Center for Infant Tethered Oral Ties

Center for Infant Tethered Oral Ties Pediatric Occupational Therapy, Infant Tongue-Tie Specialist, and OT Mentorship.

08/14/2026

👅 Assessing a tongue-tie is about so much more than the tongue.

➡️ As an occupational therapist, I’m looking at the whole baby—movement, posture, sensory processing, regulation, oral-motor function, feeding patterns, and the compensations they may be using.

✅ Because a tongue restriction doesn’t function in isolation—and neither should our assessment.

🩷 Assess function. Assess the whole baby.

I will be hosting another in-person tongue-tie provider training the third weekend in October. But I need a head count f...
08/13/2026

I will be hosting another in-person tongue-tie provider training the third weekend in October. But I need a head count first.

Who’s interested?? Comment, “TRAINING” below so I can start planning ahead.

Details to come once I have at least 3 providers interested. 🤩

08/12/2026

☝️I’ve had my share of parents say I was mean, that I scared them, or even that I was just trying to get their money.

👉 And while I never want a parent to leave my office feeling unsupported, I also know I cannot control how someone will feel about the information I give them.

🤜 What I can control is how I deliver it.

🩷 I can be compassionate. I can explain the “why.” I can give options. I can answer questions. And I can make sure families feel safe, secure, and supported while making decisions for their child.

❎ But I will not sugarcoat information simply because it may be difficult to hear.

👏 Our job as providers isn’t to make parents feel good about everything we say. Our job is to make sure they have the information they need to make informed decisions — delivered with SAFETY, SECURITY, AND SUPPORT.



Have you had a parent get upset at you for these reasons? Comment and share below.

08/10/2026

Call it a surgery.
Call it a procedure.
Call it a zippity zap. ⚡️
Call it a snippity snip. ✂️😂

What you call it doesn’t change what matters: the work BEFORE and AFTER a frenectomy.

Because I get too many calls from moms saying, “We did the procedure, but nothing changed.”

And when I ask about pre- and post-frenectomy support?

➡️ There wasn’t any.

A release is one part of the process—not the whole process.
Preparation. Function. Rehab. Follow-up.

It’s not just about releasing tissue. It’s about helping your baby use what was released. 👅



What do you call a frenectomy to your clients?

08/07/2026

A lot of moms will tell me, “we don’t need to address the tongue tie anymore because we decided to just bottle feed.”

There is nothing wrong with bottle feeding, however, it can mask the issues of a restricted tongue tie down the line.

Breathing is one of them.

Poor breathing can lead to facial development, poor sleep, poor behaviors, poor focus, poor attention, and poor health, to name a few.

Get help. Don’t ignore it. 🤩

08/01/2026

Parents don’t realize the extent poor breathing has on their baby’s health, both now and later into childhood and adulthood.

Many parents even say to me, “I wish I knew all of this for myself growing up.”

There is no harm with investing in a proper evaluation for your baby when they are born.

In the very least, ask questions.

www.oralties.com

07/23/2026

Let’s talk about vibration.

Why?

Because I’m seeing more and more babies being recommended oral vibration without appropriate assessment, guidance, or follow-up.

Vibration is not a toy. It is a therapeutic sensory tool—and like any intervention, it should have a clear clinical purpose.

One question I routinely ask families is whether they were screened for a history of seizures or seizure-risk before vibration was recommended. More often than not, parents tell me they were not asked this.

Therapeutic vibration has the potential to influence oral sensory and motor responses. That’s why it’s important to observe how each baby responds before, during, and after treatment—not only in the moment, but also through follow-up and reassessment of feeding, breathing, oral function, regulation, and sensory processing.

Not every baby needs vibration.
Not every baby benefits from vibration.
And not every provider should be recommending vibration without the training to assess its effects.

When in doubt, refer out to a qualified feeding or pediatric therapy professional who can determine whether it is appropriate for your baby.

07/17/2026

New to working with infants with tethered oral tissues (TOTs)? Or looking to improve? Start here.

I’m so excited to officially launch my on-demand Infant TOTs training—created to help you build a strong clinical foundation in infant assessment, treatment, and frenectomy readiness.

Hosted through , you can complete the course from anywhere, on your own schedule, with everything you need in one place (internet access required):

✨ Self-paced modules
✨ Knowledge quiz
✨ Course evaluation
✨ Certificate of completion

This intermediate-level course is approved for 0.375 AOTA CEUs (3.75 contact hours) and is designed to help you strengthen your clinical reasoning, improve your assessments, and elevate the care you provide to infants and their families.

Whether you’re just entering the infant TOTs world or looking to build more confidence in your clinical decision-making, this course was made for you.

🎓 Infant TOTs: Assessment, Treatment, and Frenectomy Readiness

🔗 Enroll today: https://oralties.com/ceu

🎥

07/13/2026

➡️ A lot of parents and providers will often go online to look up videos to do and that’s ok BUT….

➡️ Not every technique will apply to your baby and your baby’s response is not going to be the same as another baby. You might miss the clinical nuances that are being assessed.

✅ Here are some things you might not see simply from watching a ten second clip:

• Oral reflexes were assessed prior to this exercise.
• Head and neck mobility were engaged to warm up his tongue (bet you didn’t know that, did you?)
• Teethers were provided to allow for baby-guided oral motor sensory play.
• Orofacial massages were implemented on the outside of the mouth to prepare for minimal stimulation in his mouth.
• Observing for asymmetrical movements of the jaw and tongue.
• Not putting any pressure on his lower jaw (mandible).
• Gently providing tactile cues to the tip of his tongue.
• Observing for progress with tongue extension.
• Co-regulating with his responses.
• Facilitated this exercise in different positions.

And so much more! This is why a proper evaluation with the right provider is so crucial. The wrong approach can delay your baby’s progress.

www.oralties.com

07/09/2026

So many parents are told “that is normal.”

I get it, not everything is a problem but at least talk to the right person to help you determine that before dismissing it.

What is the harm in getting your baby properly evaluated?

Red flags can include:

Mouth breathing/mouth often open
Excessive drooling
Slow feeding
Milky tongue
Blisters
Poor weight gain
Delayed motor skills such as rolling, crawling, walking
Speech articulation
Poor sleep
Snoring
Picky eating
Poor regulation
“Colic”
Reflux
Head tilt
Flat spots
And more…

Ask questions. Get solutions.

www.oralties.com

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2318 Huntington Drive
San Marino, CA
91108

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