Topics & Abstracts

Tongue-tie, clinically known as ankyloglossia, is a dynamic topic that is often surrounded by controversy and mixed opinions. Tongue-tie can restrict proper lingual functionality and mobility, causing a range of feeding and health issues for infants. Such challenges can be complex, multi-factorial, and emotional for families navigating them. Having a better understanding of the variables involved in infant oral function and related ankyloglossia care can help providers best care for the patients they serve. This keynote presentation will highlight how clinicians can foster a mindful approach to oral assessment, timing of treatment, and related care strategies when it comes to supporting families navigating the physical, emotional roller coaster ride of ankyloglossia.

Objectives:

1. Describe critical thinking skills around our approach to tongue tie care
2. List 3 important infant oral assessment techniques
3. Explain 2 elements of creating a strategy for timing of infant frenectomy procedures

Live Presentation Schedule Sep 9, 2024

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09-09-2024 16:00 09-09-2024 17:15 35 A Mindful Approach to Infant Tongue-Tie Care Tongue-tie, clinically known as ankyloglossia, is a dynamic topic that is often surrounded by controversy and mixed opinions. Tongue-tie can restrict proper lingual functionality and mobility, causing a range of feeding and health issues for infants. Such challenges can be complex, multi-factorial, and emotional for families navigating them. Having a better understanding of the variables involved in infant oral function and related ankyloglossia care can help providers best care for the patients they serve. This keynote presentation will highlight how clinicians can foster a mindful approach to oral assessment, timing of treatment, and related care strategies when it comes to supporting families navigating the physical, emotional roller coaster ride of ankyloglossia. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Craniosacral therapy (CST) is a gentle health modality that dates back to the 19th century. The primary focus of CST is to self-facilitate the body’s healing by releasing obstructions in the fascia, muscles and nervous system. In the case of tethered oral tissues, AKA tongue ties, we often see tension and tissue strain patterns in the baby’s whole body that stretches from head to their toes. This gentle, noninvasive treatment is performed with 1-5 grams of light touch that frees the body of restrictions which may have occurred during pregnancy, birth or other injury. By relieving this tension, it helps the baby relax to feed better, move their body easier, manage their gas and eliminate easily. The timing of this tool for pre- and post-tongue tie release is important in assisting with preparing and healing the body. The case reviews will demonstrate how this biodynamic bodywork can benefit a baby from feeding or sleep concerns to digestive issues or a misshapen head by regulating their autonomic nervous system.

Objectives:

1.List 2 symptoms that craniosacral therapy may alleviate in the baby.
2.Describe the appropriate timing to refer a baby for craniosacral therapy.
3.Explain changes to the body during a craniosacral therapy treatment session.
4.List 2 situations where craniosacral therapy may be contraindicated for a baby.

Live Presentation Schedule Sep 17, 2024

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17-09-2024 19:00 17-09-2024 20:00 35 Craniosacral Therapy: A Complementary Tool to Relieve Tension in the Tongue-Tied Baby Craniosacral therapy (CST) is a gentle health modality that dates back to the 19th century. The primary focus of CST is to self-facilitate the body’s healing by releasing obstructions in the fascia, muscles and nervous system. In the case of tethered oral tissues, AKA tongue ties, we often see tension and tissue strain patterns in the baby’s whole body that stretches from head to their toes. This gentle, noninvasive treatment is performed with 1-5 grams of light touch that frees the body of restrictions which may have occurred during pregnancy, birth or other injury. By relieving this tension, it helps the baby relax to feed better, move their body easier, manage their gas and eliminate easily. The timing of this tool for pre- and post-tongue tie release is important in assisting with preparing and healing the body. The case reviews will demonstrate how this biodynamic bodywork can benefit a baby from feeding or sleep concerns to digestive issues or a misshapen head by regulating their autonomic nervous system. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Post frenotomy care wound care is a topic that frequently creates confusion and controversy within the health care field due to the lack of research available to guide practice guidelines. Join our expert speakers as they discuss the latest thoughts on post frenotomy wound care including its purpose, current approaches to wound care and how it fits into the bigger picture of post frenotomy care, along with gaps in research that could provide areas for future study.

