Lifespan Therapy Dysphagia/Swallowing Disorder

Tethered Oral Tissue (TOTs)

Tethered Oral Tissues (TOTs) is a term used to describe tight, restrictive connective tissue between oral structures. Tethered oral tissues are congenital formations that restrict the range of motion, which contribute to functional deficits. There are a total of seven frenula in the mouth: one lingual frenulum (tongue), two labial (lip) frenula, and four buccal (cheek) frenula.

What are signs and symptoms of tethered oral tissues?

Shallow or weak latch during Choking TMJpain/dysfunction breastfeeding or bottle feeding

Constipation Headaches & Migraines

Maternal pain during breastfeeding

Excessive drooling Neck tension

GERD (Gastroesophageal reflux)

Picky eating Difficulty chewing & swallowing

Noisy or clicking during breast and

bottle feeding Poor speech intelligibility Sleep quality issues such as

snoring, mouth breathing, restless

Lip blisters either breast or bottle feeding Orthodontic replacement sleeping, bedwetting & teeth grinding