
TOTs 5-Step Screening Tool
Course Description Tethered Oral Tissue(s) is an abnormality of one or more of the sevenfrena in the oral cavity including: maxillary buccal, mandibular buccal,maxillary labial, mandibular labial and lingual frena. Abnormalities of thefrena, such as tightness, atypical location and/or appearance are oftenmissed in speech and feeding evaluations because many medical andeducational professionals have not been trained in the diagnosticprocedures for structural and functional red flags of TOTs.This course will discuss how medical and education professionals such asIBCLCs, occupational therapists, physical therapists, speech-languagepathologists, dentists, ENTs, pediatricians, orthodontists etc. can quicklyassess for TOTs and make the proper referrals to a specialist who hasspecialized training in this diagnosis. Common symptoms will behighlighted such as sleep disorders and dysphagia. Clarification of a TOTsteam and suggested referrals will also be covered. Learning Outcomes Participants will be able to identify at least 3 signs and symptoms ofTOTs. Participants will be able to identify the location of the seven frena. Participants will be able to list at least 2 reasons to warrant a referralto a TOTs trained specialist. Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® resources. Other similar treatment approaches will receive limited or no coverage during this lecture. TalkTools®️ is an AOTA Approved Provider of continuing education. Provider #: 8837. This Distance Learning-Independent course qualifies for 2.5 contact hours or 0.25 CEUs in the Category of OT Service Delivery and Foundational Knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. Instructors Robyn Merkel-Walsh, MA, CCC-SLP, COM®️ Bio and Financial Disclosure Timed Agenda 20 Minutes: Background - what is TOTs? 30 Minutes: What are frena 30 Minutes: Red flags of TOTs and proper assessment 50 Minutes: Assessing the oral frena and using the screening tool 20 Minutes: Wrap up Learning Options Online ONLY for 1 learner -- ACCESS TO ONLINE COURSE (downloadable handout and additional resources) Online + Supplies for 1 learner -- (1) TOTs book Group Rate for 5 learners ACCESS TO ONLINE COURSE for 5 learners (5) TOTs books Recommended Tools sensi pre-feeding bite blocks throat scope toothies liper How TalkTools e-learning Works Getting You Tech-Ready for Your TalkTools® Course For live courses visit our Event Calendar