, IBCLC
Abstract:

The diagnosis of tongue tie can send parents reeling. Especially true when they receive conflicting information from the pediatrician, various lactation consultants, nurses and other parents. In this age of instant information and social marketing, everyone seems to be an expert. What is a parent to do? Who does a mother trust? What is the right course of action? Using case studies from over 20 years in the field, Renee takes us through the tongue tie journey from the evaluation through the myriad possible steps to successful breastfeeding. Assessment, revision, body work, maintaining milk supply and keeping mothers “in the game” until baby can breastfeed all present challenges to the practitioner. This is especially true since each dyad needs it's own individualized plan that may morph frequently as treatment progresses. Join Renee as she takes you through the process of identification through resolution from the experience of her clients. She will also explore some cultural/regional differences and the challenges working with families through the tongue tie roller coaster.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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Dr. Martin Kaplan was born in Chelsea, Ma. He completed his undergraduate degree at The University of Massachusetts and then attended Tufts University School of Dental Medicine. After earning his D.M.D. degree he completed a pediatric residency at Montefiore Hospital in New York.

Dr. Kaplan practices exclusively in Stoughton, MA. He continues to take update his laser education by regularly attending the Academy of Laser dentistry Annual meeting where is also contributes as a lecturer ans laser safety officer.  He is one of only a handful of pediatric laser dentists who utilizes lasers for the treatment of infants with breastfeeding issues related to frenum attachment problems.

He is a member of the:

•             American Academy of Pediatric Dentistry

•             Massachusetts Academy of Pediatric Dentistry

•             American Dental Association

•             Massachusetts Dental Society

•             Academy of Sports Dentistry

•             Academy of Laser Dentistry

Academy of Breastfeeding Medicine

When not practicing dentistry he enjoys Karate and has attained the level of 4th degree black belt.

Abstract:

My talk will review the proper intake of information of the mother and child dyad to determine and objective evaluation. Intake forms will be available for the attendees. The information will be discussed as it relates to the intake form and the doctor physical observation and digital exam. The decision tree for the proper surgical approach will be reviewed along with a discussion of laser safety and laser tissue response Post-op follow-up and oral physiotherapy will be reviewed and related to the reasons for the type recommended. Cases of lip and tongue ties will be presented by video slides and also a video of actual cases will be shown. Multiple heading of various clinical presentations will be shown and cases of co-morbidity and medical conditions for consideration will be presented. Time will be allotted to answer questions and contact for additional information will be provided for after seminar questions.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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United States Christine Staricka, BS, IBCLC, RLC, CCE

Christine Staricka is an IBCLC and certified childbirth educator with a Bachelor of Science degree in Business Management. Her work in Bakersfield, CA area hospitals has encompassed inpatient and outpatient clinical consultation, ongoing staff education, and work toward Baby-Friendly certification. She is an experienced NICU, postpartum, and outpatient lactation consultant. In 2013, Christine co-founded a professional lactation education group called California Advanced Lactation Institute which has trained more than 100 individuals in basic breastfeeding management and preparation for the IBCLC exam. In 2014, Christine and 2 other IBCLCs opened California’s first licensed Baby Cafe location. Baby Cafe provides free breastfeeding support and IBCLC care in a welcoming and non-medical environment; it is a non-profit service which operates on in-kind donations and Christine and the IBCLC team volunteer their clinical services. Baby Cafe also provides the only venue in Kern County which allows individuals to obtain supervised clinical hours toward the IBCLC exam in a non-employment setting. In 2013 she and her local colleagues created Central Valley Lactation Association (CVLA), a chapter of USLCA, to coordinate efforts to support lactation professionals in California’s Central Valley. Christine met her husband of over 20 years while both were serving in the US Navy and they are the proud parents of 3 amazing daughters.