Objectives:

1. Explain the purpose of post frenotomy wound care.
2. Describe common approaches to post frenotomy wound care.
3. Describe the gaps in current research on post frenotomy wound care.

Live Presentation Schedule Sep 24, 2024

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24-09-2024 16:00 24-09-2024 17:00 35 Exploring Post Frenotomy Wound Care Post frenotomy care wound care is a topic that frequently creates confusion and controversy within the health care field due to the lack of research available to guide practice guidelines. Join our expert speakers as they discuss the latest thoughts on post frenotomy wound care including its purpose, current approaches to wound care and how it fits into the bigger picture of post frenotomy care, along with gaps in research that could provide areas for future study. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Tongue tie reduces pharyngeal pressure by restricting the tongue's range of motion, which has a significant effect on the oral phase of swallowing. A lingual frenotomy facilitates the mobility of the tongue during swallowing by releasing the tension in the frenulum. This study describes a 36-day-old female newborn with feeding difficulties due to a tongue tie, resulting in malnutrition. Through careful and thorough assessment of the tongue's function and the breastfeeding history, the baby went from dependence on a feeding tube to breastfeeding. This presentation will demonstrate the importance of detailed assessment, examination, and treatment of the breastfeeding dyad, particularly in very serious cases of malnutrition and poor growth.

Objectives:

1. List 2 examples of the most current advancements in tongue-tie research and how to effectively determine whether a patient has an indication for frenotomy.
2. Explain the connection between tongue tie and a baby's ability to swallow and breastfeed, as well as the potential consequences of overlooking the tongue tie.
3. Describe a holistic approach to medical problems caused by overlooked tongue ties, particularly for newborns.

Live Presentation Schedule Sep 16, 2024

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16-09-2024 13:00 16-09-2024 14:00 35 From Feeding Tube to Fully Breastfeeding: A Case Study of Delayed Frenotomy Tongue tie reduces pharyngeal pressure by restricting the tongue's range of motion, which has a significant effect on the oral phase of swallowing. A lingual frenotomy facilitates the mobility of the tongue during swallowing by releasing the tension in the frenulum. This study describes a 36-day-old female newborn with feeding difficulties due to a tongue tie, resulting in malnutrition. Through careful and thorough assessment of the tongue's function and the breastfeeding history, the baby went from dependence on a feeding tube to breastfeeding. This presentation will demonstrate the importance of detailed assessment, examination, and treatment of the breastfeeding dyad, particularly in very serious cases of malnutrition and poor growth. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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In order to advance the care of tongue-tied babies, we must fully examine the concept of tongue function as opposed to tongue appearance. This presentation explores how we can identify deficits in tongue function that will impact feeding. It will review the research on how babies use their tongues during feeding and examine the different assessment tools available and the appropriate use and relevance of these tools. It will also discuss other factors which may impact tongue function and feeding which need to be considered when making a diagnosis of tongue-tie and recommending division.

Objectives:

1. Describe how the baby uses their tongue during feeding.
2. List the key functional deficits which would indicate a tongue-tie.
3. Explain 3 examples of assessment tools available for assessing tongue-ties in infancy and to be able to select an appropriate tool to aid decision making.
4. Define the wider oral anatomy and other factors that may impact tongue function and feeding and need to be considered when making a diagnosis of tongue-tie.

Live Presentation Schedule Sep 23, 2024

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23-09-2024 15:00 23-09-2024 16:00 35 Functional Assessment and Differential Diagnosis of Tongue-Tie In order to advance the care of tongue-tied babies, we must fully examine the concept of tongue function as opposed to tongue appearance. This presentation explores how we can identify deficits in tongue function that will impact feeding. It will review the research on how babies use their tongues during feeding and examine the different assessment tools available and the appropriate use and relevance of these tools. It will also discuss other factors which may impact tongue function and feeding which need to be considered when making a diagnosis of tongue-tie and recommending division. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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IBCLCs assess chest/breast and bottle feeding skills, as well as infant oral and body structures and motions that contribute to, or inhibit, the process of feeding at the breast/chest or bottle. This presentation will focus on the role of the IBCLC when ties have been released - emphasizing the crucial nature of taking into account what occurs prior to, during and after a tie-release. IBCLCs look at not only the function of an infant’s oral skills and structures, but also the infant’s body as a whole; as well as the emotional and physical experience of the lactating parent, family dynamics, and feeding goals - and using this information to create a manageable plan for the family, adjusting milestones and goals as infant feeding skills and parent goals change; and guiding the possible role of other healthcare providers during a case.

