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GOLD Learning Online Tongue-tie Symposium 2017: Putting the Pieces Together

Back by popular demand, we are pleased to announce our second GOLD Learning Online Tongue-tie Symposium 2017: Putting the Pieces Together. This exciting Symposium dives into the latest research to help practitioners better understand the clinical puzzle of tongue-tie and lip-tie. As an emerging field of research, there is still have a lot to learn about incidence and cause, impact on structure and function, assessment and identification, treatment, wound care, restoring effective function, addressing the emotional needs of the family and much more.

We are excited to share the knowledge and wisdom of 5 experts in the field as we continue to share, grow and question. 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: 60 mins
Comprehensive Review of Laser Soft Tissues Physics Infant Lip and Tongue Frenum Surgery

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.

Objective 1:Understand the difference between contact hot tip diode lasers and non-contact lasers.

Objective 2: Understand the science of the healing processes that are different in each wavelength.

Objective 3: Better interact with the providers of laser surgeries for their patients and how to anticipate the expected results.


There will be an explanation of the science of laser physics that is easily understandable as it applies to the selection of proper types of lasers. There currently are 3 main wavelengths that can be used for laser surgery. An explanation of how these wavelengths are applicable and how they determine outcomes for infant tissue interaction for laser surgery will be presented in a slide presentation and through videos. The physics of lasers will then be translated to clinical reality through the presentation of various clinical cases which will allow the group to better understand how they can interpret post-surgical results and how the various lasers do interact differently. The tissue healing process of the tissue with the laser wavelengths will also be reviewed and related to the active wound management methods that are suggested. There will be a review of assessment for how the provider of laser surgery selects the setting for his applications in surgery. Through the entire presentation, multiple slides will effectively clarify the mystery behind the true science of the laser surgeries which our patients are receiving.

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Duration: 55 mins
Why Bodywork is a Significant Piece of the Puzzle of Comprehensive Tongue & Lip Tie Treatment? — The Emerging GOLD Standard of Treatment & Care

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.

Objective 1: To understand the conductor of the function & regulation in our body – The Fascinating Facia.

Objective 2: To be able to identify atleast 3 key sympathetic factors for compensations.

Objective 3: To be able to understand the important of bodywork as preparatory to surgery.

Objective 4: To be able to develop a holistic care with skilled lactation ideas & plan the referral team.

Objective 5: To understand the need & importance of bodywork as integrative breastfeeding care plan


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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Duration: 60 mins

Dr. Agarwal went to medical school at All India Institute of Medical Sciences, AIIMS, in New Delhi, which is the premiere institution for medical training in India. After which, he came to the United States for his Pediatric Residency at the University of Texas Medical Branch at Galveston. Subsequently went on to join the Pediatric Nephrology fellowship at University of Florida at Gainesville. Under the program, he also conducted bench research at Ohio State University. Dr. Agarwal worked on the Eastern Shore of Virginia for eight years in general pediatrics before moving to Arizona to establish Agave Pediatrics in 2005. Over the years Dr. Agarwal has developed his own style of practicing pediatrics, which is strongly supportive of natural ways of taking care of children and emphasis on breastfeeding. During his practice, he realized that one of the biggest impairments in breastfeeding was the presence of labial and lingual ties. Having performed some procedures during medical school, he re-educated himself about the procedure and started performing them in 2007. In the last 15 years, Dr. Agarwal has performed more than 18000 frenotomies. Now, along with a busy clinical practice, he has made it his goal to spread the awareness about the issues related to labial and lingual ties to pediatricians, lactation consultants, doulas, midwives -everybody who helps mothers with the process of breastfeeding and in taking care of children with feeding and speech difficulties.

Objective 1: Describe what a tongue tie is.

Objective 2: List the types of TT and difference between a posterior and anterior tongue tie.

Objective 3: List 3 methods of frenotomy/frenectomy.

Objective 4: List 4 out of 6 risks from a procedure.

Objective 5: List at least 3 symptoms a mother can develop with a tongue tied child.

Objective 6: List at least 4 symptoms a child can develop with a tongue tie present.

Objective 7: Demonstrate 2 exercise methods. Explain how a tongue tie affects breastfeeding.


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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Duration: 64 mins
Christina Smillie, MD, FAAP, IBCLC, FABM
Posterior Tongue Tie: Confusion, Concerns and Controversies in the Conceptualization, Definitions, Diagnosis and Treatment of Problems of Tongue Mobility Affecting Breastfeeding Babies
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.

Objective 1: Describe how the hyoid bone, and the various muscles that attach to it, affect tongue mobility and function
Objective 2: Describe the history of the diagnosis of submucosal tongue tie, and the level of research we currently have about diagnosis and treatment
Objective 3: Identify the differential diagnosis of submucosal tongue tie, including potential confounders, and describe the risks associated with both under- and over- diagnosis

USA Christina Smillie, MD, FAAP, IBCLC, FABM

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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Duration: 61 mins
A Breastfeeding-friendly Approach to Tongue-tie
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.

Objective 1: Evidence of tongue tie affecting breastfeeding and effectiveness of frenotomy.

Objective 2: Know the difference between a frenulum and a tongue tie.

Objective 3: An approach to managing the breastfeeding dyad in the presence of a tongue tie through case studies.

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

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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CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07
This program is approved for 5 CERPs (4 L, 1 R CERPs)

The PESI Inc. designates this enduring educational activity for a maximum of 5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please sent us an email to [email protected] if you have any questions.

Tags / Categories

Bodywork for the Tongue Tied Infant, Breastfeeding the Tongue Tied Infant, Differential Diagnosis & Management, Frenotomy & Tongue Tie Treatment, Tongue & Lip Tie Assessment

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