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Tongue-tie, Lip Tie & Structure Online Course(s) & Continuing Education

Access the latest clinical skills and research for Tongue-tie, Lip Tie & Structure for Lactation & Breastfeeding professional training. These Tongue-tie, Lip Tie & Structure online courses provide practice-changing skills and valuable perspectives from leading global experts. This Tongue-tie, Lip Tie & Structure education has been accredited for a variety of CEUs / CERPs and can be accessed on-demand, at your own pace.

Hours / Credits: 1 (details)
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New Zealand Dr. Yvonne LeFort, MD, FCFP, FRNZCGP, FABM, IBCLC

Dr. Yvonne LeFort has been a family physician for over 25 years and is based in Auckland New Zealand. She is a graduate of Dalhousie Medical School and University of Calgary Family Medicine in Canada. She is a Fellow of the Academy of Breastfeeding Medicine since 2013.

She has been involved in helping breastfeeding mothers and babies for 18 years. Her specific interest in tongue tie and its management was nurtured through her association with Dr. Evelyn Jain who was a true pioneer in the recognition of the importance of breastfeeding and the impact that untreated ankyloglossia can cause on the breastfeeding experience.

Dr. LeFort has established a private Breastfeeding Clinic in Auckland New Zealand providing comprehensive lactation care for mothers and their infants. Her service includes the management of tongue tie and involves a lactation consultant for parallel breastfeeding support.


New Zealand Dr. Yvonne LeFort, MD, FCFP, FRNZCGP, FABM, IBCLC
Abstract:

Great interest has resulted from discussions and blogs concerning tongue-tie which have not always appeared to be mindful the research and evidence of the past 20 years. Much of the basic clinical management of the tongue tied breastfeeding infant and mother has evaporated from these discussions quite inappropriately. I would like to bring us back to the basics of this issue and remind us of what evidence does and does not exist.

The management of any breastfeeding issue remains the realm of the lactation consultant and tongue tie is no exception. Unlike a true stand alone surgical condition, the management of tongue tie requires pre-operative assessment and post-operative strategies to primarily protect the breastfeeding relationship thereby optimizing outcomes. The key guiding factor must be “primum non nocere” – first do no harm – to the breastfeeding relationship. Case studies will be shared that demonstrate the approach taken by the clinician and lactation consultant. Appropriate management and outcomes will be discussed.


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

Institutions:  Department of Nursing, Laniado Hospital, Netanya, Israel, Halav-EM Breastfeeding Clinic
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 also under treatment on the other.
Aims: 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.
Narrative: The discussion will focus on the clinical dilemmas regarding releasing posterior tongue ties and their implications for breastfeeding in newborns as well as in older babies.
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. In these cases, additional factors were taken into account, such as the palate structure and the additional consequences that Ankyloglossia may have later in life.
Conclusions: In some cases of posterior tongue ties, good breastfeeding counseling can make the action of releasing the tongue redundant. However, then we are left to consider conservatively what other effects Ankyloglossia may have on our body.

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Presentations: 29  |  Hours / CE Credits: 27.0  |  Viewing Time: 8 Weeks
Presentations: 2  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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USA Cara J. Riek, DNP, RN, FNP-BC, IBCLC, DABLS

Dr. Cara graduated from Arizona State University of with Doctor of Nursing Practice degree. She is a board certified Family Nurse Practitioner in addition to having her IBCLC certification. Dr. Cara is also a diplomate of the American Board of Laser Surgery, specializing in “Oral Surgery in Infants, Toddler, and Adults.” Dr. Cara very much enjoys helping families to reach their breastfeeding goals.

Dr. Stevanie Bahnerth is a family chiropractor with over 14 years of experience. She earned her Bachelor of Science degree from Purdue University and then went on the attend Palmer College of Chiropractic in Davenport, Iowa. Having breastfeed her three own children, she developed a passion for helping breastfeeding families. She is an active La Leche League Leader. In her free time, Dr. Stevanie enjoys spending time with family and friends, yoga, and traveling.