Objectives:

1: Explain assessment of infant oral and body structure and function and how they may impact feeding (pre/post tie-release)
2: Explain post-frenotomy care plan for infant and the family
3. Describe oral and body exercises that can be used post-frenotomy to help infants release compensations and establish healthy sucking patterns

Live Presentation Schedule Sep 23, 2024

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23-09-2024 17:00 23-09-2024 18:00 35 Getting Feeding Back on Track After Tongue-Tie Release IBCLCs assess chest/breast and bottle feeding skills, as well as infant oral and body structures and motions that contribute to, or inhibit, the process of feeding at the breast/chest or bottle. This presentation will focus on the role of the IBCLC when ties have been released - emphasizing the crucial nature of taking into account what occurs prior to, during and after a tie-release. IBCLCs look at not only the function of an infant’s oral skills and structures, but also the infant’s body as a whole; as well as the emotional and physical experience of the lactating parent, family dynamics, and feeding goals - and using this information to create a manageable plan for the family, adjusting milestones and goals as infant feeding skills and parent goals change; and guiding the possible role of other healthcare providers during a case. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Knowledge of whole-body movement, reflexes, and posture as related to breastfeeding is essential to IBCLC competency. A newborn human emerges from a physiological flexed position from which gradual unwinding occurs over months. Functional breastfeeding facilitates unwinding, requiring upper body extension, reflexive movement, and reciprocal posturing between each breast. Compensatory breastfeeding inhibits movement progression, coordination of upper body posture, lower body stability and the reflexive motion expected for functional feeding. Examples of compensations during feeding may include chomping, limited jaw gaping, excessive jaw excursion, clicking, arching, burrowing, and whole-body restlessness. Signs of compensations can include lip blistering, favoring one side, head turning preference, and overactive or underactive reflexes. All should be assessed and optimized in preparation for oral restriction assessment. This presentation will focus on improving posture, infant-led/reflexive breast attachment, feeding frequency/motor memory, and emotional well-being before and after frenectomy. Identifying and addressing whole body compensations and inefficient movement patterns will be reviewed. Resources for expanding expertise as well as when care beyond one’s own expertise may be necessary will be provided. Presented by an IBCLC/physical therapist, breastfeeding as a vital sign and first movement milestone in need of more definition as such across the healthcare continuum will be underscored.

Objectives:

1. Define at least 3 compensatory movements that can affect breastfeeding function
2. Explain 2 ways to facilitate infant-led/reflexive breast attachment to assist in addressing signs of movement compensation
3. Demonstrate 3 activities that can empower families to improve movement, posture and emotional well-being for better breastfeeding function before and after frenectomy.

Live Presentation Schedule Sep 16, 2024

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16-09-2024 17:00 16-09-2024 18:00 35 Identifying and Addressing Compensations and Inefficient Movement Patterns in the Tongue-Tied Baby Knowledge of whole-body movement, reflexes, and posture as related to breastfeeding is essential to IBCLC competency. A newborn human emerges from a physiological flexed position from which gradual unwinding occurs over months. Functional breastfeeding facilitates unwinding, requiring upper body extension, reflexive movement, and reciprocal posturing between each breast. Compensatory breastfeeding inhibits movement progression, coordination of upper body posture, lower body stability and the reflexive motion expected for functional feeding. Examples of compensations during feeding may include chomping, limited jaw gaping, excessive jaw excursion, clicking, arching, burrowing, and whole-body restlessness. Signs of compensations can include lip blistering, favoring one side, head turning preference, and overactive or underactive reflexes. All should be assessed and optimized in preparation for oral restriction assessment. This presentation will focus on improving posture, infant-led/reflexive breast attachment, feeding frequency/motor memory, and emotional well-being before and after frenectomy. Identifying and addressing whole body compensations and inefficient movement patterns will be reviewed. Resources for expanding expertise as well as when care beyond one’s own expertise may be necessary will be provided. Presented by an IBCLC/physical therapist, breastfeeding as a vital sign and first movement milestone in need of more definition as such across the healthcare continuum will be underscored. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Treatment of tongue tie is multi-faceted. Releasing the structural restriction of Ankyloglossia allows for a change in function but therapy is needed to help this process as habits are already formed, however young the patient. Facilitating new neural pathways will help achieve normal movement patterns in place of compensatory strategies. These compensations cause tension within the body that can block free movement of the oral structures. Tension can also lead to asymmetries which make achieving postural stability difficult. This lack of postural stability or misalignment within the body structures also hinders the fine motor coordination needed for optimal oral motor skills. This talk aims to discuss how to approach treating infants with Ankyloglossia whilst taking all these factors into account.

