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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Australia Marjan Jones, BDSc (Hons) UQ, BSc Melb

Dr Marjan Jones, a dental surgeon in Brisbane Australia pioneered a multi-disciplinary approach to the treatment of oral restrictions in Australia. With over 20 years’ experience with dental lasers and extensive knowledge of the comprehensive treatment of oral restrictions, her practice treats patients of all ages, offering a team-based approach to surgery incorporating in-house myofunctional therapy and orthodontics for treatment for children and adults. For infant patients, she collaborates with IBCLCs and cranial therapists for a comprehensive approach toward functional outcomes. She co-founded the Tongue Tie Institute designed to advance the education of health professionals in the treatment of oral restrictions. She now lectures to practitioners from Australia and around the world who have been introduced to a team approach to the management of oral restrictions. She has personal experience with the effect of tongue ties and their effect on herself and family (including breastfeeding challenges) and is determined to help others avoid or overcome their impact. She is a Fellow of the World Clinical Laser Institute, a member of the Academy of Laser Dentistry, the Academy of Breastfeeding Medicine and was the immediate past Chairperson of the Interim Board of the International Consortium of Ankylofrenula Professionals (ICAP). He passion for breastfeeding has resulted in studies toward IBCLC certification.

Australia Marjan Jones, BDSc (Hons) UQ, BSc Melb
Abstract:

Michelangelo at work - Tongue Tie and Orofacial Myofunctional Development

Our oral and facial muscles are the master sculptors of our jaws and face. Research and clinical findings show that changing resting oral posture and functional habits of our oral and facial muscles not only influence structure but also affect function. The important functions of the orofacial region include breathing, eating/drinking (including breastfeeding) and speaking.

Breastfeeding is the premier and pivotal determinant of orofacial myofunctional habits. Beyond the many risks of not breastfeeding, malocclusion (poorly positioned jaws and teeth) is a very significant risk. As such it is important that all health practitioners working with neonates rally to educate, accompany and support breastfeeding dyads toward functional and breastfeeding for as long as possible.

The tongue’s ability to move (particularly to elevate) affects breastfeeding biomechanics. As such, a tethered tongue’s range of motion and span of influence is a deviation from the physiologic norm. Teaching a dyad to compensate or simply manage through sub-optimal breastfeeding and its resulting symptoms can have consequences in functional outcomes later in life. Compensations have consequences that emerge well beyond breastfeeding years.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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Dr. Agarwal worked on the Eastern Shore of Virginia for eight years in general pediatrics before moving to the Valley of the Sun to establish Agave Pediatrics in 2005. Dr. Agarwal underwent medical schooling at India’s premier institute of medical sciences, AIIMS, in New Delhi. He completed his residency in Pediatrics at the University of Texas Medical Branch at Galveston. To further his learning in subspecialty medicine, he joined the fellowship program in Pediatric Nephrology at the University of Florida at Gainesville. Under the program, he also conducted bench research at Ohio State University.

Abstract:

According to the American Academy of Pediatrics, it is a high priority to advocate for the support of breastfeeding. Numerous studies have clearly demonstrated the significance of breastfeeding in a child’s overall health and wellness. Unfortunately, the presence of a tongue tie can pose a major obstacle for healthy breastfeeding. Ankyloglossia (tongue-tie) has long been a topic of much controversy, concern, and debate. Tongue-ties can cause problems with breastfeeding because the tongue is restricted in its natural movement of sucking and feeding. Research indicates that a frenectomy is a safe and effective treatment that usually helps improve breastfeeding. However, surprisingly, pediatric clinics across the U.S. do not routinely perform lingual and/or frenectomies. In this lecture, Dr. Agarwal discusses the history of tongue ties and the clinical presentation of symptoms commonly experienced by an infant who is tongue-tied and/or a mother trying to breastfeed with a tongue-tied child. He also details how to identify tongue ties, determine whether a frenectomy is needed, frenectomy treatment options, and associated aftercare.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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Dr. Richard Baxter is a board-certified pediatric dentist and board-certified laser surgeon. He is a nationally recognized speaker on tongue-ties, and author of the bestselling book Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. He is passionate about educating parents and healthcare practitioners about the effects a tongue-tie can have throughout the lifespan. He lives in Birmingham, AL with his wife, Tara, their five-year-old old girls, Hannah and Noelle, and infant Molly. He is the founder and owner of the Alabama Tongue-Tie Center where he uses the CO2 laser to release oral restrictions that are causing nursing, speech, dental, sleep and feeding issues. He had a tongue-tie himself, and all three of his girls were treated for tongue and lip-tie at birth, so for him, this field is a personal one. In his free time, he enjoys spending time with his family and outdoor activities. He serves as an elder at his church and is on the board of Reach the Rest, a global missions organization. Dr. Baxter also participates in many overseas dental mission trips. He is currently working on several research and educational projects related to tongue-ties.

Abstract:

Tongue-Tie certainly impacts breast and bottle-feeding, but also can have a significant impact on solid feeding, speech, breathing, and sleep. In this discussion, Dr. Baxter will share about the impact untreated ties can have on patients and their families, and how treating early in life can solve many of these issues. The presentation will highlight the role of the tongue in the essential functions of life. Many case studies of children who have struggled for years due to a tethered tongue and lip will be shared along with treatment videos, and parent testimonials.