USA Cara J. Riek, DNP, RN, FNP-BC, IBCLC, DABLS
Abstract:

It is well known that tethered oral tissue (TOT) contributes to difficulty in breastfeeding. TOTs cause an alteration in ability of the infant to latch to the breast and coordinate a proper suck to allow for appropriate transfer of milk. While only medical and dental providers can perform TOT releases on infants, care for the mother/baby dyad after releases requires the work of multiple disciplines to optimize breastfeeding and support the dyad, and it’s important to understand everyone role. Understanding the biomechanics of breastfeeding including joints, bones, muscles, and cranial nerves and how TOT affects this process is necessary to understanding appropriate aftercare for infants who are released. This talk focuses on the necessary aftercare including support of the family of infants receiving release of TOT. Appropriate exercises, the role of body work, and additional consideration related to birth trauma are discussed in this talk. This talk utilizes the experiences of both a provider performing releases with additional IBCLC education and an infant chiropractor.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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United States Lori L. Overland, M.S., CCC, C/NDT, CLC

Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC is a licensed speech and language pathologist with her neurodevelopmental certification and certificate as a lactation counselor. Lori is currently working on her IBCLC under the mentorship of Dr. Tina Smilie M.D., IBCLC, and Cathy Watson-Genna IBCLC. Lori’s private practice focuses on infants, toddlers and preschool children with oral sensory-motor/feeding disorders. Lori has co-authored two books: A sensory motor approach to feeding, and Functional assessment and treatment of tethered oral tissue. In addition to her private practice, Alphabet Soup, Lori is a member of the TalkTools® speakers’ bureau, and has lectured on sensory-motor/feeding disorders around the United States and internationally. Lori holds degrees from Hofstra University and Adelphi University.

United States Lori L. Overland, M.S., CCC, C/NDT, CLC
Abstract:

This session will focus on functional assessment and treatment of tethered oral tissue in the breastfeeding infant. Participants will understand the importance of task analysis of the motor skills to support sucking, prior to referring an infant for a release. Post op treatment has focused on active wound management (Ghaheri, B. 2017) rather than neuromuscular re-education. This approach multidisciplinary approach encourages lactation consultants to partner with body works specialists and speech pathologists to develop the underlying motor skills to support sucking.

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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 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.

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

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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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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United States Brandi Benson, DC, CACCP

Dr. Brandi is the pediatric chiropractor in a practice that provides chiropractic care for women and children. Her focus is on infants with feeding difficulties and children with neurodevelopmental delays. Dr. Brandi created a program at her practice which incorporates chiropractic, optimal nutrition, myofascial/cranial-sacral techniques, and neurofunctional exercises into one comprehensive program. Her ultimate goal is to naturally support the body (brain, gut, spine and immune system) to work together in balance and help children achieve their maximum life potential. Dr. Brandi attended Cleveland Chiropractic College after earning a bachelor’s degree from the University of Missouri- Kansas City. She is also certified by the Academy of Chiropractic Family Practice. In her free time, Dr. Brandi enjoys spending time outdoors with her husband and two sets of fraternal twins.

United States Brandi Benson, DC, CACCP
Abstract:

Oral ties are often diagnosed and released during infancy to improve the breastfeeding relationship between mother and baby. But what happens if ties go undiagnosed? This course will review tethered oral tissues and their relationship in a breastfeeding dyad and the neurodevelopment of an infant and beyond. We will explore the implications of oral restrictions on the myofascial system throughout the body. Movement patterns, posture, and primitive reflex integration can all be affected by oral ties. Signs, symptoms, assessment tools, and strategies for co-management between IBCLC and bodyworkers will be discussed. Attendees will also learn neuro-biomechanical implications of TOTs beyond breastfeeding. Several case studies will be discussed and how successful management can be achieved with a team approach.

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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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Peru Camila Palma, DDS, MSc (Master in Pediatric Dentistry) & IBCLC

Dr. Camila Palma obtained her Doctor of Dental Surgery (DDS) from Universidad Tecnológica de México (UNITEC), Mexico City. She also holds a Master of Science in Dentistry in Pediatric Dentistry (MSc) from the University of Barcelona, Spain and was certified as an International Board Certified Lactation Consultant (IBCLC) in 2019. Dr. Palma is Associate Professor in the Pediatric Dentistry Postgraduate Department, Peruvian University Cayetano Heredia, and Vice-president of the Peruvian Society of Pediatric Dentistry (2021-2023). She also has her own Pediatric Dentistry dental practice in Lima, Peru (Chis Dental). Dr. Palma is the author of several scientific articles, especially in caries prevention and infant oral healthcare. She is also a lecturer in Latin American and European Dental and Lactation Conferences and content creator on children´s oral health for parents through her YouTube channel (Dra. Camila Palma), instagram and Facebook accounts (@chisdental).

