Smiling Baby

TETHERED ORAL TISSUES (TOTS)

Our speech pathologists have extensive training in tethered oral tissues (TOTS) at all ages, from birth through adulthood.  We provide a comprehensive approach to assessment looking at structure, function and symptoms.  From birth through adulthood we identify and educate families on the potential short and long term impact of tethered oral tissues on breast and bottle feeding, solid food transition, facial growth and development, sleep and speech.  Appointments will include:   

  • Functional screening of tongue, lip and buccal ties 

  • Pre and Post Release Education and Support

  • Neuromuscular retraining including suck training (infants) and myofunctional therapy for children and adults

Our therapists work with community partners such as otolaryngologists, orthodontists, dentists, physical therapists, occupational therapists and chiropractors to ensure we provide comprehensive and collaborative care.   We participate in regular professional development to ensure we provide the best possible care to our patients.  Some of the courses we love include:

  • The Breathe Course through The Breathe Institute (TBI) with     Dr. Soroush Zaghi *Karrie and Daniel are both TBI Ambassadors

  • The Breathe Baby Course with Dr. Chelsea Pinto

  • Tongue Tied Academy with Dr. Richard Baxter

  • Tethered Oral Tissues Specialty Training with Autumn Henning