Tethered Oral Tissues
Tethered Oral Tissues (Tongue/Lip/Buccal Ties)
Tethered oral tissues (TOTs), otherwise known as tongue/lip/buccal ties, affect appropriate movements of oral structures for adequate food management, swallowing, natural oral cleansing, and speech.
These are the main symptoms associated with tongue/lip/buccal ties:
In breastfeeding
In breastfeeding, unsustained and/or shallow latch, colic and/or irritability, gassiness, falling asleep at the breast, extended feedings, frequent short feeds, poor weight gain, clicking, anterior breastmilk loss, gagging; maternal nipple pain/trauma, recurrent thrush/ mastitis, combative behaviors;
Gastrointestinal tract issues
Gastrointestinal tract issues including gassiness, hiccups, vomiting, and acid reflux-like symptoms;
During bottle feedings
During solid feedings, difficulty transitioning to purees and table foods; poor intake and weight gain, gagging, refusals and negative mealtime behaviors, packing, expulsion, difficulties with fibrous, multi-textured foods;
In speech production
In speech production, speech related issues with difficulty articulating “t, d, z, s, th, n, and l” sounds.
Following the most advanced recent medical research, we now provide comprehensive:
Evaluation for presence and impact of tethered oral tissues on your child’s oral function, including proper oral exam and necessary referrals to outside preferred providers to obtain surgical intervention when appropriate;
Execution of a treatment plan for optimizing oral function in the presence of tethered oral tissues, including active wound management and specific treatment techniques;
Education and communication with caregivers and other medical professionals regarding identification and treatment of tethered oral tissues, including educational tools and resources.
Tethered oral tissues (TOTs)
Tethered oral tissues (TOTs), otherwise known as tongue/ lip/ buccal ties, affect appropriate movements of oral structures for adequate food management, swallowing, natural oral cleansing, and speech. These are the main symptoms associated with tongue/ lip/ buccal ties:
- In breastfeeding/ bottle feedings, shallow latch, colic and/or irritability, GI symptoms (GER, gas, hiccups), extended feedings, poor weight gain, clicking, gagging; maternal nipple pain/ trauma, recurrent thrush/ mastitis, combative behaviors.
- Gastrointestinal tract issues including gassiness, hiccups, vomiting, and acid reflux-like symptoms.
- During solid/ table foods feedings, difficulty transitioning to purees and table foods; poor intake and weight gain, gagging, refusals and negative mealtime behaviors.
- In speech production, speech related issues with reduced speech clarity and difficulty articulating «t, d, z, s, th, n, and l» sounds.
Comprehensive Evaluation & Treatment for Tethered Oral Tissues
Building on the most advanced recent medical research, we now provide comprehensive:
- Evaluation for presence and impact of tethered oral tissues on your child’s oral function.
- Execution of a treatment plan for optimizing oral function in the presence of tethered oral tissues.
- Education and communication with caregivers and other medical professionals regarding identification and treatment of tethered oral tissues, including educational tools and resources.
What to Expect
From your first evaluation to ongoing progress, we guide your family through a supportive, personalized therapy journey.
Initial Evaluation (60-90 min)
Comprehensive functional assessment of your child’s current speech, language and/or feeding skills using standardized tools, observations while following a “whole-child” approach.
Personalized Treatment Plan
Your family receives a clear therapy plan with goals, recommended frequency, and practical strategies tailored to your child’s needs.
Therapy Sessions
Sessions are engaging, supportive, and evidence-based, using play and connection to help your child build meaningful skills.
Progress & Family Support
We provide ongoing updates, caregiver coaching, and collaboration so progress continues beyond the therapy room.
Hear from Our Graduates
Marina is such an amazing lactation consultant, she helped me figure out the root of what’s causing my challenge with nursing, and fixed it, so I was able to successfully continue nursing with both of my babies, thank G-D. She has such a gentle approach which calmed my baby and brought out my confidence, which was a game changer to help me continue nursing successfully. I am so grateful! Thank you Marina!❤️
Therapy Matters has been such a wonderful support for my son as he prepares for kindergarten. Their communication is outstanding, they are always responsive, and they take the time to answer every question. The environment is warm, welcoming, and perfect for young children. I want to especially acknowledge Christy, who has been amazing with her consistent communication and flexibility. She is kind, patient, and always willing to adjust sessions to meet my son’s needs. He genuinely looks forward to going, and he’s developed helpful strategies that improve how he interacts with others. Every therapist we have worked with has been fantastic, so caring, skilled, and dedicated. We are extremely grateful for the growth we have seen, and we strongly recommend Therapy Matters to any family looking for quality support.
Therapy Matters is amazing! They truly work wonders and the staff is incredible. They are patient, caring and make it so fun for the kids. My son looked forward to going week after week.
Great services, Always communicate on every change on the schedule for my child. Wonderful people who works there, especially the therapist. My son has improvements and always gives us any advice and encouragement.
I finally felt hope for the first time in years. My super picky-eater 5 yr old chewed on a carrot in the first session! Amanda is wonderful. My son connected with her right away and normally he's more shy when meeting someone new. Very friendly office & clearly are experts in this field.
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