United States Christine Staricka, BS, IBCLC, RLC, CCE
Abstract:

A growing body of work supports the lactation care provider in assessing, referring, and infant feeding after a revision of oral restrictions; far less has been said regarding ongoing lactation care when revision is not part of the plan in the short- or long-term. Whether because revision services are unavailable, inaccessible, or not desired by parents, the dyad that includes a baby with non-revised oral restrictions will require a customized plan to avoid problems of lactation related to infants with oral restrictions. This presentation will equip the lactation care provider with tools to support the identified population of dyads where the infant has or is suspected to have oral restrictions. (These tools shall include: a review of situations which might lead a dyad to be considered part of this specific population; a comprehensive understanding of the categories of potential problems of lactation associated with this population; and the creation of a lactation care plan with clinical skills specifically designed to consider and address the needs of a dyad in this population along the entire spectrum of normal lactation.) Lactation care providers in any setting and with any level of training will benefit from this review of the issue as it offers a deeper understanding of why particular tools, techniques, and routines might be required for this population as compared with other populations of dyads.

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Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.

Dr. Valérie Lavigne graduated from the Canadian Memorial Chiropractic College  in 1998. In July 2005, she became an IBCLC, the first chiropractor in Quebec with the title. She has her fellowship in pediatrics from the International Chiropractic Pediatric Association and has graduated in November 2014 with a Master of Science  in Pediatric Musculoskeletal Health from the Anglo-European Chiropractic College.    She is working in private practice in her chiropractic clinic in Kirkland, Quebec.

CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.
Abstract:

How comfortable are you at identifying neuromusculoskeletal issues in babies. This lecture will explore the triad aspect of breastfeeding – neurological, muscular and skeletal. A review of the causes, main conditions combined with tips to help you recognize neuromusculoskeletal issues will provide you with a more astute eye during your evaluation. Treatment options will be reviewed in addition to a review of the chiropractic and lactation literature. This lecture should create awareness amongst health professionals about the importance of treating neuromusculoskeletal issues in baby to optimize breastfeeding!

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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USA Melissa Cole, IBCLC, RLC

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 researching and writing, especially on topics such tongue tie and botanical medicine. 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.

USA Melissa Cole, IBCLC, RLC
Abstract:

A hotly debated topic among tongue tie professionals is pre and post-frenotomy care. Infants may have varying degrees of suck dysfunction and lip/ tongue mobility issues before and even after release. In addition, wound care of the incision sites, structural support, emotional support for the dyad and optimal feeding care plan formation is vital. Melissa Cole, IBCLC, RLC will present some pre and post-frenotomy case studies and care basics from her own clinical practice that have proven to improve frenotomy healing outcomes. Parents are often exhausted from the physical and emotional roller coaster that feeding a tongue/lip tied infant presents and sensitive care for the whole family is needed. Melissa also recognizes that pre and post-frenotomy care ‘best practice’ is still in its infancy and she proposes a call to research this subject matter further

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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Catherine Watson Genna BS, IBCLC is in private practice in New York City since 1992. She is particularly interested in dyads with medical challenges to breastfeeding. In addition to mentoring lactation interns, she uses her clinical photos and videos in presentations to healthcare professionals on assisting breastfeeding babies with anatomical, genetic or neurological problems around the world. Catherine participates in a research collaborative with Columbia University and Tel Aviv University Departments of Biomedical Engineering, investigating biomechanics of the lactating nipple and aspects of sucking and swallowing in breastfeeding infants. She is the author of Selecting and Using Breastfeeding Tools: Improving Care and Outcomes (Praeclarus Press 2009) and Supporting Sucking Skills in Breastfeeding Infants (Jones and Bartlett Publishers 2008, 2013, 2017), professional journal articles, and chapters in the Core Curriculum and Breastfeeding and Human Lactation. Catherine served as Associate Editor of the United States Lactation Consultant Association’s official journal Clinical Lactation for its’ first seven years and continues to serve on the Editorial Review Board.