Objectives:

1. Explain how to facilitate neuro-muscular re-education working with infants both pre- and post-frenectomy/frenuloplasty.
2. Describe how to identify and address tension patterns which can block free lingual movement or impede postural alignment.
3. List 2 ways to integrate knowledge about neuromuscular re-education and tension patterns into facilitating the transition from dysfunction to correct feeding patterns both at the breast and a bottle.

Live Presentation Schedule Sep 16, 2024

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16-09-2024 15:00 16-09-2024 16:00 35 Neuromuscular Re-Education and Tension Release as Tools to Optimize Feeding Post Frenotomy Treatment of tongue tie is multi-faceted. Releasing the structural restriction of Ankyloglossia allows for a change in function but therapy is needed to help this process as habits are already formed, however young the patient. Facilitating new neural pathways will help achieve normal movement patterns in place of compensatory strategies. These compensations cause tension within the body that can block free movement of the oral structures. Tension can also lead to asymmetries which make achieving postural stability difficult. This lack of postural stability or misalignment within the body structures also hinders the fine motor coordination needed for optimal oral motor skills. This talk aims to discuss how to approach treating infants with Ankyloglossia whilst taking all these factors into account. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Infant massage has been shown in research to improve weight gain, reduce jaundice and the length of hospital stay for neonates, reduce pain and help enhance parent-infant bonding. While standardized post-frenotomy care is still a work in progress and needs more research, it is vital that we strive to decrease the stress and pain of post-frenotomy care for parents and their infants. Research also shows that parents who learned and performed infant massage experienced reduced anxiety and a stronger attachment with their infant. The goal of this presentation will be teaching lactation professionals how infant massage can be used as an adjunct tool to support families and their infants for a smooth recovery post-frenotomy and re-harmonize the parent-infant bond.

Objectives:

1. List 3 common stressors for parents and infants that can impact post-frenotomy recovery and parent-infant bond.
2. Define how parent and infants can benefit from infant massage post-frenotomy.
3. Explain 2 examples of post-frenotomy care plans that incorporate infant massage as a therapeutic tool to re-harmonize the parent infant bond.

Live Presentation Schedule Sep 23, 2024

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23-09-2024 21:00 23-09-2024 22:00 35 Strengthening Bonds After Frenotomy: Infant Massage As A Recovery Strategy Infant massage has been shown in research to improve weight gain, reduce jaundice and the length of hospital stay for neonates, reduce pain and help enhance parent-infant bonding. While standardized post-frenotomy care is still a work in progress and needs more research, it is vital that we strive to decrease the stress and pain of post-frenotomy care for parents and their infants. Research also shows that parents who learned and performed infant massage experienced reduced anxiety and a stronger attachment with their infant. The goal of this presentation will be teaching lactation professionals how infant massage can be used as an adjunct tool to support families and their infants for a smooth recovery post-frenotomy and re-harmonize the parent-infant bond. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Symptoms of depression and anxiety can occur in up to 1 in 5 mothers and 1 in 10 fathers during pregnancy or during the first year after the birth of a baby. Feeding difficulties are well-known as a contributing factor in perinatal mood and anxiety disorders (PMADs). The efficient treatment and habilitation of ankyloglossia can potentially impact the mental well-being of our patients. This lecture will discuss the lactation consultant’s role in the assessment of PMADs, suggest strategies for supporting breastfeeding and mental health in the gap between the assessment and treatment of feeding difficulties, and identify resources available for referral, collaboration strategies, and effective communication between the lactation provider and other disciplines included in the ankyloglossia and mental health care team.

