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Lactation, GOLD Learning Symposium Series, Translated Lectures

GOLD Learning Tongue-Tie Online Symposium 2022 - Day 2 Advancing Our Understanding

Welcome to Day 2 Lecture Pack of the GOLD Learning Tongue-Tie Online Symposium 2022 for topics on Advancing Our Understanding! 5 expert speakers present a comprehensive overview of the fundamentals of providing care to infants and young children with oral restrictions and their families. Dive deeper into the topic of tongue-tie with a look at the impact of COVID-19 and the implications for tongue-tie division, the long term implications of tongue-tie, new research on oral restrictions and reflux, compensatory vs novel movements, and clinical case studies of situations where oral restrictions were initially missed, the consequences and results of subsequent treatment.

These presentations will leave you feeling more confident and armed with clinical skills that you can put into practice right away to help the families in your care.

Learn more about the Day 1 Lecture Pack of the Tongue-Tie Online Symposium 2022 - Fundamental Skills. Learn more about how to assess for tongue-tie using the Lingual Frenulum Assessment Protocol for Infants, the importance of anticipatory guidance and supportive aftercare, the impact of tethered oral tissues on the fascial system, retrognathia and hypotonia as differential diagnoses and the mental health implications and effective counselling and screening for mood disorders.

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$95.00 USD
Total CE Hours: 5.00   Access Time: 8 Weeks  
Lectures in this bundle (5):
Duration: 60 mins
Research Findings on the Short Lingual Frenulum and Reflux

Dr Philip Hand practices in Melbourne, Australia . His certifications include: BDS (Otago N.Z.), FICCDE LA&HA Master in Laser Dentistry (Slovenia), MSc Laser Dentistry (UCSC – Rome). He is the Secretary of the International Academy of Innovative Dentistry (IAID) and Assistant Professor UCSC-Rome. Dr. Hand is interested and practices in all fields of general dentistry. These include Implant Dentistry, Endodontics, Periodontics and Orthodontics (POS Graduate). He is a devoted proponent of the use of the dental microscope and dental lasers. He is passionate about tackling the issues and treatment for infant feeding both breast and bottle, airway health and growth and sleep from a dental perspective. He works collaboratively with lactation consultants, maternal health nurses, paediatricians, paediatric osteopaths and chiropractors in the treatment of infants in this pursuit and is actively involved in teaching the importance of this treatment for our patients from infants to adults.

1: Explain the importance of tongue movement for feeding and facial growth and how to make an assessment of restrictive frena (restrctive tethered oral tissues).
2: Detail the results of new research in relation to improvement in infant reflux and mother's comfort after release of restrictive tethered oral tissues.
3: Describe the ideal team of professionals and their roles to achieve the best treatment outcomes for tongue-tied infants


This presentation will look at new research into lingual frenulum restriction and its surgical release to achieve improvement in problems with reflux, breastfeeding and pain for the breastfeeding mother. I will also expand this into restrictive tethered oral tissues (lip-tie, buccal-tie) as a whole, as this was part of my published study into the laser surgical release of restrictive tethered oral tissues on breastfeeding and Gastroesophageal Reflux Disease (GERD). Learn more about the impact of surgical release (frenotomy) of tongue- tie, lip-tie, buccal-tie on both reflux and breastfeeding outcomes for the classically recognised anterior tongue-tie and the less obvious (without functional assessment) posterior tongue-tie. Posterior tongue-tie was noted in 71% of the study cohort.

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Duration: 60 mins
Case Studies of Missed Tongue Ties and Subsequent Consequences

As a little girl, Melanie had the opportunity to watch her OBGYN dad deliver babies and it was such an incredible process to be a part of, she knew she wanted to help babies when she grew up. She received her bachelor’s degree in Family Science from Brigham Young University and worked in adoption until she had her first of six children, which included twins, all of which she was able to exclusively breastfeed. She struggled with postpartum depression which has helped her to be all the more compassionate towards the mothers she works with. Once all 6 children were in school, she became a certified postpartum doula and focused on guiding families mainly with multiples. Given her personal experience, she felt called to serve breastfeeding mothers, so she went back to school to become an IBCLC. She has a passion for helping breastfeeding dyads and also loves educating others about the importance of treating ties. She feels very blessed to have trained with some of the top in the tongue tie field and hopes to continue to spread the word to help increase breastfeeding success.

1. Explain the importance of considering additional aspects of why infants may be struggling beyond syndromes
2. Describe how low tone causing breastfeeding struggles in Down syndrome infants is not always from the syndrome, but can be from an untreated tongue tie
3. Explain why tongue tie release should be considered before G tube
4. Describe how to help infants that are diagnosed “Failure to Thrive”


Improve your investigation skills as we walk through case studies of infants with tongue ties that were initially missed and the subsequent consequences. We will then review once the ties were found how a frenectomy with complete release improved or completely resolved their symptoms. We will examine studies that involve infants with Down syndrome, G tube, NG tubes, and failure to thrive. Learners will be empowered to assess with more accuracy by relying on their knowledge of symptoms and function in addition to standard anatomical assessments. This will improve outcomes for breastfeeding dyads allowing more tongue-ties to be found earlier on.