Abstract:

Recent biomechanical analysis of tongue movements during breastfeeding has illuminated how healthy infants use their tongues to produce subatmospheric (negative) pressures and move milk in the mouth for swallowing. This talk reviews normal tongue kinematics during breastfeeding and extends this objective analysis to tongue-tied infants before and after frenotomy and briefly discusses the clinical implications of the changes seen in infants with ankyloglossia.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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USA Christina Smillie, MD, FAAP, IBCLC, FABM

Dr. Smillie is an American pediatrician who founded in 1996 the first private medical practice in the USA devoted to the specialty of breastfeeding medicine. Board certified by both the American Board of Pediatrics in 1983 and by the International Board of Lactation Consultant Examiners in 1995, she values her continuing education from colleagues, research, and breastfeeding babies and their mothers. She’s been a member of the Academy of Breastfeeding Medicine since 1996, and an ABM Fellow since 2002. She serves as an advisor to the American Academy of Pediatrics Section on Breastfeeding and on La Leche League International’s Health Advisory Council. Dr. Smillie speaks nationally and internationally about the clinical management of a wide variety of breastfeeding issues, always stressing the role of the motherbaby as a single psychoneurobiological system, and emphasizing the innate instincts underlying both maternal and infant competence.

USA Christina Smillie, MD, FAAP, IBCLC, FABM
Abstract:

A growing literature and widespread clinical experience support the role of simple frenotomy in improving breastfeeding function for infants with restrictive anterior frenula. The diagnosis and management of restricted tongue mobility and function involving the posterior tongue, however, remains confusing and controversial. Since Betty Coryllos’ seminal work just over a decade ago, subsequent literature has been limited. Definitions, diagnosis, indications for intervention, management choices and anatomic factors predictive of positive outcomes elude us. Over- and under-diagnosis can both lead to adverse outcomes. This presentation will look at these concerns through the lens of known infant anatomy and oral function in breastfeeding, the available literature, as well as the shared clinical experience and observations of those in the field.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Live Webinar

Rethinking Surgical Tools - Infant Frenotomy & Pain

By Effath Yasmin, MA, HDSE, CLEC(USA), IBCLC, BCST(ICSB-SWISS)
Hours / Credits: 1 (details)
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India Effath Yasmin, MA, HDSE, CLEC(USA), IBCLC, BCST(ICSB-SWISS)

 

Effath Yasmin is India's leading IBCLC & a Biodynamic Craniosacral Therapist from Mumbai, India. Her special interests lie in Infant Oral and Sucking Dysfunction, Tongue Tie - Assessment, Treatment & Rehabilitation. Yasmin sits on many international and national boards. she also spear-headed many projects from co-founding a professional organisation ICAP with a central mission of advocacy & to unite the multidisciplinary professionals working in the field of tongue ties world wide to producing an international documentary - Untying Breastfeeding which has been screened atleast in 100 cities in the world. She has dedicated her life to many projects to educate, protect, promote and support & restore Breastfeeding & other craniofacial development across life span. Her work has been published in the International Journals & textbook and writes extensively on print and digital media on the subjects of breastfeeding, parenting, health & wellness and tongue ties. She continues to strive to pursue her seminal work on link between tongue ties and depression. She has currently set up India’s First Lactation & Family Wellness Clinic with FULL-DAY Breastfeeding observation facilities in Mumbai.

India Effath Yasmin, MA, HDSE, CLEC(USA), IBCLC, BCST(ICSB-SWISS)
Abstract:

Ankyloglossia (tongue tie) impacts and can impair normal oral function in infants leading to a myriad of complications with breastfeeding. Increased awareness of this impact has led to increased diagnosis and treatment of tongue tie through frenotomy/frenectomy. These procedures are typically completed using one of two tools: scissors or laser and sometimes cautery. While the methods are equally effective when completed by a competent practitioner, the blood coagulation of the surgical incision made by a laser is cited as an major advantage in laser surgeries along with great advantage of visibility at the surgical site by the surgeon. Therefore laser release is widely perceived as superior to scissors in the recent development in LASER FRENECTOMIES.

There has been very little research that has been published on the post-procedural effects of surgical tool used. In her practice, the author has noted significant and consistent patterns in post-procedure pain, correlating to which tool is used for the release. This presentation attempts to highlight that it is critical we study the scale of pain experienced by infants post frenotomy in correlation to tool of surgery since Pain affects babies' nervous systems potentially changing the structure and physiology of the nervous system and be a cause of problems with sleep, feeding, and self-regulation. The Author will review specific data measurements that demonstrate these patterns, and present a theory for potential reasons of prefering one tool over the other for low risk Infant Frenotomies.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
This presentation is currently available through a bundled series of lectures.