Objectives:

1. Explain 3 signs and symptoms of perinatal mood and anxiety disorders (PMADs) and describe how feeding difficulties can contribute to PMADs.
2. List validated screening tools and referral resources for perinatal mood and anxiety disorders (PMADs).
3. Describe the role of the lactation and ankyloglossia team in improving functional feeding and the potential positive impact on the mental well-being of families.

Live Presentation Schedule Sep 23, 2024

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23-09-2024 19:00 23-09-2024 20:00 35 The ABCs of Ankyloglossia and Perinatal Mental Health Symptoms of depression and anxiety can occur in up to 1 in 5 mothers and 1 in 10 fathers during pregnancy or during the first year after the birth of a baby. Feeding difficulties are well-known as a contributing factor in perinatal mood and anxiety disorders (PMADs). The efficient treatment and habilitation of ankyloglossia can potentially impact the mental well-being of our patients. This lecture will discuss the lactation consultant’s role in the assessment of PMADs, suggest strategies for supporting breastfeeding and mental health in the gap between the assessment and treatment of feeding difficulties, and identify resources available for referral, collaboration strategies, and effective communication between the lactation provider and other disciplines included in the ankyloglossia and mental health care team. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Breastfeeding is nature’s mechanism to encourage formation of wider airway and jaws in human beings. Infants learn to become nasal breathers through direct breastfeeding from the mother. Tongue ties often lead to difficulty in breastfeeding or in many cases leads to compensated sucking pattern at the breast that doesn’t encourage the complete tongue palate contact which is imperative for wider maxillary growth and nasal space. The engramming process of tongue suctioning to roof of the mouth is naturally facilitated by direct, exclusive, non-compensated breast feeding. Addressing the tongue tie to encourage uncompensated breastfeeding is the first step towards preventing any form of sleep disordered breathing. Sleep disordered breathing (SDB) encompasses a spectrum of issues that affect breathing patterns in sleep. The issues broadly range from simple mouth breathing to severe apneas. Medical literature talks about numerous non-invasive or invasive methods to salvage the situation, however, there are no prevention protocols till date. The major challenge lies in identifying early symptoms of SDB due to lack of knowledge on role of tongue as a respiratory organ and its impact on the craniofacial respiratory complex. When the symptoms suggestive of SDB are recognised by healthcare professionals early, prevention of obstructive sleep apnea is possible.

Objectives:

1.Explain 3 red flags for sleep-disordered breathing from infancy through adolescence.
2.Describe the association between direct breastfeeding, role of tongue and airway development and utilization.
3.List 2 reasons it is important to address tongue ties with a function-first approach.

Live Presentation Schedule Sep 17, 2024

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17-09-2024 15:00 17-09-2024 16:00 35 The Role of Breastfeeding and Frenotomy in the Prevention of Pediatric Obstructive Sleep Apnea Breastfeeding is nature’s mechanism to encourage formation of wider airway and jaws in human beings. Infants learn to become nasal breathers through direct breastfeeding from the mother. Tongue ties often lead to difficulty in breastfeeding or in many cases leads to compensated sucking pattern at the breast that doesn’t encourage the complete tongue palate contact which is imperative for wider maxillary growth and nasal space. The engramming process of tongue suctioning to roof of the mouth is naturally facilitated by direct, exclusive, non-compensated breast feeding. Addressing the tongue tie to encourage uncompensated breastfeeding is the first step towards preventing any form of sleep disordered breathing. Sleep disordered breathing (SDB) encompasses a spectrum of issues that affect breathing patterns in sleep. The issues broadly range from simple mouth breathing to severe apneas. Medical literature talks about numerous non-invasive or invasive methods to salvage the situation, however, there are no prevention protocols till date. The major challenge lies in identifying early symptoms of SDB due to lack of knowledge on role of tongue as a respiratory organ and its impact on the craniofacial respiratory complex. When the symptoms suggestive of SDB are recognised by healthcare professionals early, prevention of obstructive sleep apnea is possible. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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This presentation delves into the nuanced realm of tongue-tie (ankyloglossia) from a personal and professional perspective, offering a comprehensive overview of its management and long-term effects. Drawing on years of clinical experience as a pediatrician, as well as personal reflections, our speaker from Ireland explores the multifaceted approach to tongue-tie care, encompassing surgical techniques, the critical importance of post-surgical functional adaptation, and the mechanics of normal feeding. The discussion extends beyond the procedural to address the broader implications of missed or untreated tongue ties, including potential feeding difficulties, speech issues, and dental problems. By shedding light on these aspects, the talk aims to arm healthcare professionals with the knowledge to make informed decisions in diagnosing and managing tongue-tie, ultimately facilitating improved health outcomes from infancy through adulthood.