Peru Camila Palma, DDS, MSc (Master in Pediatric Dentistry) & IBCLC
Abstract:

Ankyloglossia is an embryologic variation of the lingual frenulum, which causes a significant restriction in the mobility of the tongue. As such, an altered lingual function is always an essential consideration when faced with breastfeeding challenges. On some occasions however, other anatomic or functional alterations in the babies’ orofacial region can cause breastfeeding problems, similar to those seen in tongue-tie babies. They can be the root of latch difficulties, nipple trauma and/or suction and deglutition issues. In these cases, frenotomy does not solve those problems and therefore, the misdiagnosis and posterior surgical treatment can frustrate parents. From a pediatric dentist perspective, retrognathia (recessed chin) and hypotonia are two common differential diagnosis of tongue tie, which can affect a babies’ suction at the breast. The aim of this talk is to present normal and abnormal orofacial structures so as to differentiate ankyloglossia from two problems that can be part of a “faux tie”, in order to aid breastfeeding consultants, and broaden their perspective on breastfeeding difficulties.

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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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U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC

James G. Murphy, MD, is a private practice pediatrician specializing in Breastfeeding Medicine. He was formerly an Assistant Professor of Pediatrics at the F. Edward Hérbert School of Medicine, Uniformed Services University of the Health Sciences. He served 25 years active duty as a physician with the US Navy, 12 years as a contract pediatrician with the US Navy and 6 years as a Government Service Medical Officer at the Naval Medical Center in San Diego, CA. He is a Fellow of the American Academy of Pediatrics, a Fellow of the Academy of Breastfeeding Medicine, Vice President of the San Diego County Breastfeeding Coalition, a member of ILCA and, since 2009, an IBCLC. Dr Murphy began performing lingual frenulotomies in Oct 2003 and has performed over 2800 of these procedures to date including posterior sub-mucosal fibrous bands and 300 Upper Lip Tie releases.

U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC
Abstract:

The concept of Tongue Tie has changed as expertise in the recognition and management of this entity has expanded. Also the consequences of not recognizing and effectively managing this entity and the “Faux Ties” which mimic it are many and expanding as data is collected to document the relationship. Breastfeeding is the most obvious and most severely affected function in infancy. Additional problems become apparent as the infant grows and develops into an ever more complicated organism. This presentation will discuss the many variations of tongue anatomy which present as a Tongue Tie, how to recognize each of these and the consequences of not managing this problem effectively in early infancy.

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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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United States Tamara Hawkins, RN, FNP, IBCLC, LCCE, CHHC

New moms come to Tamara Hawkins for a birthing and breastfeeding plan, but what they get is the permission to abandon beliefs about what the experience should be. What they get is the insight to define their own journeys to and through motherhood—one unpredictably beautiful step at a time. What they get is the confidence to toss the all parenting books aside and to trust their own yes. As the Director of Stork and Cradle, Inc., a passion-fueled prenatal education group specializing in childbirth classes and lactation consultation based in New York City, Tamara brings over twenty years expertise as a Maternity Nurse and Family Nurse Practitioner to deliver classes and programs that blend holistic knowledge and clinical care for mothers and their babies. As instructors and consultants, Tamara and her team offer insight and advice that is data driven, educationally sound, but most importantly, empowerment focused. With Stork and Cradle, women soon realize that their success as moms is not determined by epidurals or pumped ounces, but rather by the power that comes with honing their intuition and simply flowing and flourishing with their babies. An impassioned advocate for birth and breastfeeding equity, she is a Lamaze Certified Childbirth Educator, an International Board Certified Lactation Consultant and a Certified Holistic Health Counselor. Her private practice as an IBCLC accepts several private insurances. Learn more about her work at www.storkandcradle.com.

United States Tamara Hawkins, RN, FNP, IBCLC, LCCE, CHHC
Abstract:

Trending in lactation consultants’ conversations are concerns of parents choosing not to release tethered oral tissues, declining structural realignment work, choosing frenotomy providers that are not on preferred consult lists, and experiencing less than desired outcomes or breastfeeding cessation. How can IBCLCs support families that might otherwise be ambivalent to body work, releasing restrictions, and follow up to ensure continuity of care and breastfeeding success? In this talk, we will explore the journey of holistic lactation care starting from a functional feeding assessment to helping parents reach a self-imposed goal of breastfeeding success with babies that have tethered oral tissues.

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