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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 Michelle Emanuel, OTR/L, CIMI, CST, NBCR, RYT 200

Michelle has 20 years of experience as a Neonatal / Pediatric Occupational Therapist and over 15 years experience as a Craniosacral Therapist and Infant Massage Instructor. She is a Certified CranioSacral Therapist through the Upledger Institute. She serves as a Teacher's Assistant) for CranioSacral Therapy, SomatoEmotional Release , as well as CranioSacral Therapy for Pediatrics. In addition to this, Michelle has a wide variety of specialty baby craniosacral therapy training and experience. She is certified in Yoga, Reflexology, and infant Massage. Michelle has started to focus on her private practice, teaching her own curriculum including the Tummy Time method and and cranial nerve dysfunction for the newborn to precrawling infant.

USA Michelle Emanuel, OTR/L, CIMI, CST, NBCR, RYT 200
Abstract:

TummyTime!™ is a program designed specifically for parents and babies to support connection, health and development. Tummy time is helpful for babies to offset the time they spend sleeping while lying on their backs, helps promote natural reflexes and helps to promote optimal breastfeeding relationship.

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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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Israel Gina Weissman, DMD, RN, IBCLC, FABM

Dr. Gina Weissman began her career as a dentist, receiving her training at The Hebrew University Hadassah Medical School, Jerusalem. She is also a RN nurse and has been working as an IBCLC, Certified Lactation Consultant, since 1999. She teaches courses in human lactation for both medical professionals and future lactation consultants, mentoring them in preparation for the international exam of the IBCLC. Dr. Weissman councils mothers and releases tongue ties at her private breastfeeding clinic, HalavM. She is an expert in teaching mothers Instinctive Breastfeeding and the author of Mother's Milk, a Video Guide to Breastfeeding (Hebrew/Arabic/English).Dr. Weissman is an international lecturer and the president of the Israeli Association of Certified Lactation Consultants.She lives in Israel with her husband Amir and four sons.

Israel Gina Weissman, DMD, RN, IBCLC, FABM
Abstract:

Background As far as anterior tongue tie is concerned, there is a growing, vast body of knowledge that has been validated. As for posterior tongue tie, the scientific evidence is lacking, and the assessment tools are not uniform among practitioners. Medical diagnoses are not part of the scope of practice of Lactation Consultants. Hence, there is a lot of confusion among professionals (both Drs and Lactation Consultants), resulting in over diagnosis and over treatment on the one hand, and under treatment on the other.
Purpose
• To present a unique perspective of an experienced Lactation Consultant who is also a dentist, experienced in diagnosing and treating various types of tongue ties
• To share a conservative clinical thinking process
• To examine the effects of frenotomy on breastfeeding and nipple pain
• To compare the effect of frenotomy on anterior verses posterior tongue ties.

Approach
The discussion will focus on the clinical dilemmas regarding releasing posterior tongue ties and their implications for breastfeeding. Clinical cases of babies with posterior tongue ties will be shown to demonstrate how exclusive breastfeeding can be achieved in clinical cases with posterior tongue ties that were not released. Cases of anterior and posterior tongue ties that had been released although breastfeeding was going well will also be shown.
Conclusions
Frenotomy is a predictable procedure for anterior tongue tie. However with posterior tongue ties, the outcome of nipple pain and breastfeeding latch are influenced also by different factors.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 8 Weeks
Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Carol Gray, CST, LMT, RYT200

Carol has been a therapeutic bodyworker in Portland, Oregon for over 26 years. She is a retired home birth midwife. She specializes in infant and maternal Craniosacral Therapy.
Carol is convinced that if women are appropriately supported in growing, birthing and nurturing their babies, their lives will improve. When women's lives improve their children's health improves. Healthy children grow up to be healthier adults who create healthier communities and a saner, more peaceful world. Carol believes that when things are out of balance even the smallest intervention can bring about great healing. Our need for it is so great. Carol is passionate about using her CST skills to gently make space in maternal bodies so babies can assume ideal positions for gestation and birth. She is currently developing specialized prenatal yoga classes to support and enhance the maternal bodywork techniques she practices and teaches.

USA Carol Gray, CST, LMT, RYT200
Abstract:

Carol will explain how the sources of tongue and oral dysfunction aren’t always in the mouth. Sometimes the gold is buried elsewhere. She will discuss torques and twists in the body that extend into the floor of the mouth and express themselves as a lack of tongue mobility. She will discuss how fetal lie and restricted fetal mobility cause babies to grow in ways that negatively impact their breastfeeding. These things may masquerade as and/or exacerbate tongue mobility issues disguised as short frenula. Carol will also explain the CST treatment approach for these babies.

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
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:

An anatomical short, fibrotic or restricted lingual frenulum presents as Ankyloglossia impairing function for infants by way of breastfeeding difficulties. Although frenotomy is a simple surgical procedure to release the lingual restriction to help restore function, the surgery is only a smaller yet important piece of the puzzle of the treatment. The connective tissue forms the integrated milieu for several body systems in a human body. And since frenum is a part of this connective tissue and developmental & experiential compensation create complex creases along the fabric of fascial conductor network. These creases are noticed as structural, muscular, nerve compensations. Therefore a tongue tie is a complex clinical phenomenon that has many layers to it and needs a super wide vision of the Oral Ankylofrenula Team (OAT) to debate, plan, and mitigate treatment, support & rehabilitate. Craniosacral Biodynamic body work looks at this super wide vision that can allow gentle conduction of this orchestra of cellular events resulting in holistic shift and better treatment outcome.

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Presentations: 5  |  Hours / CE Credits: 5  |  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:

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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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
This presentation is currently available through a bundled series of lectures.