{"id":567,"date":"2021-08-31T17:59:19","date_gmt":"2021-08-31T17:59:19","guid":{"rendered":"https:\/\/cns72.com\/therapyatplay.com\/?p=567"},"modified":"2021-08-31T17:59:19","modified_gmt":"2021-08-31T17:59:19","slug":"tethered-oral-tissues-tots","status":"publish","type":"post","link":"https:\/\/cns72.com\/therapyatplay.com\/tethered-oral-tissues-tots\/","title":{"rendered":"Tethered Oral Tissues (TOTs)"},"content":{"rendered":"<p><u>What is a Tethered Oral Tissues (TOTs)? <\/u><\/p>\n<p>TOTs has become a common acronym used by speech, feeding and dental professionals, and those who practice orofacial myofunctional therapy. TOTs includes lingual restriction &#8212; also known as ankyloglossia (tongue tie)&#8211; but can also be a restriction of the <a href=\"about:blank\">frena<\/a> of the lips and cheeks, by a band of tissue<\/p>\n<p><u>What does the Speech Pathologist do? <\/u><\/p>\n<ul>\n<li>Assess : Structural Red Flags\/Functional Red Flags<\/li>\n<li>Treat: PRE-OP\/POST-OP Care<\/li>\n<\/ul>\n<p><u>Functional Red Flags<\/u><\/p>\n<ul>\n<li>Tongue thrusting<\/li>\n<li>Teeth grinding<\/li>\n<li>Oral phase feeding issues<\/li>\n<li>Breast-feeding issues<\/li>\n<li>Mouth breathing<\/li>\n<li>GERD\/reflux symptoms<\/li>\n<li>Sleep Disorder Breathing<\/li>\n<li>Articulation errors<\/li>\n<li>Torticollis<\/li>\n<li>Thumb sucking<\/li>\n<\/ul>\n<p><u>Structural Red Flags<\/u><\/p>\n<ul>\n<li>High palate<\/li>\n<li>Diastema (space) between the top central incisors<\/li>\n<li>Open mouth posture<\/li>\n<li>Heart-shaped tongue tip<\/li>\n<li>Dental malocclusion (misaligned teeth)<\/li>\n<li>Enlarged tonsils and\/or adenoids<\/li>\n<li>Parted lips at rest<\/li>\n<li>Facial asymmetry<\/li>\n<li>Long face syndrome<\/li>\n<li>Full cheeks\/unresolved nursing pads<\/li>\n<\/ul>\n<p><u>Key points for TOTs<\/u><\/p>\n<ul>\n<li>TOTs TEAM Professionals should be trained in TOTs<\/li>\n<li>Releases shouldn&#8217;t be performed due to appearance alone, but rather due to functional impact<\/li>\n<li>PRE-OP and POST-OP neuromuscular re-education will be needed for optimal release<\/li>\n<li><strong><em>Everyone&#8217;s journey is unique!<\/em><\/strong><\/li>\n<\/ul>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p>By,<\/p>\n<p>Mallory McBride M.A., CCC-SLP<\/p>\n<p>Speech Language Pathologist<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is a Tethered Oral Tissues (TOTs)? TOTs has become a common acronym used by speech, feeding and dental professionals, and those who practice orofacial myofunctional therapy. TOTs includes lingual restriction &#8212; also known as ankyloglossia (tongue tie)&#8211; but can also be a restriction of the frena of the lips and cheeks, by a band [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tethered Oral Tissues (TOTs) - therapyatplay<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cns72.com\/therapyatplay.com\/tethered-oral-tissues-tots\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tethered Oral Tissues (TOTs) - therapyatplay\" \/>\n<meta property=\"og:description\" content=\"What is a Tethered Oral Tissues (TOTs)? 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