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Duration: 60 mins
Michelle Emanuel, OTR/L, IBCLC, CST, NBCR
Compensatory vs Novel Movements: 3 Keys for Babies With Tongue, Lip and Buccal Restrictions
  • Bio
  • Abstract
  • Credits
  • Learning Objectives
USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR

Michelle has been a pediatric neurodevelopmental Occupational therapist specializing in precrawling infants for over 26 years. She has specialty certifications and training in lactation, manual therapy, and pre and peri natal psychology. Michelle has specialized in optimal cranial nerve function and oral restrictions, with an emphasis on infant movement, innate biological imperatives and human potential, providing novel curriculums, support and resources for both professionals and parents. She enjoys collaborating and working in teams for babies and families going through the tethered oral tissues release process.

1. Learner will describe the top 3 compensatory strategies seen in precrawling babies with tethered oral tissues
2. Learner will describe 3 novel movements to elicit for optimal breastfeeding
3. Learner will list the 3 keys to eliciting novel movements and eliminating compensatory movement strategies for babies after release of tethered oral tissues

USA Michelle Emanuel, OTR/L, IBCLC, CST, NBCR

Babies with tongue, lip and buccal ties commonly present with altered or compensatory movements of the tongue, lips, face, mandible, neck and whole body. These compensations are secondary to restrictions and subsequent oral dysfunction that results from not having full range of motion and movement of the tongue, a vital organizational organ of the body. While these compensatory strategies have been somewhat functional prior to release, once the ties are released, babies need novel movements to emerge for function to improve and breastfeeding to experience a positive shift. The difficulty is that novel movements often do not spontaneously arise, requiring therapeutic intervention. In this talk, Michelle will discuss 3 keys to eliciting and strengthening novel and more competent oral patterns and feeding abilities after release while making compensatory strategies obsolete.

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Duration: 60 mins
Beyond Breastfeeding: The Long Term Implications of Tongue-Tie in Our Adult Patients
  • Bio
  • Abstract
  • Credits
  • Learning Objectives

Sarah Hornsby is a registered dental hygienist, orofacial myofunctional therapist, speaker, mentor, and entrepreneur. She’s the founder and creator of MyoMentor, a comprehensive mentorship and online educational platform for myofunctional therapy with over 900 graduates as of August 2022. She’s passionate about merging technology into patient care and has been a pioneer in utilizing telehealth practices in the field of myofunctional therapy since 2014. Sarah is a provider advocate as much as she is an advocate for her patients. Her goal is to empower hygienists and dentists to elevate the standards of care by helping their patients through healthy breathing, airway dentistry, myofunctional therapy, and multi-disciplinary collaboration. She opened Faceology, her private myofunctional therapy practice, in 2010 and today it is a thriving telehealth speciality clinic with a focus on adult patient populations and complex treatment cases. Although Sarah has been a myofunctional therapist for over 10 years, it was actually her own health journey that led her down the path to help her patients.

1. Describe how tongue-ties impact sleep and breathing
2. Explain how tongue-ties impact our orofacial structures and craniofacial development
3. Describe how tongue-ties impact our soft tissue function


When it comes to addressing tongue-ties in medicine and dentistry, there is a large emphasis on treating infants in order to achieve optimal breastfeeding. But what happens to the babies who grow into children and adults without addressing their tethered oral tissues, and they end up as adults with tongue-ties? This presentation will discuss the challenges and symptoms that tongue-tied adults face later in life due to restricted lingual frenums. Knowledge of long-term implications is an important part of clinical teaching when explaining tongue-tie to caregivers or colleagues.

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Duration: 60 mins
Sarah Oakley, RN SCPHN (Health Visitor) IBCLC
COVID-19 and Implications for Tongue-Tie Division in Infants
UK Sarah Oakley, RN SCPHN (Health Visitor) IBCLC

Sarah is a Registered General Nurse, Health Visitor, International Board Certified Lactation Consultant and Tongue-tie Practitioner with a busy private practice based in Cambridgeshire, UK. Sarah is a founder member and former Chair of The Association of Tongue-tie Practitioners and has written a book for parents and professionals, ‘Why Tongue-tie Matters’. Sarah lectures nationally and internationally on infant feeding and tongue-tie.

1. Describe the challenges faced by parents of tongue-tied babies during the pandemic.
2. Explain how provision of care changed during the pandemic and what the long term implications of this have been.
3. Describe what the specific concerns were in relation to tongue-tie division which led to changes in provision during the pandemic.

UK Sarah Oakley, RN SCPHN (Health Visitor) IBCLC

This presentation will examine the impact Covid 19 had on infant feeding and in particular the provision of tongue-tie services in the UK and other parts of the world during the period March to September 2020. It will look at the impact changes in provision had on the infant feeding experiences of families. It will also explore how practitioners managed services during the pandemic and what the lasting effects on those services have been. Specific concerns around transmission of Covid 19 during oral procedures will also be considered. Consideration to lessons learned will be given.

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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 the IBLCE--Approval #CLT114-07. This program is approved for 5 L-CERPs.

ASHA - Professional Development Hours for Speech-Language Pathologists
According to ASHA, this activity qualifies for 5 PDHs. Activities are accepted as PDHs if they contribute to your professional development and will lead to acquiring and enhancing skills and knowledge required for independent audiology and SLP practice.Please review ASHA's Acceptable Activities for Professional Development for more information.

Dietetic CPEUs - Continuing Professional Education Units:
Applicable to Dieticians & Nutritionists, this program is approved for 5 Dietetic CPEUs by the Commission on Dietetic Registration - the credentialing agency for the Academy of Nutrition and Dietetics.

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) Clinical Skills, (IBCLC) Education and Communication, (IBCLC) Infant, (IBCLC) Pathology, (IBCLC) Research, Tongue-tie, Lip Tie & Structure

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