ALD LEARNING LIBRARY - Pediatrics, TOTs, Frenectomy

Marketing Your Practice in Pediatric Dentistry
Lawrence Kotlow, DDS

Today more than ever the practice of dentistry has and is changed forever. This presentation will go over recommendations on how to attract new infants and mothers. How to use the media to your benefit as well as understand how the internet can be your best friend or worst enemy. Using your laser safely especially in today’s new norm.





Educational Objectives

  • How to use the media and internet to your benefit.
  • Play it safe: examine the infant safely, educating your office and parents.
  • How to properly revise TOTs.
  • Create patient interviews and use your website to your advantage.

Recorded April 21, 2020



Optimal Timing of Release: Identifying Comorbidities in Babies Needing Tethered Oral Tissue Release
Michelle Emanuel, OTR/L

Identification of Tethered Oral Tissues (TOTs) is an important step in addressing feeding problems in pre-crawling babies, however, identification is not the indicator for release. Signs and symptoms of neurodevelopmental vulnerabilities present themselves in posture, oral, airway, facial, and gastrointestinal problems. Preparing babies and families for release through astute assessment and treatment is a necessary component for optimal outcomes. This presentation will address these concepts so that attendees will learn ways to incorporate them into their laser dental practice.



Educational Objectives

  • Specify 3 comorbidities with tethered oral tissues.
  • Identify 2 aspects of optimal timing of release of TOTs.


Recorded April 21, 2020


The Speech-Language Pathologist’s Integral Role on the TOTs Team
Vanessa Anderson-Smith, MA CCC-SLP COM

Many professionals see TOTs in the pediatric population as a feeding issue in infants or a speech production/feeding disorder in older children. It also has the potential to contribute to a myriad of health implications. A speech-language pathologist will retrain a child to use muscles that the child may have never had (or had limited) access to prior to a frenectomy. Post-frenectomy therapy will assist with integration of the new motor patterns into safe and efficient eating and clearer speech production. A speech-language pathologist’s role in pre- and post-frenectomy care is essential for neuromuscular reeducation. The benefits are many, including reaching optimal results for improvement in a child’s feeding and speech, as well as enhancing other health benefits.

Educational Objectives

  • Understand the role of a speech-language pathologist in pre- and post-frenectomy care.
  • Describe the need for proper neuromuscular reeducation post frenectomy.
  • Summarize the impacts of TOTs on speech production and feeding.

Recorded April 30, 2020

ALD Organization Disclosure - Disclaimer on Protocols and Opinions


The views expressed and opinions and materials presented during a presentation represent the personal views and opinions of the individual speakers and do not necessarily represent the views and opinions of the Academy of Laser Dentistry. The Education Committee of the Academy of Laser Dentistry may review content only as it relates to topics within the Curriculum Guidelines and Standards for Dental Laser Education. The Academy of Laser Dentistry assumes no responsibility for the content of the presentations made by individual speakers pertaining to protocols for laser treatment. Any suggested protocols for treatment may be based upon the speakers' own clinical experience and should not be construed as Academy of Laser Dentistry recommended protocols.