Objectives:

1. Explain the comprehensive management of tongue-tie: Equip participants with knowledge on the latest surgical approaches for tongue-tie treatment and the significance of post-surgical functional changes in promoting normal feeding mechanics.
2. List and address the consequences of missed or untreated tongue-tie: Highlight the potential implications of overlooked tongue-tie, such as compromised feeding, speech difficulties, and dental issues, emphasizing the importance of early detection and intervention.
3. Describe decision-making in tongue-tie care: Provide insights into the indicators of tongue-tie, the necessity for holistic care approaches, and strategies for healthcare professionals to support parents in making informed decisions regarding tongue-tie intervention for their children.

Live Presentation Schedule Oct 1, 2024

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01-10-2024 15:00 01-10-2024 16:15 35 Unraveling Tongue-Tie: Surgical Insights and Lifelong Health Implications This presentation delves into the nuanced realm of tongue-tie (ankyloglossia) from a personal and professional perspective, offering a comprehensive overview of its management and long-term effects. Drawing on years of clinical experience as a pediatrician, as well as personal reflections, our speaker from Ireland explores the multifaceted approach to tongue-tie care, encompassing surgical techniques, the critical importance of post-surgical functional adaptation, and the mechanics of normal feeding. The discussion extends beyond the procedural to address the broader implications of missed or untreated tongue ties, including potential feeding difficulties, speech issues, and dental problems. By shedding light on these aspects, the talk aims to arm healthcare professionals with the knowledge to make informed decisions in diagnosing and managing tongue-tie, ultimately facilitating improved health outcomes from infancy through adulthood. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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Since the identification of tethered oral tissues (TOTs) is a functional assessment, in order to be complete, maternal assessment must be included. In this presentation, we will discuss how the function of the breastfeeding infant is affected by maternal factors, including discomfort, milk supply, birth experience, and lack of prior education/support. It is important to assess, not only if there is a tie, but whether the tie is what is causing the feeding concerns. This paradigm extends to readiness for release of TOTs and considers maternal/family readiness as an indicator for successful procedure.

Objectives:

1. Describe 3 ways the function of an infant at the breast can be affected by maternal factors
2. List at least 3 maternal factors that affect breastfeeding success (comfort, milk supply, birth experience, lack of knowledge/support)
3. Explain 2 elements of assessing for maternal/family readiness for an infant's tongue tie procedure.

Live Presentation Schedule Sep 17, 2024

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17-09-2024 17:00 17-09-2024 18:00 35 What About Mom? Maternal Considerations When Assessing & Treating Tongue Tie in a Breastfeeding Dyad Since the identification of tethered oral tissues (TOTs) is a functional assessment, in order to be complete, maternal assessment must be included. In this presentation, we will discuss how the function of the breastfeeding infant is affected by maternal factors, including discomfort, milk supply, birth experience, and lack of prior education/support. It is important to assess, not only if there is a tie, but whether the tie is what is causing the feeding concerns. This paradigm extends to readiness for release of TOTs and considers maternal/family readiness as an indicator for successful procedure. GOLD Tongue-Tie Online Conference false DD/MM/YYYY

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